Start Debt Recovery - Order for Payment

Main menu:

START DEBT COLLECTION
To start a debt collection you need to send us the complete form seen below this text; whom we will process within 24hours and sent you our order confirmation. Our terms and conditions are applicable to claims handed to us (by means of this website) for the purpose of debt collection and recovery in Europe.

CREDITOR: Information

Company name

Identification code
Tip

First name

Surname / Last name

Adress

Postal code

City

Country

Phone

Fax

E-mail

CREDITOR: Bank details

Bank name

Account number

IBAN

BIC/SWIFT

DEBTOR: Information

Company name

Identification code
Tip

First name

Surname / Last name

Adress

Postal code

City

Country

Phone

Fax

E-mail

Debt details

Currency of debt

Debt value
Tip

Attachments

Invoices

Statement of account

Incoming order

Order confirmation

Proof of debt
Tip

General terms and conditions

Other(s)

I declare my debt is undisputed by our client/debtor
Yes
No

I declare I want to start debt recovery against our client/debtor
Yes
No

Place

Date

Name

Check word:

Home | Fees | Start Debt Recovery | Contact | General Site Map