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Law Firm Funding Application Part II
Law Firms - LFC Request Pt II
Partners
Attorney Equity Partner Percentage Ownership of Firm
Full Name
Bar #
Date of Birth
Social Security Number
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District 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
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Main Office Address
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District 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
Designated Contact for Case Status Updates
Full Name
Office Phone Number
Mobile:
Email:
Paralegals
Please add paralegals and support staff. Click "Add" to add an additional staff member.
Full Name:
Office Phone Number:
Mobile:
Email:
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Office Managers
Full Name:
Office Phone Number
Mobile:
Email:
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Monthly Firm Overhead Expenses
Compensation and Benefits
Partner Draw
Technology
Administrative
Rent
Marketing Expenses
Pay Per Click
Media
Lead Gen
Other
Submit
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