Paragraph 21
In respect of each creditor—
(a)
name and address;
(b)
account number or reference (if known);
(c)
date the debt was incurred;
(d)
the amount the creditor claims the debtor owes the creditor; and
(e)
where the debt is secured, the property of the debtor which is claimed by the creditor to clear or reduce the creditor's debt.