Pré-incasso indienen - Breyta Incasso

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Step 1 of 3

Your details (Creditor)

Sending a pre-collection reminder

Already a customer of Breyta?*

Company name*

Chamber of Commerce number*

First name*

Surname*

Email address*

Phone*

IBAN / Account number*

IBAN / Account number on which your customer should pay.

Address*

Street Address City ZIP / Postal Code

Debtor data

Business or private debtor?*

Company name*

Chamber of Commerce number

Contact

Debtor first name*

Last name debtor*

Date of birth of debtor

Email address of debtor

Debtor phone number

Debtor address*

Street Address City ZIP / Postal Code

Claim data

Total outstanding amount:*

Total outstanding amount of invoice(s) less any payments.

Payment term of outstanding invoice:

14 days

30 days

Other

Payment deadline in pre-collection reminder:

Payment within 3 days

Payment within 7 days

Payment within 14 days

Other

In case of no payment after the pre-collection reminder:

Other comments

Invoice upload

Drop files here or

Max. file size: 5 MB.

Add the outstanding invoice here. For multiple invoices, an overview with invoice numbers and invoice dates is sufficient.

Agree to Terms and Privacy*

Yes, I agree to the terms and conditions and the privacy policy

Kees Post

Collection professional

Do you have any questions about this form?

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