• Request a Proposal

    You may request a no-obligation proposal by completing the short form below. With this information, it is quick and easy to receive an annuity proposal from us.

  • **Main point of contact for email communication, coordinating settlement details, receiving structure proposals/information, etc.

  • USD

    **If no settlement has occurred or you are unsure, indicate gross settlement amount as $0.00

  • USD

    **Amount being placed into structured settlement annuity- can be exact amount (after fees, costs, liens, etc.) OR estimated amount. **If no settlement has occurred or you are unsure, indicate amount as $0.00

  • **Hold CTL to select more than 1 option

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