Authority to Effect Forfeiture

We hereby authorise you to effect peaceable re-entry and thereby secure forfeiture of the lease between:

Every field marked * must be completed before the form can be submitted. Please do not leave any of them blank: each one is needed to act on your instruction.

The lease

Tenant Name *

& Landlord *

Demised Premises *

Postcode *

As allowed under clause

Relevant Clause *

The forfeiture or re-entry clause in the lease. Peaceable re-entry depends on it, so we confirm it from the lease before attending.

Dated *

The date of the lease.

Authority

To proceed therein to change the locks and to display lease termination notices as the Law directs: And for so doing, this shall be yours and your agents sufficient Warrant, Authority and indemnification against all Actions at Law, as well as against All Costs, Charges and Expenses which you may incur or be liable to pay by reason of your Effecting Forfeiture and hereby undertake not to hold you or your agent Accountable for any goods Forcibly or Clandestinely removed from the premises following their being made secure.

Also our guarantee to pay yours and the locksmith fees for completing the instruction to Effect Forfeiture.

I have read the above and authorise Commercial Rent Bailiffs Limited to act on these terms. *

Specify tenancy *

Additional Information

Person and company authorising to effect forfeiture

Name/Signature *

Company Name *

Company Address *

Postcode *

Telephone No. *

Date *

Your Ref No. *

Your own reference for this matter. It appears on our correspondence. Enter N/A if you do not have one.

Email *

Where we send confirmation and the reference.

Submitting this is an instruction to act, not an enquiry. We confirm receipt the same working day and check the lease and the breach before anyone attends. Your details are used only to carry out this instruction and are held in accordance with our privacy policy.

Take back the premises.