Form

Form EX140: Give a record of evidence (individual debtor)

If you owe someone money and they've taken you to court, use this form to list your finances and state whether you can pay the debt in full or in instalments.

• From: HM Courts & Tribunals Service
• Published: 1 April 2003

Documents

Record of evidence (Individual debtor)

PDF, 369 KB, 12 pages

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Cofnod archwiliad (Unigolyn) / Record of examination (Individual)

PDF, 1.08 MB, 18 pages

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Find out how to respond to a court claim for money.

Find more court and tribunal forms by category.

Find out how HM Courts and Tribunals Service uses personal information you give when you fill in a form.

Published 1 April 2003