Retirement Pension Application


Contact Information
*Name
Address Line 1
Address Line 2
City
State
Zip Code
*Day Phone
Evening Phone
Fax
 *E-Mail
Seller's name (The actual owner or recipient)
State of Pension

 
Kind of Pension
Corporate
Public Corporation
Civil Service
Government
Military
Inherited (Explain Below)
Other (please explain briefly)

 
Monthly Payments
 Do you have monthly or annual payments?
Yes   No
 Payment amount
$
 Total number of payments
 
 Beginning date
Yr
 End date
Yr
 Percent increase (if applicable)
%
 Increase occurs
Annual
Every  years
 Annuity (insurance) company
 Payments issued by
Direct Deposit   Check

 
If disability:
What is the disability Percentage or extent?
Gross Amount (Before Taxes and Deductions) $
If military:
Pay Grade 		Rank                        
Branch of Service
 
Tax deductions from Gross: Federal tax $
State tax $ 
 
Other deductions from Gross:
 		 Describe 
Amount $
Describe 
Amount $
Net Pay $
Do you want to sell all payments?
Yes   No
I want to sell enough payments to raise
$
Are you able to work?
Yes   No

 
Reason you are selling:

 
How did you hear about us?

 
To help in our marketing efforts, please give us the name of the publication, station, search engine, person, etc. which led you to our web site.

 
If you found us through a search engine on the internet, please tell us which words you typed to locate our site.

 
Additional Information/Comments:

 

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Advantage Financial Consulting, Inc., arranges for the cash payment for the purchase of mortgages, notes, seller financed mortgages, FSBO, settlements, liens, mobile home notes, royalty payments, trust deeds, privately held mortgages, lease options, business notes, legal settlements, lotteries, annuities, real estate notes, structured settlements,  inheritances, portfolios, car paper, commercial loans, and other notes that originate in the United States only. If you have questions please contact us for further details. 1 866-546-7416 Fax 866-625-1688 (outside the USA call 1 954-724-0020)