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UK COMMERCIAL DEBT SUBMISSION - EXISTING CLIENTS

To submit a UK Commercial debt, please fill in all the fields below and click the 'submit' button. Fields marked with an asterisk (
*) are required.
Client Name:*
Client Number:*
Your Name:*
Your Email Address:*
Debtor's Company name:*
Contact at debtor:
Address 1:*
Address 2:
Address 3:
Town/City:*
County:
Post Code:*
Debtor's Telephone No (if known):
Debtor's Fax No (if known):
Debtor's Email Address (if known):
What is the currency of the debt:*
How much is the debt:*
What is the age of the debt:*
Is the debt acknowledged as due or disputed:*  Acknowledged     Disputed     Unknown   
Has any third party action already been tried:*
When did you last make contact with the debtor:*
Do you require your debtor to be traced:*  Yes     No   
Comments:
  
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