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HEIRS
DESCENDANTS LITIGATION FUND FORM
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THIS SECTION IS FOR THE CLIENT WHO THE PAYMENT WILL BE APPLIED TO:

Fields with * are required.
     
Name BirthDate Annual Payment
     
* * *$100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
        $100 $50 $20
     
NAME OF CASE AND GROUP No:
(Note: Case name is the name of your ancestor that received the land grant) If you are a client in multiple cases, please list all.
 
Land Grantee :* Group No :*
Land Grantee : Group No :
Land Grantee : Group No :
Land Grantee : Group No :
       
       
THIS SECTION IS FOR THE PERSON SUBMITTING THE PAYMENT:
 
Name :* Phone No :*
Email :* (abc@def.com)  
Address:*
City:*
State:*
Zip:*
Date:* (XX-XX-XXXX)
       
 
Note: Descendants Litigation Fund - Clients, please complete the form with your case name and group no. Please do not forget to continue to step 2 for payment process. If you have any questions about your payment, you may contact Patricia Acuna, assistant to Law Office at landgrant6@yahoo.com. Thank you.

       
 
 
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