$ Nutech Capital Resources $ Inheritance Funding Application

Your Name (Applicant):
Your Address:
Your e-mail Address:
Your Day Telephone # :
Your Evening Telephone #:

Any additional information you can supply below will greatly speed up the process for you.

THE ESTATE:
Name of Deceased:
Date of Death:
Name of Trust (if any):
Court:
County, State:
Case No:
Name of Executor/Trustee:
Address:
Telephone #:
Name of Estate Attorney:
Address:
Telephone #:
Fax #:
Amount of expected distributions to Applicant:$
Amount of money requested by Applicant:$
For the following reasons:
Has Applicant already received preliminary distributions?: $
Has Applicant already borrowed or assigned a portion of the inheritance?: $

Questions, Requests, Comments:

When completed please click on the submit button below:

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Nutech Capital Resources \| P. O. Box 305, Brownsville \| California \| 95919 \| USA
Ph: 530-675-9151 \| Fax: 530-675-9152 \| e-mail: Richard@NutechCapital.com
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