MJD Solicitors - Online Debt Recovery Form

Claimant Information

Your Name *

Job Title *

Business Name *

Business Address*

Telephone Number *

Email Address *

Confirm Email Address *

Where did you hear about us? *

Debtors Information

Debtor Full Name *

Debtor Address*

Debtor Contact Name *

Debtors Information continued..

Debtor's Telephone Number *

Debtor's Email Address *

Is the Debtor a Business or Individual? *
Business Individual

If Debtor is a business, is it a:
Sole Trader Partnership
Limited Company LLP

Particulars of invoice(s) that remain unpaid

Invoice Reference *

Invoice Date *

Invoice Amount (£) *

Amount Outstanding (£) *

Invoice Due Date *

Nature of Debt: *
Services Goods Other

For additional invoices, please list them below in the following order, separated by a comma (,): Reference, Date, Amount (£), Amount Outstanding (£), Due Date and Nature of Debt.

Particulars of invoice(s) that remain unpaid continued..

If your invoice is a business to business debt, you will be able to claim interest either pursuant to contract or, where the contract does not provide for a substantive remedy, pursuant to Late Payment legislation.

Under Late Payment legislation the rate of interest is broadly 8% above base rate. You are also entitled to claim compensation to cover the costs that you may have incurred in chasing such late payment, calculated by reference to the amount of the debt. The level of compensation recoverable is:

For debts up to £999.99 = £40.00
For debts up to £9999.99 = £70.00
For debts over £10,000.00 = £100.00

Please advise the amount of interest you are seeking under Contract - (£)

OR
Please advise the amount of interest you are seeking under Late Payment Legislation - (£)

And
Please advise the amount of compensation you are seeking under Late Payment Legislation: *

£40.00 £70.00 £100.00

Guidance Notes *

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accepted our terms & conditions*

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