SUBMIT A BUSINESS DEBT TO COLLECT

Here you can give us details of a specific debt you wish us to collect.
Completion of this form and its submission constitutes a contract between us for which commission will be charged at 10% for UK debts 15% for Overseas debts with a minimum commission on recovery of £20.00. VAT to be added at the current rate except where VAT exempt. Your VAT number will need to be given.
Please note, we only undertake to collect Commercial business debts and will have no responsibility or liability to anyone who submits a consumer debt relating to either a personal loan from one person to another, or arrears of a tenancy situation where you are the Landlord. These debts are not debts we can help you with.
By all means phone us to discuss a particular debt or situation rather than completing this form, if in doubt.

Your Details

Your Name

  

Position (authorised)

  
   

Company Name

  
Address

 

 

 

 
   

Telephone (landline)

  

Fax (if any)

  

E-mail Address

 

Your Debt Details

Debtor status

Sole trader

Partnership

Plc or Ltd Company

Name of debtor

  

Address of debtor

 

 

 

 

Amount Owing

  

Age of Debt Owing

 Months Years

Location of Debtor

Do you have an original order?

 Yes No

Do you have a current address for your debtor?

Yes No

Is your debtor still trading?

Yes No

Is the debt disputed?

Yes No

Has the debt been subject to litigation?

Yes No

Please use this section of the form to briefly give us any other information you consider useful

Thank you.

IMPORTANT NOTE:
We will write to you on receipt of your submitted debtor detail. If you do not hear from us WITHIN three days it is your responsibility to contact us and ensure that your debt has been recorded in our system. Commission is chargeable on all recoveries whether paid direct to yourselves or to us from the date the debt details are submitted, and you undertake to inform us of payments you receive.
NO CHARGE IS MADE WHERE NO MONIES ARE RECOVERED.
For Judgment debts you need to discuss this with us in the first instance as an administration fee is payable in advance.

All information on this form is subject to the Data Protection Act.

This information will not be passed on to any other companies or third party individuals.