Back to Menu

Lottery Winnings or Casino Winnings

All fields are required. Please provide exact, accurate responses from your documentation to each question. The offer we make will be based upon the information you provide; HELP US HELP YOU!

CONTACT INFORMATION  
TCF Locator ID Number (if applicable)
TCF Locator Name (if applicable)
TCF Locator Email Address (if applicable)
The person completing this form is
Seller's first & last name
Seller's address including city, state and ZIP
Seller's email address
Seller's home phone
Seller's work phone
Seller's cell phone
Best time to contact you (if you have a preference)
Are you personally receiving payments on this note?
BUSINESS INFORMATION
Win amount
Win date
State
Name of the lottery game you won
PAYMENT DATES  

Brief description of payout terms & # of payments you want to sell

List all of the EXACT payment dates (mm/dd/yy) and amounts for the payments you wish to sell (EXACT DATES ONLY - no estimates please)
MOTIVATION OF THE NOTE SELLER

Why are you selling this

How much cash do you need

When do you need the cash by

Do you prefer to sell your entire settlement (a full purchase), just sell a portion of the payments (a partial purchase), or do you have no preference

Comments or other pertinent information

The "We Simply Pay You More" Guarantee:
If you get a better offer for your structured settlement ... WE'LL BEAT IT, PERIOD!