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Services you can depend on!

Pre-Legal Settlement Advance Quotation Form

RA Full Name
Your Name
Your Address
City, State and Zip
Date of Birth
Your Email Address
Your Phone Number
Other Phone
Victim's (Plaintiff's) Name:
Type of case you have? (Auto Related, Drug Related, Product Liability, Wrongful Death, Construction Related, Medical Malpractice, Workers Compensation or Other)
If Other, please state:
Victim's Occupation:
Date of Event:
Is the Plaintiff able to work?
Name of Attorney:
Paralegal or Case Manager Name
Name of Law Firm:
Law Firm Address
City, State and Zip
Attorney's Phone:
Attorney's Email:
Law Firm Website
Date of Accident/Incident
Location of Accident/Incident
Description of Accident/Incident
Did you receive medical treatment for your injuries?
If yes, explain:
Did you lose time from work as a result of your injuries?
If yes, how much time?
Have you received any advances from another funding company against this case?
If yes, please provide us the name of the funding company, how much you received and approximate date
Are there any other liens against this case? (Taxes, child support, etc.)
Do you have any other lawsuits pending at this time?
Were you ever injured in an accident before this case?
If yes, please explain:
Have you ever filed Bankruptcy?
If yes, are you currently still in Bankruptcy?
Advance amount requesting:
Funds needed for:
Have you spoken with your attorney about this advance?

If you are receiving payments and would prefer to have a lump sum of cash now, please call us today toll-free at 1-877-462-4055 to obtain a free no obligation evaluation of your note or payment stream. If you prefer, you may also submit a confidential quote request by email.

We look forward to hearing from you and helping you free up the cash you want or need now.

About Us

Founded in 2008, our company has grown from offering only mobile notary services to providing a vast array of professional services and business solutions.

Masoba Innovations is a firm of proven professionals and caring, conscientious people; the kind of people you can depend on!

Our Primary objectives are:

to be honest and fair in all our dealings
to be interested in people and their problems
to treat client's needs as if they were our own

We are committed to a high standard of excellence in all that we do and to establishing a firm relationship of mutual trust and service with each of our clients.

Privacy Statement

2150 Trawood Drive
Suite A271
El Paso, TX 79935

Phone: (915) 996-9411
Toll-Free: (877) 462-4055

notes@masoba.net

Monday - Friday: 9:00am - 9:00pm
Saturday - Sunday: Closed

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