Loan Application

Is the loan wholly for a business or non-residential investment purpose? *

Yes No

Note: You will need to complete a Business Purpose Declaration at the end of this form.

✓ Certification, Acknowledgement and Consent

I certify that all information provided in this application is true, accurate and complete to the best of my knowledge.

I understand that providing false or misleading information may result in the rejection of my application or cancellation of any approved loan.

I authorize Lawfunder to verify all information provided and to contact my law firm regarding my claim.

I acknowledge that I have read and understood the Terms and Conditions of the pre-settlement loan.

I consent to Lawfunder conducting credit checks and obtaining information from credit reporting agencies.

I understand that this is a non-recourse loan and repayment is contingent upon the successful resolution of my claim.

I consent to electronic communication regarding my application and loan.

📋 Business Purpose Declaration

I declare that the credit to be provided to me by the credit provider is to be applied wholly or predominantly for the purpose stated herein and that I hereby sign this declaration acknowledging that by doing so I may lose protection under the National Credit Code.

By checking this box and signing below, you acknowledge that this loan is for business purposes and you may not be covered by consumer credit protections.

I acknowledge and agree to the Business Purpose Declaration above

Electronic Signature Required:

Full Legal Name (as signature):

Date of Signature:

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✓ Certification, Acknowledgement and Consent

Electronic Signature Required:

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