Authority to Effect Forfeiture Form

WE HEREBY AUTHORISE MADAGAN'S to peaceably re-enter and thereby secure forfeiture of the lease between:

Name of Current Tenant

and
Name of Current Landlord

Name of Original Tenant (if applicable)

Name of Original Landlord (if applicable)

relating to:

(Demised Premises)

as allowed under clause:

(Relevant Clause)

and dated:

(Date of Lease)

Are they still trading:
Yes
No

Opening Hours:

Is there a communal entrance:
Yes
No

Client to be on site:
Yes
No

Any other relevant information:

Keys to be sent to:

and to change locks, display necessary termination notices as required; and for doing so this shall be 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 hereby undertake not to hold you accountable for goods forcibly or clandestinely removed from the said premises following their being made secure.

Dated this
Day of
(month)
(year).

Enter your name to sign the form*

Person Authorising Forfeiture

Name and address of authority:

Landlord/Solicitor/Agent

Telephone No:*

Email:*

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