R-2.2, r. 1 - Regulation respecting the application of the Act respecting the collection of certain debts

Schedule Disposition versions

2012-09-01

FORM N-42

(s. 45)

COLLECTION MANDATE

(An Act respecting the collection of certain debts (chapter R-2.2, s. 32)

______________________________

(number of permit holder)

Date: ______________________________________________________________________________

(date of collection mandate)

Place: _____________________________________________________________________________

(place of collection mandate)

---

(name of permit holder)

---

(address of permit holder)

---

(name of creditor of debt to be collected)

---

(address of creditor of debt to be collected)

(Conditions of collection mandate) _______________________________________________________

---

---

R.R.Q., 1981, c. R-2.2, r. 1, Form N-42.