Online Preliminary Request for Information

Please complete the following form and click Submit. We will contact you as soon as possible regarding your request. Thank You and Be Well!

Note: If you are a Plaintiff, Attorney or Law Firm and are interested in applying for Litigation funding or Pre-Settlement advance funding, you must include attorney information (including phone, fax, and e-mail and briefly describe your case in the appropriate fields of this application.

800.393.6158 Office or Fax:888.430.2613

Your First Name *	Your Last Name *	Your Company Name
Your Street Address	City *	State *
		Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code	Your Email Address *	How do you wish to be contacted?
		Email Phone Cell Phone
Your Contact Phone	Your Cell Phone	Your Fax
How did you hear about us?	Interested In:
Internet Other	Real Estate Note or Business Note Buyouts
	Commercial Project or Business Funding Capital
	Lawsuit Funding for Plaintiffand or Attorney
	Merchant Credit Card Cash Advances against future sales
Use this area to provide information if you are selling a Note of some type or if you are interested in Commercial Project Capital Funding Loans.

PLAINTIFFS, ATTORNEYS, LAW FIRMS SECTION BELOW:

LAWSUIT CASH ADVANCE PRELIMINARY REQUESTED INFORMATION BELOW (please do not leave any blank areas)*

* Are you the Plaintiff (Yes or No)	* Are you an Attorney (Yes or No)	* Are you Both (Yes or No)
Yes No	Yes No	Yes No
* Date of accident or incident:	* State Accident or Incident occurred in	* Which type of case is this?
* How much cash are you requesting?	* Have you ever attempted to obtain ((or)) are you presently now attempting to obtain a cash advance against this case using another broker or firm? (((YES or NO ))) * and if so whom?	*Have you ever received a cash advance from this case? ((YES or NO)) If yes then by whom and for how much and the date obtained and what is the existing payoff balance?
* Please tell us briefly about your case
Validation

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Abundance Capital Funding LLC

Richard Northrup > Consultant

President and CEO

800.393.6158 Voice and Office

Toll Free Fax: 888.430.2613

(alternate fax is ) 800.670.2614

Skype: Highlanderleoman

www.AbundanceCapitalFunding.com

rick@abundancecapitalfunding.com

abundancecapitalfunding@gmail.com

acfllcrick@gmail.com

abundancecapitalfunding@yahoo.com

The Electronic Communications Privacy Act covers this electronic transmitted message, 18 U.S.C. Sections 2510-2521. The information and intellectual properties contained in this transmission are confidential and intended only for use of the individual named above and are not to be reproduced or given to other parties. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this message in error or there are any problems please notify the originator immediately. The unauthorized use, disclosure, copying or alteration of this message and included documents is strictly forbidden. ((((DISCLAIMER))) Sender is NOT a United States Securities Dealer or Broker or U.S. Investment Adviser. Sender is a Consultant and makes no warranties or representations as to the Buyer, Seller or Transaction. All due diligence is the responsibility of the Buyer and Seller. This E-mail letter and the attached related documents are never to be considered a solicitation for any purpose in any form or content. Upon receipt of these documents, the Recipient hereby acknowledges this Disclaimer. If acknowledgment is not accepted, Recipient must return any and all documents in their original receipted condition to Sender.
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