076 502 20 80 | info@ak-advocaten.eu
Bredaseweg 161, 4872 LA Etten-Leur
— Main Menu —
Home page
Attorneys at law
Areas of Law
- Corporate Law
- Personal Injury Law
- Property Law
- Family Law
- Employment Law
- Criminal Law
- Mediation
References
Contact
- Ask a question
Home page
Attorneys at law
Areas of Law
Corporate Law
Personal Injury Law
Property Law
Family Law
Employment Law
Criminal Law
Mediation
References
Contact
Ask a question
Home
»
Form to submit an online claim for bankruptcy
Form to submit an online claim for bankruptcy
Bankruptcy
Name of debtor (insolvent)
*
Creditor
Name of creditor (applicant)
*
Address
*
Post code / place of residence
*
Telephone number
*
Fax number
Contact person
E-mail address
*
Bank account number
*
Claim
Claim invl. VAT
*
Amount of VAT included
*
Proof
Drop files here or
Preference/security rights
Are there preferred or specified security rights (pledge/mortgage/retention of title/other)?
*
Yes
No
If yes, provide evidence
Drop files here or
Email
This field is for validation purposes and should be left unchanged.