Proof Of Debt - Australian Government Page 3

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Second Trustee Details:
Title
Given name/s
Surname
Business address
Postcode
Contact number
Mobile number
Email address
Creditor Details
Creditor name
Postal address
Postcode
Creditor reference
Creditor ABN
Contact information
Title
Given name/s
Surname
Contact number
Fax number
Email address
No
Yes
Estimated value of security
Do you hold any security?
Description of security property
Have you obtained a judgment?
No
Yes
Judgment amount & costs
Was this a default judgment?
No
Yes
Judgment number & court
- 1300 364 785
page 3 of 4
8(POD)(P)022015

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