Statutory Demand Preparation Form

Statutory Demand Preparation Form

Provide all required details to prepare and serve a statutory demand for debt recovery.
SECTION 1 – Creditor Details

Information about the entity issuing the statutory demand.
Creditor entity
Creditor Full Legal Name
ACN
ABN
Name of director

First NameLast Name
Name of Partnership
Name of trustee
Name of trust
Registered Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Trading Name (if relevant)
Contact Person

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
SECTION 2 – Debtor Company Details

Provide precise details of the debtor company.
Debtor Company Full Legal Name
Debtor Company ACN
Debtor Registered Office Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Principal Place of Business (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Debtor Contact Person (if known)

First NameLast Name
SECTION 3 – Debt Details

Provide a breakdown and supporting documents for the debt.
Total Amount Owing (AUD)
Is any part of the debt interest?
Overview of the Agreement
Breakdown of Invoices
Upload supporting documents (Contract, Terms & Conditions, Invoices, Statement of Account, Correspondence)

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SECTION 4 – Dispute Screening

Screening for any existing or potential disputes regarding the debt.
Has the debtor disputed the debt in writing?
Have they raised issues about quality of goods/services?
Have they raised any other issues?
Have they partially paid?
Have they requested a payment plan?
Are you aware of any defence they may raise?
I confirm the debt is due and payable and not genuinely disputed.
I confirm that the debt is due and payable by the debtor.
SECTION 6 – Authority & Acknowledgment

Confirm authority and understanding before proceeding.
I confirm the information provided is accurate.
I understand a statutory demand should not be used where a genuine dispute exists.
I authorise you to prepare and serve the statutory demand.
Should be Empty:

Statutory Demand Preparation Form

SECTION 1 – Creditor Details

SECTION 2 – Debtor Company Details

SECTION 3 – Debt Details

SECTION 4 – Dispute Screening

SECTION 6 – Authority & Acknowledgment