bankruptcyhelpus.com
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Submitted URL: https://bankruptcyhelpus.com/
Effective URL: https://bankruptcyhelpus.com/l1/?cp=1257
Submission: On July 18 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://bankruptcyhelpus.com/l1/?cp=1257
Submission: On July 18 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST submit.php
<form id="main_form" method="post" action="submit.php" class="form-horizontal ">
<fieldset class="pb-1 pb-md-0">
<div class="row form-group mb-0 ">
<div class=" col-md-6">
<input vtype="not_empty" type="text" class="form-control form-control-lg " id="edit_firstname" name="edit_firstname" placeholder="First Name" value="" required="" minlength="3">
</div>
<div class=" col-md-6">
<input vtype="not_empty" type="text" class="form-control form-control-lg" id="edit_lastname" name="edit_lastname" placeholder="Last Name" value="" required="" minlength="3">
</div>
</div>
<div class="row form-group mb-0 ">
<div class=" col-md-6">
<input type="email" id="edit_email" name="edit_email" placeholder="Email" pattern="^([\w\.\-]+)@([\w\-]+)((\.(\w){2,3})+)$" required="" data-required="true" class=" form-control form-control-lg " value="">
</div>
<div class=" col-md-6">
<input class="form-control form-control-lg" data-val="true" pattern="^[\(]?[2-9]{1}[0-9]{2}[\)]?[.\- ]?[2-9]{1}[0-9]{2}[.\- ]?[0-9]{4}$" data-val-regex="Please enter a valid number" data-val-required="Phone is required." id="edit_phone"
name="edit_phone" placeholder="Phone" type="tel" value="" required="" data-required="true">
</div>
</div>
<div class="row form-group mb-0">
<div class=" col-md-6">
<input vtype="not_empty" type="text" class="form-control form-control-lg pac-target-input" id="edit_address" name="edit_address" placeholder="Street Address" required="" minlength="3" value="" autocomplete="off">
</div>
<div class=" col-md-6">
<input vtype="zip" type="text" class="form-control form-control-lg" id="edit_zip" name="edit_zip" placeholder="Zip" maxlength="5" required="" minlength="5" value="" pattern="^\d{5}$">
</div>
</div>
<div class="row mb-0 ">
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<div class="container">
<div class="row form-group mb-0">
<span id="form-info-confidential" class="col-md-12 radio-text text-center text-md-left"
style="background-color:#cc0000;color:white;font-weight:bold;margin:5px;padding:5px;text-align: center!important; -moz-border-radius:5px 5px 5px 5px; border-radius:5px 5px 5px 5px;">Your Information is 100% Confidential</span>
</div>
<fieldset class="pb-3 pb-md-0" id="div_total_debt">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left" style="">
<div class="radio-text-div">What is your total debt?</div>
</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select name="total_debt" id="total_debt" vtype="not_empty" vclass="not_show" class=" form-control-lg" style="width:135px!important; height:32px; padding-top:5px !important; display: inline; color: #999" required="">
<option value="less_than_5000">Less than $5k</option>
<option value="5000_to_10000" selected="">$5k - $10</option>
<option value="10000_to_20000">$10k - $20k</option>
<option value="20000_to_50000">$20k - $50k</option>
<option value="more_than_50000">More than $50k</option>
</select>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_monthly_income">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">
<div class="radio-text-div">What is your total monthly income?</div>
</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select name="monthly_income" id="monthly_income" vtype="not_empty" vclass="not_show" class=" form-control-lg" style="width:135px!important; height:32px; padding-top:5px !important; display: inline; color: #999" required="">
<option value="less_than_1000">Less than $1k</option>
<option value="1000_to_5000" selected="">$1k - $5k</option>
<option value="5000_to_10000">$5k - $10k</option>
<option value="10000_to_15000">$10k - $15k</option>
<option value="more_than_15000">More than $15k</option>
</select>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_bankruptcy_reason">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">
<div class="radio-text-div">Why are you considering bankruptcy?</div>
</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select id="bankruptcy_reason" name="bankruptcy_reason" vtype="not_empty" vclass="not_show" class=" form-control-lg"
