Release and Authorization Form
National Lawsuit Funding L.L.C
333 Naamans Road   Suite 15A  Claymont, DE  19703
Phone: 302-792-1400 888-322-2400 Fax: 302-792-1800

Friday March 19, 2010

Dear ___________________ ,

I, __________________ , authorize you, _________________ , to release any and all documentation necessary to facilitate my acquisition of a Cash Advance from National Lawsuit Funding L.L.C.(NLF).  In addition, I hereby authorize you to speak with a NLF representative regarding any and all aspects of this case in order to facilitate my acquisition of a Cash Advance from NLF.

Please expedite this matter on my behalf.  I thank you in advance for your immediate attention to this matter.

 

 

   Signature: __________________________________________                 Date:    March 19, 2010    

        Name: __________________________________________