Debt Control Limted || Debt Collection Services

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Company Details
*	Mandatory Fields
* Name of Sender :
Company Name :
* Company Address :

* Town :
Postcode :
Mobile Number :
Phone Number :
Senders Email Address :
Debtors Details
* Is the Debt Outstanding?	Yes No
* Debtors Full Name :
* Debtors Address :

Postcode :
Mobile Number :
Phone Number :
Fax Number :
Email Address :

DATE

INVOICE NUMBER

AMOUNT

Part Paid (When)

Terms of trading

30 days 60 Days

I/We hereby instruct Debt Control Limited to issue Notice of Intention to commence legal proceedings for the whole debt along with the Late Payment Interest and Compensation and daily interest under the Late Payment of Interest Act 2002 where the debt remains unpaid. I/we confirm that all the particulars are true and correct and no dispute or complaint exists. In addition I/we confirm that all the details provided on this debtor are also correct. I/We also confirm that we have read the terms and conditions of sale.

I/ We Agree