Business Insolvency Form

Your Contact Details

Part 1 of 4

Take the first step today, Please fill in your details, including information about your income and liabilities which will help us build up a profile of your situation, and one of our advisors will get back in touch with you and guide you through the process. This is a no obligation service and we uphold your privacy.

Your Name*

Your Email*

Telephone Number*

Employment Status*

Your prefered method of contact?* telephone email

Assets & Property

Part 2 of 4

Do you have vehicles, plant or machinery?* Yes No

Estimated total value*

Do you have stock or work in progress?* Yes No

Estimated total value*

Do you have a freehold or leasehold property?* Yes No

What is the current property value?*

Is there an outstanding debt or mortgage on the property?* Yes No

How much debt is outstanding?*

Business Liabilities

Part 3 of 4

Do you have outstanding bank loans, overdrafts or finance?* Yes No

How much debt is outstanding?*

HM Revenue & Customs (VAT, PAYE, NIC etc)* Yes No

Total value owed*

Employees:unpaid wages, holiday pay, redundancies etc* Yes No

How much is owed in total?*

Do you have outstanding rates & utilities?* Yes No

How much is owed?*

Is the company still trading?* Yes No

Do you expect to sell the business?* Yes No

Would you like to continue trading?* Yes No

How many shareholders do you have?*

Are there any court proceedings against the business?* Yes No

Thank you for your enquiry

We will contact you shortly

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