Instructions to Recover Debt
[ClientName]
instructs IRS to recover the amount detailed below on our behalf.
Debtor's Details
Issue Date:
Name:
ACN:
ABN:
Phone:
Mobile:
Fax:
Address:
Your Reference:
Date of Debt:
to
Amount:
$
Contact:
Cause of Debt:
Goods Sold & Delivered
Services Rendered
Labour, including Parts
Dishonoured Cheque
Advertising Fees
Guarantee
Rental / Hire
Other
Please detail securities held:
Credit Application
Bank Guarantees
Proof/s of Delivery
Personal Guarantees
Official Orders
Points of Leverage
Notes to assist in recovery:
Issued By:
Name:
Position:
Attach Document:
Note:
if you need to send multiple documents, please email them separately to
i@irs-cash.com
after submitting this form