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$500 finder’s fee for your help in securing clients
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Structured Settlement
First Name
Last Name
Address
Apt / Unit #
City
State
Zip
Phone
Email
Lump sum of cash that you need now
Name of agency or insurer paying you
Type of Payment you are receiving
Please select one
Pre-Settlement
Structured Settlement
Annuity
Lottery Winnings
Casino Jackpot
Current Payment Amount
Current Payment is received
Please select one
Monthly
Quarterly
Annually
1st Payment Date
Date of Final Payment
What are your current needs? (Why would you like to sell your payments)
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Business Notes
Senior Life Settlement
Structured Settlements
Lottery and Casino Gaming
Commercial Finance