Free Evaluation
Buffington & Associates, LLC
773-298-0280
Call Now!
773-298-0280
Attorney at Law
Please be reminded that the information contained on this site is only an overview. Each individual's situation is unique. Our website has been designed to provide you with a user-friendly overview of the bankruptcy process and how we may be able to assist you. Be advised that the information herein does not constitute legal advice. Our attorneys are here to provide you with a free, confidential evaluation to review and analyze your situation to determine which options may be right for you.
10849 S. Western Ave. | Chicago, IL 60643
(773) 298-0280
(773) 298-0284 Fax 
info@chicagoelimidebt.com
Law Offices of Damita Buffington & Associates, LLC
  © 2016 Law Offices of Damita Buffington & Associates, LLC    |  Web design by: ATIUQ89
“ A Debt Relief Agency”
Damita G. Buffington
Attorney at Law
773-298-0280
Call Now!
773-298-0280

ILLINOIS RESIDENTS ONLY!
Your Form results WILL NOT BE PROCESSED if you live outside the state of Illinois.
Contact Name:(First & Last):

City:

Phone:

Email:
Current Income Types:
Tell us about your household Income:
YOU
SPOUSE
How often do you get paid?
Net pay.........$
How often do they get paid?
(after taxes, medical and 
other deductions)
(after taxes, medical and 
other deductions)
What type of bills do you have?
(check all that apply)
Home Property:
Approximate Home Value:$

Approximate Mortgage Balance:$

Monthly Mortgage payment:$
Are you up to date on your Mortgage payments?

Are there any other Mortgages on this property?

Year:

Make:

Model:

Approximate Value:$

Approximate Balance:$

Monthly Payment:$
Are your Vehicle payments up to date?
Please fill out form below        * Required field
*

​*

*

*
Vehicle Information:
Net pay.......$
Law Offices of
debt relief
Bankruptcy Attorney
Bankruptcy Attorney
Bankruptcy Attorney

Worker's Compensation
Rental Income
Social Security
Pension
Part-time job
Child Support
Unemployment
Credit Cards
Medical Bills
Student Loans
Tax Debts
Utilities
Personal Loans
YesNo
YesNo
YesNo
Full-Time Employment
Self-employment income
Mortgage
Auto Loan
Government Fines and Penalties