Quote Form ~ Lottery/Annunity/Settlements
Please complete and submit this form
for a quote on: Structured Settlements,
Casino and Lottery Winnings, Annuities,
Senior Settlements and other payment
contracts.
Sorry, We don't buy Veterans Administration
Pension or V.A. Disability Contracts.
The information submitted on this
form will be held in the strictest confidence. |
For quotes on Mortgage notes please use our Mortgage
Purchases Quote Form. |
|
|
| Your
Email Address |
Phone |
|
|
|
| Name |
Fax |
|
|
|
| Street
Address |
|
|
| City |
State |
Zip |
|
|
|
|
|
| Payment
Type |
(If
other, please explain): |
|
|
|
|
|
|
|
| Payment
Information |
|
|
I receive: |
|
|
payments of
|
Date first payment
received: |
|
|
|
Date of final
payment: |
|
|
|
|
| Periodic
Lump Sum Payments Due |
|
|
Dates: |
Amounts: |
|
|
 |
|
|
|
|
|
|
| Name
of the company or agency making payments to
you: |
|
|
|
|
|
|
|
|
| Any
Additional Comments or Information: |
|
|
|
|
|
Marketing Info: |
|
| |
If you have any questions, or would like to speak with a representative about your settlement
or mortgage, please call us or, if your web browser does not support forms, email us at:
notebuyers@cfpnotes.com |
Brokers - C & A Financial offers the kind of
service and support that new brokers and veteran brokers should expect.
Prompt attention to detail and updates. Deals are funded in the shortest time possible! |
|