Immediate Legal Action

debtcollect

Complete this data form to commence LEGAL ACTION
to collect a debt

INSTRUCTIONS FROM CLIENT

To: The Manager, Debtcollect.

Please instruct your solicitor to take immediate legal action to collect the following debt.
The particulars of this debt are as follows:

(Only use the TAB key to move between fields.)

Who are you? (the creditor)

Full and Proper Name Of Creditor:

(This means you or your company. If you are a Pty Ltd. company give the full and proper name of that company. If you use a trading name give the full name of all persons or companies trading under that name)

Enter your A.B.N: (if applicable)

Your Address Details

Enter your street address:

Enter your town or suburb:

Enter your postcode:

Enter your State or territory:

Is your mailing address the same as your street address? (if yes, then proceed to "Enter your phone number:")

Enter your mailing address:

Enter the town or suburb:

Enter the postcode of the mailing address:

Enter the State of the mailing address:

Enter your phone number:

Enter facsimile number:

Enter the name of your contact person:

Enter your e-mail address: (required)

Enter your file reference number:

Who owes you the money? (the debtor)

The name of the debtor is:

(The debtor usually needs to be a real person or a company (Ltd). You cannot normally sue just a trading name. You must know who is behind a trading name. If you do not know who is the person(s) or corporation behind a trading name, enter what deatils you have and we will check to see if it is sufficient and contact you accordingly)

Debtors street Address:
(Place a ? at the end if you are not sure of the address)

Debtors town or suburb:

Debtors postcode:

Debtors state of territory:

Debtors phone number:

Debtors A.C.N.or A.B.N. (if applicable)

Tell us about the debt

The cause of the action is for:

Enter brief details of the debt:
( Give a brief description of the nature and type of goods or services plus Invoices & Dates where applicable e.g. "12 pairs of fleecy lined, open toed galloshes - Inv. 4275 dated 12/4/04".)

The Date payment was due: (enter a date)
(This is usually the due date for the last invoice issued)

It arose in the state or territory of:

The amount currently owed is: ............................. $

You may be able to claim interest?
(Statutory interest of 10% p.a. automatically accrues on claims over $1000 or you may have your own contracturally agreed rate of interest)

If you have your own contractually agreed rate of interest, what rate did you agree upon? per

(Only answer the above if your contract has already agreed an interest rate with the debtor)

Date on which the contract was made (enter a date)
(This is the original date you agreed with the debtor to do the work or provide the services. A "contract" doesn't usually have to be in writing. It may be oral)

What action have you taken so far?

On what date did you last make a demand on the debtor?

That demand was made:

Has the debtor ever denied owing the money? OR

The debtor has indicated he will not pay because:

(Briefly indicate any arguments the debtor may have put forward for why he hasn't paid)

Please Note: We no longer accept payment by credit card.

I have read and I understand the terms of the solicitor's costs agreement and agree to abide by them.

I guarantee that my request is bona fide and is not frivolous or vexatious.

Please now check the details you have entered to ensure they are correct.
Accuracy is important!

If satisfied as to the accuracy of your data, press

You should shortly receive an automatic acknowledgment from our computer
and then be invoiced electronically when we process our next batch.

To cancell all data and start all over against, press

Thank you for using debtcollect

debtcollect .We don't mess about.

copyright: debtcollect: 1st July, 2000

Full and Proper Name Of Creditor:
(This means you or your company. If you are a Pty Ltd. company give the full and proper name of that company. If you use a trading name give the full name of all persons or companies trading under that name)
Enter your A.B.N: (if applicable)

Enter your street address:
Enter your town or suburb:
Enter your postcode:
Enter your State or territory:
Is your mailing address the same as your street address?	(if yes, then proceed to "Enter your phone number:")
Enter your mailing address:
Enter the town or suburb:
Enter the postcode of the mailing address:
Enter the State of the mailing address:
Enter your phone number:
Enter facsimile number:
Enter the name of your contact person:
Enter your e-mail address: (required)
Enter your file reference number:

The name of the debtor is:
(The debtor usually needs to be a real person or a company (Ltd). You cannot normally sue just a trading name. You must know who is behind a trading name. If you do not know who is the person(s) or corporation behind a trading name, enter what deatils you have and we will check to see if it is sufficient and contact you accordingly)
Debtors street Address: (Place a ? at the end if you are not sure of the address)
Debtors town or suburb:
Debtors postcode:
Debtors state of territory:
Debtors phone number:
Debtors A.C.N.or A.B.N. (if applicable)

The cause of the action is for:
Enter brief details of the debt: ( Give a brief description of the nature and type of goods or services plus Invoices & Dates where applicable e.g. "12 pairs of fleecy lined, open toed galloshes - Inv. 4275 dated 12/4/04".)
The Date payment was due: (enter a date) (This is usually the due date for the last invoice issued)
It arose in the state or territory of:
The amount currently owed is: ............................. $
You may be able to claim interest? (Statutory interest of 10% p.a. automatically accrues on claims over $1000 or you may have your own contracturally agreed rate of interest)
If you have your own contractually agreed rate of interest, what rate did you agree upon?	per
(Only answer the above if your contract has already agreed an interest rate with the debtor)
Date on which the contract was made (enter a date) (This is the original date you agreed with the debtor to do the work or provide the services. A "contract" doesn't usually have to be in writing. It may be oral)

On what date did you last make a demand on the debtor?
That demand was made:
Has the debtor ever denied owing the money?	OR
The debtor has indicated he will not pay because:
(Briefly indicate any arguments the debtor may have put forward for why he hasn't paid)