Follow the steps to fill out the form successfully.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. In the first field, enter the name of the creditor. Ensure the name is accurate and matches any official documentation.
3. Next, provide the address of the creditor. This should be a complete address where the creditor can be reached.
4. Fill in the total amount of the claim, which should include any Value Added Tax and any outstanding uncapitalised interest as of the date the company went into liquidation.
5. If the total amount includes Value Added Tax, indicate the amount of VAT in the provided field, along with the NET amount of the claim separate from VAT.
6. If applicable, state the total outstanding uncapitalised interest in the designated amount field.
7. If you have filled in both box 3 and box 5, indicate whether you are claiming the amount from box 3 or the NET amount from box 5(b).
8. Provide details of whether any part of the debt falls under the categories of preferential debts, as defined in the Insolvency Act.
9. Specify the particulars of how and when the debt was incurred. This detail is critical for substantiating your claim.
10. If there is any security held against the debt, include particulars of the security, its value, and the date it was given.
11. In the category section, list any amount(s) you are claiming as preferential debts.
12. Finally, sign the form either electronically or by hand, depending on the process, and print your name in block letters. Include your position or relation to the creditor.
13. After completing all sections, review your entries for accuracy. You can then save your changes, download, print, or share the filled form as required.

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