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Cause No. DC-24-03698
the Matter Of: THE DISTRICT COURT OF
§§§§§
In IN
A Transfer of Structured JOHNSON COUNTY, TEXAS
Settlement Payment Rights by
134TH JU DICIAL DISTRICT
Final Order Approving Transfer of
Structured Settlement Pavment Rights
0n this day, the Court considered the Application of J.G. Wentworth Originations, LLC (also
referred to herein as the ”Transferee” or ”JGW”) for Approval of the Transfer of Structured Settlement
Payment Rights (the ”Application”) from — (”Payee”) to JGW pursuant to Chapter 141 of
the Texas Civil Practice & Remedies Code. The Court, after clue consideration of the Application, any
response thereto, and the evidence on file and presented at the hearing, hereby makes the following
findings:
1. The transfer satisfies all statutory requirements of the Structured Settlement Protection
Act, Chapter 141 of the Texas Civil Practice and Remedies Code (the ”Act”), and does not contravene any
applicable statute or an order of any court or other governmental authority; the transfer also satisfies
the Internal Revenue Code Section 5891 and does not contravene any Federal or State statute or the
order of any court or responsible administrative authority;
2. The transfer is in the best interest of Payee, taking into account the welfare and support
of Payee's dependents, if any;
3. Payee has been advised in writing by Transferee to seek independent professional advice
regarding the transfer, and has either received the advice or knowingly waived the advice in writing;
4. Jurisdiction and venue are proper in this Court, and disclosures to Payee were made, and
notices were given to the Interested Parties in accordance with the Act. Payee has been advised that her
death prior to the due date of the last Assigned Payment shall not affect the transfer of the Assigned
Payments (defined below) from Payee to JGW and Payee understands he is giving up his rights, and the
rights of his heirs, successors and/or beneficiaries, to the Assigned Payments, and Payee has requested
that this transfer be approved, and
5. This Order is a "Qualified Order" pursuant to 26 U.S.C. sec. 5891, et seq.
BASED on the foregoing findings and being satisfied that the proposed transfer satisfies all
applicable statutory requirements, it is hereby,
ORDERED, ADJUDGED, AND DECREED that the Application is GRANTED and the assignment by
Payee to JGW its successors and/or, assigns, of all Payees right, title, and interest in and to the Assigned
Payments is APPROVED. It is further
ORDERED that Annuity Issuer, Berkshire Hathaway Life Insurance Company Of Nebraska, and
Annuity Owner, Bhg Structured Settlements, |nc., are hereby directed on the dates set forth below to
deliver and make payable to JGW its successors and/or assigns, the following structured settlement
payments, regardless of whether Payee is living:
A) 1 payment of $7,500.00 on February 28, 2027 B) 1 payment of $38,500.00 on February 28,
2031
(the ”Assigned Payments"). The Assigned Payments shall be sent to the following address or to such other
address designated by J.G. Wentworth Originations, LLC:
J.G. Wentworth Originations, LLC
PO Box 83364
Woburn, MA 01813-3364
It is further
ORDERED that the Transferee shall be liable to that Annuity Issuer and Annuity Owner:
a. If the transfer contravenes the terms of the structured settlement, for any taxes
incurred by Annuity Owner or the Annuity Issuer as a consequence of the
transfer; and
b. For any liabilities or costs, including reasonable costs and attorneys’ fees, arising
from compliance by such parties with this order of the Court or arising as a
consequence of the Transferee’s failure to comply with the Act.
ORDERED that the Annuity Issuer and Annuity Owner shall irrevocably change the beneficiary for
the Transferred payments to the Transferee, and no other individual or entity other than the Transferee
shall have the authority to change beneficiary for the Transferred Payments.
ORDERED that Annuity Issuer and Annuity Owner are directed to issue a formal
acknowledgement letter of the transfer within twenty (20) days of the date of receipt of this Order. The
formal acknowledgement letter shall be delivered to JGW, 1200 Morris Drive, , Chesterbrook, PA 19087.
It is further
ORDERED that pursuant to the Act, by making and delivering the Assigned Payments to
Transferee as set forth in the preceding paragraphs, Annuity Owner and Annuity Issuer shall, as to all
parties except Transferee, be discharged and released from any and all liability for the Assigned
Payments.
This Order finally disposes of all claims and all parties; all motions not specifically granted herein
are DENIED.
This is a Final Judgment.
