Attorney Financing and Cash Advances for Lawsuits

Attorney Finance Application

Name

Street Address

City, State and Zip Code

Phone Number

Fax Number

Cell Number

Email Address

Firm Name

What is the best time to contact you?

What is the Amount Requested?

What Type Of Law Do You Primarily Practice?

State Admitted To Practice?

Bar Id No.?

Have you ever been disbarred from law practice or had a complaint filed against you?

Please provide a list of current cases expected to settle in the next 18 months including fees expected:

Signature

Date

= Required