Lodge Debt Online

Instruction to Proceed With Collection Activity

Debtor Information
DEBTOR'S INFORMATION
List the particulars of the person who owes you money if they are an Individual.
Debtor’s Name*
Debtor’s Address*
Street Address City State / Province / Region ZIP / Postal Code
Debtor’s Phone Home
Debtor’s Phone Work
Debtor’s Mobile*
Please list only one number
Debtor’s Email*

Please list only one email. There is provision below for alternate emails.
Debtor’s Date Of Birth
DEBTOR'S INFORMATION - COMPANY OR BUSINESS
List the information of the Company or Business that owes you money.
Debtor’s Business Name
Debtor’s ABN*
DEBT INFORMATION (Information about the debt owed to you)
Your Reference or Invoice Number*
Date Debt Incurred*
DD slash MM slash YYYY
Date of Debt End
DD slash MM slash YYYY
Amount of Debt*
How was Debt incurred*
Other relevant information
Information of owners. Additional Email addresses and/or phone numbers
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Max. file size: 300 MB.
On submitting this Debt I agree to the Terms and Conditions herein. Debts will not be listed until an Appointment of Debt Collector has been completed. I acknowledge that if I am an existing Client of Paramount Collections then collection activity will commence on receipt of this debt submission and I will be responsible for associated commissions and fees that apply.*
- I Agree
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YOUR INFORMATION