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Dear Client,

Please fully complete this application to the best of your ability. Answer all appropriate questions on this application even if it is a negative issue. You will want to let your new Funding Source know as much as possible. Our job is to help you get the cash you need. Any negative issues are not intended to disqualify you, but to allow us to confront these issues head on. So be accurate and truthful to the best of your knowledge. This is very important. You don't want to waste time, slow down your application, or not receive a quote at all!

Upon completion and submission of this form, you will receive an immediate email with your confirmation and funding source information. Please add “globalquickcapital.com” to your allowed email to ensure delivery.

Please note that these Applications are for conducting cash flow business or applying for loans only! These are not job applications!

Thank you,
GlobalQuick CAPITAL

Credit Card Debt and Chargeoffs Application

Requirements

  • Minimum: $5,000
  • No Maximum
  • Accepted Locations: U.S.A.
  • Adults 18 and over only

Contact


•Contact First Name:

•Contact Last Name:

Title:

•Email Address:

•Phone Number:

Fax Number:

Cell Number:

Type of Portfolio


Credit Card:

Consumer installment contracts:

Deficiency balances:

Legal-related accounts:

Other Portfolio:

PORTFOLIO Size


•Face Value:
$ 

•Number of Accounts:

•Average Balance:
$ 

Aging Distribution

Year 2024 (last date of pay or charge-off date)


Number of Accounts:

Amount:
$ 

Year 2023 (last date of pay or charge-off date)


Number of Accounts:

Amount:
$ 

Year 2022 (last date of pay or charge-off date)


Number of Accounts:

Amount:
$ 

Year 2021 (last date of pay or charge-off date)


Number of Accounts:

Amount:
$ 

Year 2020 (last date of pay or charge-off date)


Number of Accounts:

Amount:
$ 

Geographic Distribution


State:

•Number of Accounts:

Amount:
$ 

State:

•Number of Accounts:

Amount:
$ 

State:

•Number of Accounts:

Amount:
$ 

Placement


Agency Placement:
 Zero
 Primary
 Secondary
 Tertiary
 Quad

Other Information


Media:
 Available   Unavailable

Warranties:
 As is   Full warranty package

Format:
 Digital   Hard Copy

Comments


Additional Comments:

•How did you hear about GlobalQuick CAPITAL?

Who Referred You?


No one referred me:

Referred Name:

Referred Phone:

Referred Email:

Application Id:
20240428-152246-522

Please note:
The Funding Source may require copy of additional documents
to make your quote. They will let you know by Email.

Upon submission of this form, you will receive an immediate email with your confirmation and funding source information. Please add “globalquickcapital.com” to your allowed email to ensure delivery.


Privacy Policy & Security

Apply online for a free no obligation quote: Response in 24 to 48 hours in most cases. Our funding sources will be happy to answer all your questions at that time!

We are proud members of the cash flow/growing wealth industry.

We are a
green
company!

We at GlobalQuick CAPITAL believe in giving back to help in this world! A portion of the profits from our earnings will be given to: Heart Research, Arthritis Research, Endangered Animal Species, and Rain Forest Preservation.