No One Beats Our
Lawsuit Loan Program
Rates -
As Low as 2.9% Per Month
Approvals
- As Quick as 48-hours
No Credit
Check - No Income O.K.
No
Payment Until Your Case Settles
No
Up-Front or Out of Pocket Fees
If You
Lose...You Pay Us Nothing
To apply for
a lawsuit loan, please complete the form
below and we will process your request
immediately.
IMPORTANT :
WE DO NOT FUND WORKMAN'S COMP IN: AZ, CA,
DE, HI, MA, MD, ME, MI, MN, NE, NH, NJ, NV,
NY, OH, OR, PA, TN, TX, UT, WI.
*
Applicant Name:
Date of
Birth:
mm/dd/yyyy
Soc. Sec. #:
* Telephone
#1:
Telephone #2:
Address:
City:
* State:
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Email:
* Type of
Case:
Select Type
Auto Accident
Commercial Litigation
Construction Accident
Dog Bite
Employment Discrimination
Maritime Claim (Jones Act)
Medical Malpractice
Premises Injury
Product Liability
Qui Tam (Whistle Blower)
Rail Road (FELA)
Sexual Harassment
Slip and Fall
Toxic Tort
Workers Comp
Wrongful Death
Wrongful Termination
Other
* Advance
Needed ($1,000 min.):
$
* Have You
Received a Previous Advance?:
If Yes, How
Much?:
$
*
Attorney's Name:
*
Attorney's Telephone:
Attorney's Fax:
Date of Incident:
* Describe the
Incident:
* Describe
Injuries Sustained:
I have read and agree to the
terms of the Authorization to Release Information .*
Submit Form ►