We Understand That
Contingency-fee Law Firms
Have Unique Needstwtat

We Have Developed Fast, Flexible Products To Solve Those Challenges And Accelerate Growth.
We Move Quickly - Often In Less Than Three Weeks To Fund You.

Your Name

Law Firm Name

Phone

Law Firm Questions

Number of Equity Partners

Number of Employees

Amount of Funding Requested

Expected Use of Proceeds

Approx. Value of your contingency fee inventory, net of all co-counsel and other revenue sharing agreements?

Approx. 2020 Revenue, net of all payments to clients, co-counsels, etc.?

Single Event Revenue

Mass Tort Revenue

Hourly

Number of Current Active Legal Claims on Docket

Est. Fees from Single Event:

Est. Fees from Mass Tort:

Do you currently owe back taxes?

Yes

Partner Questions

Name of Equity Partners

2. Do you currently owe back taxes personally? *(Required)

Yes

3. Have you or an entity controlled by you ever filed bankruptcy? *(Required)

Yes

4. Has any creditor ever foreclosed on or repossessed any asset of yours and/or any entity controlled by you? *(Required)

Yes

5. Have you or any entity controlled by you settled a balance with any creditor for less than the full balance due? *(Required)

Yes

6. Have you ever been arrested or the subject of a criminal investigation? *(Required)

Yes

7. Have you ever been disciplined by or do you have a pending disciplinary action with a State Bar? *(Required)

Yes

Disclaimer

The information collected on this application will only be used to respond to you about your request. We will not share your information with anyone outside of our organization.Financing with B.E. Blank & Co. will not appear on personal credit,nor will your application for financing impact your credit score.

Name

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We Understand That Contingency-fee Law Firms Have Unique Needstwtat

We Understand That
Contingency-fee Law Firms
Have Unique Needstwtat