I/We hereby authorise DC Bailiffs Ltd to effect peaceable re-entry and
thereby secure Forfeiture of the lease between:
 
______________________________ Landlord, and
 
______________________________ Tenant
 
relation to
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
 
demised Premises as we are entitled under clause __________________of our lease dated __________

And to change locks, display necessary termination notices as required: and for so doing this shall be a your warrant, authority and indemnity against all actions at law,
as well as all costs, charges or expenses which may reasonably be incurred by your execution of this warrant: and we hereby undertake not to hold you accountable for goods forcibly or clandestinely removed from the premises following their being made secure.

 
Date __________ Month __________ Year __________
 
Signed ________________________________________
 
Name of Person Authorising Forfeiture
Name and Address of Landlord/Solicitor/Agent
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
Please complete and fax back to 07005 806007

Directo D Crombie   Secretary K.M Crombie BSc (Hons)     Registered in England and Wales 5475171
Affiliated members of: Association of Civil Enforcement Agents, Association of British Investigators,
Security Industry
Authority (Wheel Clamp), Data Protection Reg Z9084041