style="width:135px!important; height:32px; padding-top:8px !important; display: inline; color: #999; font-size: 10pt !important;">
<option value="garnishment">Garnishment</option>
<option value="repossession">Repossession</option>
<option value="foreclosure">Foreclosure</option>
<option value="lawsuit">Lawsuit</option>
<option value="illness_disability">Illness / Disability</option>
<option value="divorce">Divorce</option>
<option value="job_loss">Job Loss</option>
<option value="other" selected="">Other</option>
</select>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_homeowner">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left radio-text-1-liner">Do you own your home or real estate?</span>
<span class=" col-sm-12 col-md-5" style="margin-bottom: 14px;">
<div class="form__radio-group d-inline">
<input type="radio" class="form__radio-input" id="homeowner_yes" name="homeowner" value="1">
<label for="homeowner_yes" class="form__radio-label">
<span class="form__radio-button">Yes</span>
</label>
</div>
<div class="form__radio-group ">
<input type="radio" class="form__radio-input" id="homeowner_no" name="homeowner" value="0">
<label for="homeowner_no" class="form__radio-label">
<span class="form__radio-button">No</span>
</label>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_pay_legal_fee">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">If you qualify for bankruptcy are you willing and able to pay legal fees to proceed?</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select id="pay_legal_fee" name="pay_legal_fee" vtype="not_empty" vclass="not_show" class=" form-control-lg"
style="width:135px!important; height:32px; padding-top:8px !important; display: inline; color: #999; font-size: 10pt !important;">
<option value="yes" selected="">Yes</option>
<option value="no">No</option>
<option value="maybe">Maybe</option>
</select>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_have_attorney">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">Do you currently have a lawyer<span class="radio-text-br"><br></span> representing your claim?</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<input type="radio" class="form__radio-input" id="have_attorney_yes" name="have_attorney" value="1">
<label for="have_attorney_yes" class="form__radio-label">
<span class="form__radio-button">Yes</span>
</label>
</div>
<div class="form__radio-group ">
<input type="radio" class="form__radio-input" id="have_attorney_no" name="have_attorney" value="0">
<label for="have_attorney_no" class="form__radio-label">
<span class="form__radio-button">No</span>
</label>
</div>
</span>
</div>
</fieldset>
<div class="container-fluid pt-4 mb-0 ">
<textarea vtype="not_empty" class="form-control w-100" style="font-size: 14px; padding: 5px;" id="case_notes" name="case_notes" value="" placeholder="More details about your claim" required="" autocomplete="any-random-string"></textarea>
</div>
</div>
<button class="btn btn-lg w-100 pt-3 pb-3 mt-3 myButton " style=" color:#fff; font-size: 20px !important; font-weight: bold; text-transform: uppercase; border-radius: none !important; cursor: pointer;" type="submit" name="submit_claim"
id="submit_claim">Submit My Claim</button>
<span style="font-size:11px; color:#888; line-height:13px; display:block; margin: 12px auto 0px auto; text-align: left; width: 90%; text-align:justify;">
<label>
<input type="hidden" id="leadid_tcpa_disclosure">
<div class="form-terms"> By clicking the “Submit My Claim” button, you certify that you have provided your legal name and your own phone number, you agree to the
<a href="/terms.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
and
<a href="/privacypolicy.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a>
and authorize US Bankruptcy Support and its <a onclick="open('/partners','CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" href="/partners">partners</a> to
contact you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or is currently listed on any state, federal,
or corporate “Do Not Call” list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to cancel and HELP for help. Message and
data rates may apply. By clicking the “Submit My Claim” button and submitting this form, I affirm that I have read and agree to this Site’s
<a href="/terms.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
(including the arbitration provision and the E-SIGN consent) and
<a href="/privacypolicy.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a>.
