Settlement Finance Application

Our special services department contacts creditors to stop repossession orders pending settlement of debt obligations. MBS Financial provides selected clients with special services including settlement negotiations and debt restructuring as well as private capital and other creative funding outsourcing. Many judgments can also be satisfied out of funding proceeds and in many cases when required, lowered as an extended settlement to meet the requirements of the revised business plan. For a free consultation - evaluation: please fill out the questionnaire below.
Company Name:
Phone:
Fax:
Contact / Officer:
SSN#:
Business Address:
Officer Address:
E-mail Address:

Name Of Creditor:
Amount of full deficiency to Settle:
Account #:
Contact:
Phone:
Fax:
Asset:
Date Purchased:
Original Cost:
Present Approx. Value:
Original Vendor:
Vendor Telephone:

Name Of Creditor:
Amount of full deficiency to Settle:
Account #:
Contact:
Phone:
Fax:
Asset:
Date Purchased:
Original Cost:
Present Approx. Value:
Original Vendor:
Vendor Telephone:

Name Of Creditor:
Amount of full deficiency to Settle:
Account #:
Contact:
Phone:
Fax:
Asset:
Date Purchased:
Original Cost:
Present Approx. Value:
Original Vendor:
Vendor Telephone:

Please include a brief description of your needs and circumstances: