DEBT COLLECTION ADVISORY SERVICE
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We note that you require advice in respect of insolvency/bankruptcy
Our terms for the business insolvency and bankruptcy service are by arrangement.

Please complete the form below providing a description of your company or business situation and submit this form to us:

This form is the initial form for completion. We may get back to you for more information.

Fields marked * are required to be completed.

Space YOUR DETAILS
* Your full name:
* Your full address:

* Your postcode:
* Your telephone number/s:
* Your email address:
YOUR SITUATION
* Space The amount you are claiming in £'s.(or nearest ball park figure)
Space The date of the unspecified debt.
* Description of the debt and the circumstances:
THE DEFENDANT
* The name of the debtor:
* The address of the debtor:
Space Company name (if applicable):
Space Position in company (if applicable):
Any other information which you think might help us.


In submitting this form I authorise Debt-Collection-uk to process, and sign where necessary, recovery documents and Court forms on my behalf. I understand that if I require a legal consultation or specific legal advice on any subject I should consult a solicitor.

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© The Small Claims & Insolvency Advisory Service Ltd 2005-8