Chopin BV - BZ Faillissementen

This field is hidden when viewing the form
Name trustee
This field is hidden when viewing the form
Name bankruptcy
This field is hidden when viewing the form
E-mail address employee bz
This field is hidden when viewing the form
VAT not accounted for on invoice date prior to bankruptcy
This field is hidden when viewing the form
VAT not accounted for on invoice date prior to bankruptcy
This field is hidden when viewing the form
Submitted
This field is hidden when viewing the form
Letterhead
File a claim if*
- Company
- Natural person / private individual
Name*
C.O.C. no*
Contact person*
The name of the person submitting the claim. If you are making the claim on your own behalf, you can write your own name here.
E-mail address contact person*
Phone number contact person*
Address*
Street and house number
Postal code*
Postal code
City*
City
Country*
Country

Currency*
Namely:
Total amount receivable including VAT and/or interest*
VAT*
Interest (contractual or statutory)
Upload interest calculation
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.
Nature/Description of the claim*
Upload documentary evidence to support the claim (e.g. a contract, an invoice, a receipt, an order confirmation and/or correspondence)*
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.
Do you still have a current agreement with the bankrupt?*
- No
- Yes
Explanation*
Upload copy of agreement*
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.
Do you have a special right or privilege? For example, a pledge or mortgage, property, retention of title, lien or other rights.*
- No
- Yes
You claim:*
What items and/or claims are covered by this right?*
Date on which this (pre-)right was formally granted:
DD slash MM slash YYYY
Evidence showing this (pre-)right:*
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.

In the event of a distribution in this bankruptcy, your bank details are important in order to be able to pay your claim.

NOTE: This does not mean that your claim will automatically be paid. Whether this is possible will be examined by the trustee. You will automatically receive a message in due course if (part of) your claim can be paid. You do not have to contact the receiver for this
Name account holder*
IBAN number*
BIC code (if it concerns a foreign account)
O.v.v. reference*

Does the bankrupt have a claim on you that can be set off against your claim?*
- No
- Yes, namely: ....
Currency*
Namely:
Principal amount incl. VAT*
VAT*
Date the claim arose*
DD slash MM slash YYYY
You are requested to upload supporting documents with regard to the (potential) settlement.
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.

You may upload other files here if you believe they are relevant to your claim
File Upload
Drop files here or

Accepted file types: pdf, doc, docx, xlsx, xlsm, xlsb, jpg, jpeg, png, Max. file size: 64 MB.

Thank you for submitting the form!

Below is a summary of the information you have entered. Please check your details carefully
{all_fields}
If the data is entered correctly, you can check the statement below to confirm
Toestemmingsovereenkomst*
I hereby certify that the information1 I have entered is correct*
Click on "Submit" to finally submit your claim. You will receive an email confirming your claim
¹ Insofar as you have filled in personal data in this form, we will use these personal data only in connection with the handling of your claim and to be able to communicate with you about the handling of your claim. If you want more information about how Boels Zanders handles your personal data and what your rights are, please read our privacy statement.