Debt Lodgement Form We are a team of fully licensed Private Investigators with our own legal team, we can sort out your debtors from start to finish. We can even look after your entire ledger management. First-time clients “Submit” the form and we will get back to you to discuss options available to you. If you prefer you can Download our debt lodgement form instead. Business Name (required) Contact Name (required) Email Address (required) Phone Number (required) * Postal Address Physical Address Brief Description of Business DEBTOR DETAILS Debtor Company Name Legal Entity of Debtor Company Name Debtor Contact or Personal Guarantor Company Name Debtor Date of Birth (if known) Postal Address Physical Address Email Address (required) Phone Number (required) DEBT DETAILS Amount of Debt (required) Date Debt Due (or Range) Are you covered by a collection costs agreement? YesNo Are you covered by a collection costs agreement? YesNo Description of Debt Additional Information Submitting this form is considered accepting our Terms of Trade