SIGNED this day of 20_
JUDGE PRESIDING
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Cause No. DC-24-03698 the Matter Of: THE DISTRICT COURT OF §§§§§ In IN A Transfer of Structured JOHNSON COUNTY, TEXAS Settlement Payment Rights by 134TH JU DICIAL DISTRICT Final Order Approving Transfer of Structured Settlement Pavment Rights 0n this day, the Court considered the Application of J.G. Wentworth Originations, LLC (also referred to herein as the ”Transferee” or ”JGW”) for Approval of the Transfer of Structured Settlement Payment Rights (the ”Application”) from — (”Payee”) to JGW pursuant to Chapter 141 of the Texas Civil Practice & Remedies Code. The Court, after clue consideration of the Application, any response thereto, and the evidence on file and presented at the hearing, hereby makes the following findings: 1. The transfer satisfies all statutory requirements of the Structured Settlement Protection Act, Chapter 141 of the Texas Civil Practice and Remedies Code (the ”Act”), and does not contravene any applicable statute or an order of any court or other governmental authority; the transfer also satisfies the Internal Revenue Code Section 5891 and does not contravene any Federal or State statute or the order of any court or responsible administrative authority; 2. The transfer is in the best interest of Payee, taking into account the welfare and support of Payee's dependents, if any; 3. Payee has been advised in writing by Transferee to seek independent professional advice regarding the transfer, and has either received the advice or knowingly waived the advice in writing; 4. Jurisdiction and venue are proper in this Court, and disclosures to Payee were made, and notices were given to the Interested Parties in accordance with the Act. Payee has been advised that her death prior to the due date of the last Assigned Payment shall not affect the transfer of the Assigned Payments (defined below) from Payee to JGW and Payee understands he is giving up his rights, and the rights of his heirs, successors and/or beneficiaries, to the Assigned Payments, and Payee has requested that this transfer be approved, and 5. This Order is a "Qualified Order" pursuant to 26 U.S.C. sec. 5891, et seq. BASED on the foregoing findings and being satisfied that the proposed transfer satisfies all applicable statutory requirements, it is hereby, ORDERED, ADJUDGED, AND DECREED that the Application is GRANTED and the assignment by Payee to JGW its successors and/or, assigns, of all Payees right, title, and interest in and to the Assigned Payments is APPROVED. It is further ORDERED that Annuity Issuer, Berkshire Hathaway Life Insurance Company Of Nebraska, and Annuity Owner, Bhg Structured Settlements, |nc., are hereby directed on the dates set forth below to deliver and make payable to JGW its successors and/or assigns, the following structured settlement payments, regardless of whether Payee is living: A) 1 payment of $7,500.00 on February 28, 2027 B) 1 payment of $38,500.00 on February 28, 2031 (the ”Assigned Payments"). The Assigned Payments shall be sent to the following address or to such other address designated by J.G. Wentworth Originations, LLC: J.G. Wentworth Originations, LLC PO Box 83364 Woburn, MA 01813-3364 It is further ORDERED that the Transferee shall be liable to that Annuity Issuer and Annuity Owner: a. If the transfer contravenes the terms of the structured settlement, for any taxes incurred by Annuity Owner or the Annuity Issuer as a consequence of the transfer; and b. For any liabilities or costs, including reasonable costs and attorneys’ fees, arising from compliance by such parties with this order of the Court or arising as a consequence of the Transferee’s failure to comply with the Act. ORDERED that the Annuity Issuer and Annuity Owner shall irrevocably change the beneficiary for the Transferred payments to the Transferee, and no other individual or entity other than the Transferee shall have the authority to change beneficiary for the Transferred Payments. ORDERED that Annuity Issuer and Annuity Owner are directed to issue a formal acknowledgement letter of the transfer within twenty (20) days of the date of receipt of this Order. The formal acknowledgement letter shall be delivered to JGW, 1200 Morris Drive, , Chesterbrook, PA 19087. It is further ORDERED that pursuant to the Act, by making and delivering the Assigned Payments to Transferee as set forth in the preceding paragraphs, Annuity Owner and Annuity Issuer shall, as to all parties except Transferee, be discharged and released from any and all liability for the Assigned Payments. This Order finally disposes of all claims and all parties; all motions not specifically granted herein are DENIED. This is a Final Judgment. SIGNED this day of 20_ JUDGE PRESIDING