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Attorney Advance Form






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    Your Name:
    Your Email:
    Date:
    Advance Amount:
    Attorney Name:
    Firm Name:
    Type of Practice:
    Address:
    City:
    State:
    Zip:
    Attorney Phone
    Attorney Fax
    Outstanding Firm or Individual loans and their amounts due:
    Lines of credit and their amounts due:
    Number of cases pending on a contingency basis:
    Number of cases offered as collateral of non-recourse advance:

    Quality of cases – Please provide the attorney questionnaire and supporting documents for each casethat will be used as collateral for the advance via mail, email, or fax us at (248) 948-1802.

    One of our Financial Representatives will be in contact with you once you have submitted this form.
    If you have any questions, please contact Litigation Funding at 1-866-LIT-FUND.

    Litigation Funding