Cash For Lottery Winnings

LOTTERY WINNINGS WORKSHEET

So you hit the JackPot--Nice HUH? Problem is you are receiving yearly or monthly payments.

Could you use some cash now? Sell us a payment stream of your future Lottery Payments

and allow yourself to:

We want to give you Cash Now--All you need to do is provide us with the information below:

NOTE HOLDER INFORMATION:
Name:*
Phone:*
Mailing Address:*
City:*
State:*
Zip Code:*
:
PAYMENT INFORMATION:
State Lottery Was Won:*
Name Of Casino If Jackpot Was Won:*
If Casino, What State Was It Located?:*
Winning Date:*
Total Prize (Before Taxes) $:*
Gross Amount Of Check $:*
Net Amount Of Check $:*
Date Of Inital Payment:*
Date Of The Last Payment:*
Total Amount Is Paid Over How Many Years:*
Was The Winning Ticket Shared With Others: Yes or No:*
If Yes How Many:*
How Much Money Do You Need To Raise $$:*
Any Additional Comments Or Information: