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Confidential No-Obligation Quote Request

Quote for State Lotteries (More Info) |Questions?)
Time is of the essence. Please provide as much information as possible so as to timely process your quote request.

Minimum Funding Amount: $100,000 • No Maximum
• Some States require Court Orders
• Some States non-assignable therefore most likely cannot purchase these

Assignable Lottery States Include at this time: Arizona, California, Colorado, Connecticut, Florida, Idaho, Illinois, Iowa, Maine, Maryland ,Massachusetts, Michigan, Minnesota, Montana, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, Texas, Vermont, Virginia, Washington, West Virginia and Wisconsin.
If you won in a non-assignable State, our Underwriters may still consider making an offer on an individual basis
.

Your Name:
Quote for:
Business Name (if applicable):
Phone:
Best Time to Call:
Street:
City:
State:
Zip:
Email: (be sure this is right for correspondence)
About the Note:
Name of Note Holder: or
Street Address of Property:
City:
State:
Zip:
Payment Type:
If Other, Please Explain:
State Where Awarded:
Win Date:  
Prize Amount:  

Payment Information

I receive:


Amount:

 

Date of First Payment:
Date of Final Payment
Current Balance:
Name of the insurance company or state/agency making payments to you:
About the Quote Request:

TO BETTER ASSIST YOU:

What is your current need
(reason to sell)?

How many payments do you want to sell, or what amount do you want to receive?
Have you requested a quote from another company or website?
If yes, which website(s):
If yes, did you receive a quote?:
Additional Info:
Comments:
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If you were Referred By another person or website, please enter their information below:
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