Submitting a claim

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Submitting a claim in case of liquidation

    1. Contact information

    Claim in the liquidation of
    Your (company) name*
    Street + number
    Postal code
    Town/city
    Telephone No.*
    Email address

    2. Amount of the claim

    Account number*
    Total amount receivable (including VAT)*
    Amount of VAT
    Applicant's reference

    3. Right

    Retention of title*
    YesNo
    Right of recovery*
    YesNo
    Mortgage right/pledge on an asset*
    YesNo
    Other privilege*
    YesNo

    4. Upload invoices

    Upload your invoices here (32mb max)*
    Comments