Questionnaire

So that we can assess whether we will be able to help you, please complete this questionnaire.

NOTE: All information will be kept confidential and will not be disclosed to any third parties.

What is the Name of the Company?
Your name:*
Your contact address:*
Your phone number:*
What is the Company Number?
List names and addresses of the Directors?
Name and address of the Company Secretary?
List names and addresses of the Shareholders?
What is the Companies business?
Location of Company?
Details of pressing creditors	Please include details of the amounts, contact details, reference numbers.
Have you received demands or threats of Court action?	Yes No If yes,from whom?
Have you received any County Court Judgements?	Yes No
Are there any Statutory Demands?	Yes No
Has anyone Distrained?	Yes No If yes, whom?
Details of Company assets?
* I confirm that I represent a UK company registered in the United Kingdom

*Mandatory