The Claim

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Amount -

On which account can we deposit the collected amount? -

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Has the claim previously been handed over to a debt recovery intermediary? -

Yes

Has your debtor motivated why he should not pay this debt? (Contested claim)

Yes

Remarks For example: Debtor does not answer emails, is difficult to reach, etc. -

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Is your debtor a business or private individual?* Business

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Are you a business or private individual?* Business

Business

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Country -

Company name* -

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E-mail* -

[%fieldname%] has not been completed (correctly).

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