</div>
</label>
</span>
</form>
Text Content
GET A FREE BANKRUPTCY CASE EVALUATION FROM A LOCAL LAWYER YOU MAY ELIMINATE: -------------------------------------------------------------------------------- * CREDIT CARD BILLS * MEDICAL BILLS * FORECLOSURE PROCESS * WAGE GARNISHMENT * CREDITOR HARASSMENT * OUTSTANDING DEBTS * COLLECTION EFFORTS * AND MORE... GET A FREE BANKRUPTCY CASE EVALUATION FROM A LOCAL LAWYER FIND OUT NOW IF BANKRUPTCY CAN HELP YOU! FILL OUT THE FORM BELOW TO GET YOUR FREE LEGAL CLAIM REVIEW You may be entitled to financial compensation! -------------------------------------------------------------------------------- Your Information is 100% Confidential What is your total debt? Less than $5k$5k - $10$10k - $20k$20k - $50kMore than $50k -------------------------------------------------------------------------------- What is your total monthly income? Less than $1k$1k - $5k$5k - $10k$10k - $15kMore than $15k -------------------------------------------------------------------------------- Why are you considering bankruptcy? GarnishmentRepossessionForeclosureLawsuitIllness / DisabilityDivorceJob LossOther -------------------------------------------------------------------------------- Do you own your home or real estate? Yes No -------------------------------------------------------------------------------- If you qualify for bankruptcy are you willing and able to pay legal fees to proceed? YesNoMaybe -------------------------------------------------------------------------------- Do you currently have a lawyer representing your claim? Yes No Submit My Claim By clicking the “Submit My Claim” button, you certify that you have provided your legal name and your own phone number, you agree to the Terms and Conditions and Privacy Policy and authorize US Bankruptcy Support and its partners to contact you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or is currently listed on any state, federal, or corporate “Do Not Call” list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to cancel and HELP for help. Message and data rates may apply. By clicking the “Submit My Claim” button and submitting this form, I affirm that I have read and agree to this Site’s Terms and Conditions (including the arbitration provision and the E-SIGN consent) and Privacy Policy. FIND YOURSELF A LAWYER THAT WILL FIGHT FOR YOU AND YOUR RIGHTS! Receive the Fresh Start You Deserve! Free No Obligation Consultation - Pay Nothing! Your Contact Information and Your Claim are Confidential! Get Help Now! No matter what your situation is, we can find a solution that will be in your best interest. Contact us today for the trusted legal help you deserve. Submit your information above for a FREE CLAIM REVIEW » ABOUT BANKRUPTCY -------------------------------------------------------------------------------- Bankruptcy can be a viable debt relief option for those who are unable to repay their debt. Bankruptcy was established by the US Government to help struggling Americans find relief from overwhelming debt. It allows for a fresh start towards a financially sound future. After filing for Bankruptcy, you can immediately take steps towards rebuilding your credit. -------------------------------------------------------------------------------- CHAPTER 7 VS CHAPTER 13 -------------------------------------------------------------------------------- Chapter 7 Bankruptcy involves credit card debt, medical bills, payday loans and tax debt among other types of unsecured debt. In this bankruptcy, most of the debts are discharged and you are longer obligated to pay them. Chapter 7 Bankruptcy is designed for people with limited income who do not have the ability to pay back most or all their debt. Chapter 13 Bankruptcy is designed to help people who have a regular income but are overwhelmed with their debts. In this bankruptcy, you are given a plan to catch up with past-due payments during a three to five-year repayment plan. Chapter 13 bankruptcy is designed to reduce your monthly or weekly payments. TAKE ACTION -------------------------------------------------------------------------------- If you need help or relief from your debt, don’t delay any longer! Let US Bankruptcy Support help connect you to a local attorney who can help you with your case. Get your FREE Bankruptcy Evaluation today – complete this easy online claim form! Get Help Now! IN THE NEWS -------------------------------------------------------------------------------- https://www.legalzoom.com/knowledge/bankruptcy/topic/types-of-bankruptcy https://www.thebalance.com/basic-types-of-personal-bankruptcy-960606 https://www.credit.com/debt/filing-for-bankruptcy-difference-between-chapters-7-11-13/ Copyright © 2014, US Bankruptcy Support Privacy Policy | Terms & Conditions | CA Residents Only - Do Not Sell My Info | California Privacy | Partners | Unsubscribe PHONE NUMBER: To reach us by phone, please call: 516.362.3623 EMAIL: info@bankruptcyhelpus.com ADDRESS: BankruptcyHelpUs, 21781 Ventura Blvd #10043, Woodland Hills, CA 91364 US Bankruptcy Support is devoted to helping consumers struggling with debt or who may have been injured by prescription medications, financial fraud, automobile recalls, and various other issues where they could seek legal representation. THIS IS AN ADVERTISEMENT. This is not a law firm or referral service and does not provide legal advice. This is a free connection service only and there is no charge to be connected with an attorney. Claim reviews will be performed by a third party attorney and the attorney who receives your information may not offer a free claim evaluation. This is not a substitute for medical advice from your doctor, so never start or stop taking medication without consulting a doctor first. We do not recommend or endorse any attorneys that pay to participate in this advertisement. An attorney-client relationship is not formed when you submit the form and you are under no obligation to retain a lawyer who contacts you through this service. Services are not available in all states. This website is not affiliated in any way with any pharmaceutical company, drug producer, or attorney, and makes no claim to any registered trademarks or brands of any company. We help you find information to fight for your rights!