Litigation Funding
Quick Application

Quick Application Information:

*Name of Law Firm:

*Law Firm Address:

*Address Line 2:

*City:

*State:

*Zip:

*Telephone:

*Email Address:

Please Answer the Following Questions:

Our Law Firm is a: Corporation Personal Corporation Limited Liability Company Partnership Limited Liability Partnership Sole Proprietorship Other *
Please specify if "other"
How many years has the firm been in practice?
Number of Partners:
Number of Associates:
Number of Paralegals:
Controller/Bookkeeper:
Other Employees:
Description of Practice Area(s) *
Approx. Number of Cases Pending:
Approx. Amount of outstanding disbursements:
Approx. Amount of total fees due to law firm:
Does any other attorney or law firm have a financial interest in any of your cases? Yes No *
Does the firm have either duly executed retainer agreements or an OCA filed for each of its cases? Yes No *
Does the firm represent any clients in which the agreed upon contingent fee is less than one-third of the recovery after deducting disbursements? Yes No *
Does the Law Firm currently maintain a line of credit or other borrowing? Yes No *
If Yes, name of financial institution and amount outstanding
Amount of Financing Requested: *
Do you, or does the law firm maintain any Life Insurance? Yes No *
If Yes, amount of insurance and name of beneficiary:
Is the Law Firm Currently a Defendant in any Lawsuit? Yes No *
Has the Law Firm or any partner/member ever declared bankruptcy? Yes No *
Are all partners/members of the Law Firm in Good Standing? Yes No *
Primary Contact: *

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The attorney loans, lawyer loans, law firm loans, legal financing information presented at this site is purely for information and does not represent a promise or guarantee that Counsel Financial Services will provide funding in your particular case. Please contact us at 817.358.2197 for a consultation.

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Litigation FundingQuick Application

Litigation Funding
Quick Application