Common Contracts

This Viatical Settlement Contract is hereby entered into by and between

Viatical Settlement Contract • June 9th, 2008 • North Carolina

• Contract Type
  Viatical Settlement Contract
• Filed
  June 9th, 2008
• Jurisdiction
  North Carolina

«PolicyOwnerDetailList», as Seller; «CombinedInsuredNames», as the Insured; and Q Capital Strategies, LLC (“Q Capital”), a Delaware limited liability company, as of the day of