Business Debt Assessment

Immovable Property

Immovable Property Registered on The Company Name?

Yes
No

Does The Company Have a Paid up Immovable Property?

Yes
No

Is The Business Premises a Rental Property?

If Yes, What is The Term on The Lease Agreement?

Are There Any Rent Monies in Arrears?

1st Property Info

Plot / Stand Number:

Physical Address:

Original Purchase Amount:

Outstanding Bond:

Bond Holder:

Bank Account Number:

Is The Property on The Market?

What is The Listing Price?

Did You Sign Surety For The Property?

2nd Property Info

Plot / Stand Number:

Physical Address:

Original Purchase Amount:

Outstanding Bond:

Bond Holder:

Bank Account Number:

Is The Property on The Market?

What is The Listing Price?

Did You Sign Surety For The Property?

Company Vehicle Information

1st Vehicle

Make & Model:

Year:

Value:

Hire Purchase / Lease:

Monthly Instalment:

Paid in Full

2nd Vehicle

Make & Model:

Year:

Value:

Where Did You Hear About Us?

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Business Debt Assessment

Company Information

1st Director Information

2nd Director Information

Immovable Property

1st Property Info

2nd Property Info

Company Vehicle Information

1st Vehicle

2nd Vehicle

Assets & Liabilities

Creditor Information

Creditor 1

Creditor 2

Creditor 3

Creditor 4

Creditor 5

Creditor 6

Creditor 7

Creditor 8

Creditor 9

Creditor 10

Reasons For Financial Distress

067 035 2576

012 943 1392

enquiries@curedebt.co.za

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