CCJ Application Form | Lender and Court Services - CCJ Removal Specialists

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CCJ Application Form

Instructions for completing the Application for CCJ Services

Completing this application form does not commit you to using our services.

In order to complete the application form please collect together as much information as you can about your County Court Judgement.

For example please try to provide:

Claimant's Name
Claim Number
Claimant's Name
Claimant's Name

If you cannot answer a particular question, you can leave it blank. However the more information you provide, the easier it is for us to help you.

Full Application for CCJ Services

Please provide us with as much information as you can about your County Court Judgement

Step 1 of 7

14%

Your Name*
First Last
Your Business Name
Email*
Mobile
Alternative Phone
Address
Street Address Address Line 2 City County Postal Code

2. CCJ Details
Claimant's Name
Claim Number
Value of Claim (£)
Name of Court
- County Court Business Centre (CCBC Northampton)
- County Court Money Claims Centre (CCMCC Salford)
Has this matter been transferred to a Local Court?
- Yes
- No
Date You Discovered CCJ

Day
Month
Year
Date CCJ Registered

Day
Month
Year

3. CCJ History
How did you discover your CCJ?
- Declined Credit
- Credit Search
- Credit Reference Agency
- Online Search (e.g., Noddle)
Did you receive Court papers?
- Yes
- No
- Don’t Know
When did you receive Court papers?

Day
Month
Year
Do you dispute the judgement?
- Yes
- No
- Don’t Know
Have you paid the judgement debt?
- Yes
- No
- In Part
When did you pay the judgement debt?

Day
Month
Year
Have you contacted the claimant?
- Yes
- No
Do you have any correspondence regarding the CCJ?
- Yes
- No

4. Other Information
Do you have a Court Hearing date?
- Yes
- No
If you do have a Court Hearing date please select it below?
DD slash MM slash YYYY
Are you aware of any enforcement proceedings such as Bailiffs or a Debt Collection Company due to visit your home or business?
- Yes
- No
- Don’t Know

5. Personal Details
Date of Birth

Day
Month
Year
Gender
- Male
- Female
Age (years)
Occupation
Annual Income
- Under £25k
- £25k-£35k
- £35k-£50k
- £50k+
Are you a home owner or tenant?
- Home Owner
- Tenant
Marital Status
- Single
- Married
- Separated
- Divorced
- Civil Partnership
- Living with Partner
Are You Bankrupt?
- Yes
- No
- Discharged

6. Further Information
Please explain in your own word how this CCJ is affecting you
Is there any other information you feel is relevant to your case that will help us act for you?

7. Relevant Documents
After you submit this form, we can give you some simple instructions for uploading digital files and sending paper documents to us.
Do you have any digital files (eg., PDF or Word documents) you can send us?
- Yes
- No
Do you have any paper documents you can send us?
- Yes
- No
Date
MM slash DD slash YYYY

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Terms and Conditions: County Court Judgement Services
Fixed Fee CCJ Removal Service
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Free N244 Download
Terms and Conditions: County Court Judgement Services
Fixed Fee CCJ Removal Service
Terms of Use
Meet The Team
Privacy Policy
Contact Us

Contact Info

Phone 0345 548 4345

Paul House, Stockport Road, Timperley, Altrincham, Cheshire, WA15 7UQ

Click here to go to Partner site Remove My CCJ.

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