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  • SETTLED CASE FEE ADVANCE FINANCING REQUEST

  • PLEASE COMPLETE ALL FIELDS to expedite our review and the approval process. All information provided will be held in the strictest confidence and used solely to review your request. Your submitted form and uploaded files are protected by 256-bit SSL encryption in transit and housed in a SOC 2 Type II certified data center.

  • Primary Contact Information

  • Format: 000-000-0000.
  • Format: 000-000-0000.
  • Preferred method(s) of contact:
  • Is an associate, staff member, or administrator assisting with this request and authorized to receive follow-up communications?

  • Settlement Summary and Fee Overview

  • Does your firm have a retainer agreement signed by the client in the settled case?*
  • If no, do you have a fee-sharing agreement with the attorney or firm that holds the client retainer agreement?*
  • Is there a co-counsel, referral or fee-sharing agreement in effect in the settled case being offered as the basis for this advance?*
  • Has the firm received any prior loans or advances against its projected fee/costs in the settled case(s)?*

  • Please note: Information on other pending presettlement cases and projected fees in the firm's portfolio may be requested during underwriting and included as back up collateral in the event payment of the settlement does not occur when anticipated.

  • If you need more time to complete this form, click 'Save' below to preserve your responses and receive a secure link to come back and finish your application later.

  • Firm Information

  • Are there any outstanding loans or lines of credit for which the firm's contingency fees and/or "firm accounts" are included as security or collateral?*
  • Are there any pending or existing claims, judgments or lawsuits against the firm or any of the firm's partners?*
  • Does the firm owe any back taxes?*
  • Has an equity partner or the firm ever filed bankruptcy?*
  • Are all Partners/Members of the firm in good standing?*

  • REQUESTING ATTORNEY/PARTNER INFORMATION

  • Date of Birth:
     - -
  • Do you personally owe back taxes, or have any claims, liens or judgments against you?*
  • If taxes are owed, is there an installment agreement in place and current?*

  • TO EXPEDITE PROCESSING OF THIS REQUEST: Click NEXT button below to review the suggested supporting document checklist on the next page of this form, and follow the instructions to securely upload the requested documents. When ready, click the SUBMIT button at the bottom of the next page to submit this form and the supporting documents.

  • Supporting Documentation Checklist for Settled Case Fee Advance Request

  • To expedite our response to your request, please submit the following documents and information regarding the settled case(s) using the secure file upload box below. Submitting these items will greatly facilitate our review of your request and the approval process. This is a generic, suggested list, and not all items listed may be available or applicable to your particular case or settlement.

  • CONFIDENTIALITY / COMMON INTEREST / NON-DISCLOSURE AGREEMENT:

    The requesting attorney and firm, Advanced Legal Capital, and its affiliated investment groups, lenders, and underwriters, acknowledge and agree that the provision of case information by the applicant will not waive or diminish in any way the confidentiality of said information or its continued protection under the attorney-client privilege or the work product doctrine. All case information shall remain subject to protection under the common interest doctrine, and the above recipients agree to treat all submitted materials as strictly confidential and will not disclose any case information to any third party without the prior written consent of the applicant.

  • Submitting Supporting Documents

    Please use the Secure File Upload box below to attach your supporting materials. You can drag and drop files directly into the box, or click "Browse Files" to select them from your device. Multiple files may be uploaded at once.

    Privacy & Security Standards

    • Strict Confidentiality: All materials are protected under our Common Interest Agreement and reviewed exclusively by licensed attorneys.
    • 256-Bit SSL Encryption: Encrypted in transit using SHA-256 protocols.
    • SOC 2 Type II Certified: Hosted on secure, compliant cloud infrastructure.
  • Browse Files
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  • By submitting this request, I certify that the information provided is accurate to the best of my knowledge as of the date indicated. I understand that this form constitutes an initial request for evaluation and pre-qualification, not a formal approval or binding guarantee of funding. I authorize Advanced Legal Capital to review these details and, if appropriate, share relevant applicant and case information with its affiliated lenders, investment groups, funding partners and underwriters solely for the purpose of evaluating this settled case fee advance financing request.

  • Date:
     - -
    2 digit month, 2 digit day, 4 digit year

  • Questions?
    Email: funding@AdvancedLegalCapital.com
    Toll-free: 855-253-3863 (9 am to 5 pm Pacific)
    Website: AdvancedLegalCapital.com

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