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Stan K. Harlan
Christopher M. Harlan
Scott Brown
Services
Attorney Fee Structure Deferral
Administrative Services
Alternative Products
Diversification of Funds
Government Entitlement Preservation
Special Needs Trusts
Medicare Set Aside
Income Tax Free Structured Settlements
Lien Resolution
Market-Based Structured Settlements
Mass Tort Assistance
Secured Creditor Status
Structured Sales
Taxable Damage Structured Settlements
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FAQ
What Is A Structured Settlement?
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info@summitsettlements.com
866.267.1177
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Request a Proposal
You may request a no-obligation proposal by completing the short form below. With this information, it is quick and easy to receive an annuity proposal from us.
Type of Claim
(Required)
Type of Insurance Claim*
Physical Injury
Workers Compensation
Employment or Other Taxable Damage
Consultant You Prefer
(Required)
Consultant You Prefer
Stan Harlan
Chris Harlan
Scott Brown
YOUR CONTACT INFORMATION
First Name
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Last Name
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Phone
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Email
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INJURED PARTY INFORMATION
First Name
(Required)
Last Name
(Required)
Date of Birth
Insurance Carrier Responsible for Payment
Insurance Claim Number
INSURANCE INFORMATION
Date of Loss
Cash Settlement Amount
Amount to Structure
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Armed Force Americas
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Additional Information/Special Needs
Summit Structured Settlements
12100 Meredith Drive,
Suite 104,
Urbandale, IA 50323
866.267.1177
866-572-4754 (Fax)
866.267.1177 (Toll-Free)
info@summitsettlements.com