Authority to Effect Forfeiture

I/We hereby authorise J.P.DAWKINS LTD to effect peaceable re-entry and thereby secure forfeiture of the Lease between:

Tenant
Is there an original tenant to pursue under the lease?
and
Landlord
relating to
Demised Premises
Type of Premises:
Warehouse
Office
Food Outlet (please specify)
Retail (please specify)
Other (please specify)
Description (i.e. door colour/ neighbouring units, no. of floors):
Are there common doors?:
Yes
No
Torts Notice required?:
Yes
No
as allowed under clause
Relevant Clause and date of lease
And to change locks, display necessary termination notices as required: and for so doing this shall be a sufficient warrant, authority and indemnification against all actions at law, as well as all costs, charges or expenses which may reasonably be incurred by reason of your executing this warrant: and we hearby undertake not to hold you accountable for goods forcibly or clandestinely removed from the premises following their being made secure.
Date of instruction
Person Authorising Forfeiture
Name and address (Landlord/Solicitor/Agent)
Contact
Telephone Number
Mobile
Email Address
Send keys to
Above address Other (please specify)
Address invoice to
Special Instructions
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Dawkins Specialist Civil Enforcement Agents