Inheritance Application

EZ Funding Group

Making Funding Easier

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Please answer to the best of your ability with the information you currently have.

Your information will be kept confidential. Information submitted to us is only available to employees managing this information for purposes of processing your request for an inheritance loan (advance) and to our service providers for the purpose of providing services related to your request.

*-required fields.

Full Name*:
Email*:
Confirm Email*:
Home Phone:
Cell Phone:
Work Phone:
Address:
City:
State:
Zip:
Name of Deceased:
Deceased's Relationship to You*:
Date of Death:
Did the decedent leave a will or trust?:
% of Inheritance You Expect to Inherit:		%
Amount Inheriting*:		$
Have you received any portion of the inheritance?:
If yes, how much received?:		$
Have you borrowed against or assigned your inheritance?*:
If yes, how much borrowed or assigned?:		$
If borrowed, from who?:
When will funds distribute?
Where is the Estate Located?*:
Who is in Charge of the Estate (Executor/Administrator)?:
Exec or Admin Phone Number:
Who is the Estate Attorney?:
Attorney Phone Number:
Amount Requested*:		$
Reason Needed:
Additional Comments:
How Did You Hear About Us?:
Describe Newspaper, Referral, or Other: