© 2011 Greenwood & Co. Solicitors
Payment Terms:
Type of Debt: (please tick)
Action Required:
(Owner’s name if not Limited)
Nature of debt:
Is this debt disputed?
Issue Proceedings Immediately*
* (A 7 DAY LETTER WARNING THAT PROCEEDINGS WILL BE ISSUED IN DEFAULT OF PAYMENT MUST BE DONE EITHER BY YOURSELVES OR GREENWOOD & CO PRIOR TO ISSUE OF PROCEEDINGS)
Your Business Name
Address 1
Address 2
City
Postcode
Your Contact Person
Company Registration Number (If known)..
Telephone
Fax
Your Email Address
Debtors Business Name
Debtors Name
Debtors Address 1
Debtors Address 2
Debtors City
Debtors Postcode
Your Account Ref.
Total Amount Due
Monthly Breakdown and due dates: (Please follow this format: Month/Amount/Date Due
C.O.D
30 Days
Net Monthly
60 Days
90 Days
Other
Goods Sold
Work Done & Materials Supplied
Services Rendered
Dishonoured Cheque
Goods Hired
Other - Please Specify
Issue a "7-Day Letter"
If “Yes”, a special “Letter Before Action” is required for which you will need to
prepare a draft of the Summary of Facts stating how the debt was incurred and
answering the dispute, and a list of documents in support of your claim.
(If the requirements of the Civil Procedure Rules are not followed, you may not be
able to recover your costs from the debtor.
Any other information:
No
Yes
Trade Debt:
Personal Debt:
