IECOURTSDistrict Court Forms

Official form guide

Form No.4  Particulars of Demand, and Notice Requiring Payment Prior to the Issue of a Bankruptcy Summons

Form No.4 – Particulars of Demand, and Notice Requiring Payment Prior to the Issue of a Bankruptcy Summons is a Courts Service of Ireland document used by a creditor to formally demand payment before a bankruptcy summons can be issued. It must be served on the debtor and filed with the court.

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Form Overview

Courts Service of Ireland - Form No.4  Particulars of Demand, and Notice Requiring Payment Prior to the Issue of a Bankruptcy Summons

Form No.4 – Particulars of Demand, and Notice Requiring Payment Prior to the Issue of a Bankruptcy Summons is a Courts Service of Ireland document used by a creditor to formally demand payment before a bankruptcy summons can be issued. It must be served on the debtor and filed with the court.

The form records the creditor’s details, the debtor’s details, the amount owed, the basis of the claim, and the payment deadline before court action.

Risk Radar

Scan points
  • 1The most common mistake is not giving the debtor the full 14‑day payment window before filing.
  • 2Incorrect debtor address leading to invalid service
  • 3Mis‑calculating the amount owed or omitting interest
  • 4Failing to give the required 14‑day payment period
  • 5Signing the form without authority

Plain English

If you are owed money and want to start bankruptcy proceedings, you first send this notice to the person who owes you. It tells them how much they owe, gives a deadline to pay, and lets the court know you are ready to apply for a bankruptcy summons.

Submission Date

  • Filing date: The notice must give the debtor at least 14 days to pay from the date of service, and the completed form must be filed with the court before that deadline expires.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • When you intend to start bankruptcy proceedings against a debtor.
  • When a prior informal demand has been ignored.
  • When you need a court‑recorded notice of demand.
  • When the debt exceeds €1,500 (the minimum for bankruptcy action).
  • When you want to preserve the statutory 14‑day period.

Form selector

Use this form or another form?

Simple unpaid invoice

For small claims under €2,000

✓ Use only for court‑based monetary claims, not bankruptcy

Form No.2 – Claim Form

Disputed debt

When the debtor contests the amount

✓ Resolve dispute before issuing a bankruptcy demand

Form No.5 – Notice of Dispute

Company liquidation

When the debtor is a company

✓ Different procedure, not a personal bankruptcy summons

Form No.12 – Petition for Liquidation

Deadline or filing window

The notice must give the debtor at least 14 days to pay from the date of service, and the completed form must be filed with the court before that deadline expires.

Before you submit

  1. 1Debtor name and address are correct.
  2. 2Creditor details are complete and include contact information.
  3. 3Amount owed is accurately calculated and shown.
  4. 4Interest and costs are itemised if claimed.
  5. 514‑day payment deadline is clearly stated.
  6. 6Form is signed by the authorised creditor or solicitor.
  7. 7All supporting documents are attached.
  8. 8A copy has been served on the debtor and proof of service is retained.
  9. 9Correct court registry address is used.
  10. 10Submission receipt or acknowledgement is saved.

How to file this form

  1. 1Prepare the completed Form No.4.
  2. 2Serve a copy on the debtor (registered post or personal delivery).
  3. 3Obtain proof of service (postal receipt or signed acknowledgment).
  4. 4Take the original form and proof of service to the district court registry.
  5. 5Pay any filing fee required by the court.
  6. 6Receive a filing receipt and note the case reference number.
  7. 7Keep copies for your records.

Known limitations

  1. 1Form is only for personal bankruptcy; corporate insolvency uses different forms.
  2. 2Does not cover disputed debts – a separate dispute notice is required.
  3. 3Only valid for debts above the statutory minimum for{ } bankruptcy (currently €1,500).
  4. 4If the debtor is abroad, service rules differ and may require a court order.
  5. 5Electronic filing may not be available in all districts; check local court facilities.

Field map

Compact field-by-field guide

6 fields

Proceedings

3 items

Title of Proceedings

The names of the parties exactly as they appear on the originating document.

Requiredtext
Record Number

The court record number for the case, if one has been assigned.

Requiredtext
Court and Office

The court and the office where the document is being filed.

Requiredtext

Substance

2 items

Relief or Information Sought

What you are asking the court to do, or the information the form requires.

Requiredtext
Grounds and Exhibits

The facts relied on and any documents exhibited with the filing.

text

Execution

1 items

Signature, Jurat or Service Details

Signed, sworn or certified as the form requires, with proof of service where needed.

Requiredsignature
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Current form status
COURTS

Form No.4 is the current version used by all district courts as of 2024. No major revisions have been announced for 2025.

What changed or needs a fresh check

  • Check that the form header shows the current year (2024).
  • Verify the required 14‑day payment deadline wording is present.
  • Confirm the signature line includes space for a solicitor’s signature if applicable.
  • Ensure the court registry address matches the district court where you will file.
  • Review any updated guidance notes attached to the form.

Quick Facts

A creditor (individual or business) who intends to seek a bankruptcy summons against a debtor must complete this form.
The form records the creditor’s details, the debtor’s details, the amount owed, the basis of the claim, and the payment deadline before court action.
It is filed after a demand for payment has been made and the debtor has not paid within the statutory 14‑day period.
Submit the completed form to the district court registry where the bankruptcy summons will be issued, either in person, by post, or via the Courts Service’s e‑Filing portal where available.
Correct filing starts the statutory timeline for bankruptcy; errors can delay the summons or cause the court to reject the application.
1. Gather the creditor’s and debtor’s full names, addresses and PPS numbers if known. 2. Calculate the exact amount owed, including interest and any costs. 3. Fill in the demand details and set a 14‑day payment deadline. 4. Sign the form and attach any supporting documents (e.g., invoices). 5. Serve a copy on the debtor (registered post or personal delivery). 6. File the original with the court registry and keep a receipt.

Form Details

Revision date
28/01/26

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Sources

  • SRCForm title and number from Courts Service of Ireland websiteconfirmed.
  • SRCRequirement for 14‑day payment periodinferred from Irish bankruptcy legislation.
  • SRCFiling location (district court registry)standard practice for bankruptcy documents.
  • SRCFee requirementnot confirmed in official source.
  • SRCElectronic filing availabilitynot confirmed in official source.

Common confusion points

Mixing up Form No.4 with the standard Claim Form (Form No.2).

Assuming a shorter payment period is acceptable.

Leaving out interest or costs, which can be added later but may cause disputes.

Serving the notice on an outdated address.

Failing to attach proof of the original demand (e.g., letters or emails).

Submitting to the wrong district court.

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