B4B Forderungsmanagement und InkassogesmbH Fichtnergasse 10a
1130 Wien

Fax +431 879 89 49 300

Tel: +431 879 89 49 240 office@b4b.or.at

Collection order - Case assignment - Form

Case assignment - B4B Forderungsmanagement

For any questions please call us at +431 879 89 49 0 or write us an E-mail

In order to process your inquiry efficiently, please provide us with the following information:

CREDITOR DETAILS

Company Name / Legal Form *:

First Name*:

Last Name*:

VAT Number:

Address*

Street Address:

City:

State / Province / Region:

Postal / Zip Code:

Country:

Phone Number*:

Fax:

E-Mail-Address*:

Bank Account Number (IBAN):

BIC/SWIFT:

DEBTOR

Company Name / Legal Form *:

Address*

Street Address:

City:

State / Province / Region:

Postal / Zip Code:

Country:

Phone Number*:

Fax:

E-Mail-Address*:

CLAIM

Customer number:*:

Type of claim:*:

Record set 1

Date of invoice/credit note:

Number of invoice/credit note:

Due date:

Amount/Currency:

Record set 2

Date of invoice/credit note:

Number of invoice/credit note:

Due date:

Amount/Currency:

Record set 3

Date of invoice/credit note:

Number of invoice/credit note:

Due date:

Amount/Currency:

Total claim

Total amount*:

Additional information:

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Collection order - Case assignment - Form

CREDITOR DETAILS

DEBTOR

CLAIM

Record set 1

Record set 2

Record set 3

Total claim

SUBMIT

B4B Privacy Statement