Forfeiture / Repossession

Active Enforcement Ltd
Certificated Bailiffs
Fort Dunlop
Fort Parkway
Birmingham
B24 9FE

We hereby authorise ACTIVE ENFORCEMENT LTD to effect peaceable re-entry and thereby secure forfeiture of Lease between:

(Tenant and Trading Name)

and:

(True Landlord)

relating to:

(Demised Premises)

Postcode:

as allowed under clause:

(Relevant Clause)

Dated:

Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 (Date of Lease)

And to change locks, display necessary termination notice as required; and for doing this shall be your sufficient warrant, authority and indemnification against all actions and law, as well as all costs, charges or expenses which may reasonably be incurred by reason of your executing the Warrant; and we hereby undertake not to hold you accountable for goods forcibly or clandestinely removed from the premises following their being made secure.

Dated

Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Person authorising Forfeiture

Name and address of authority (Landlord/Solicitor)

Postcode:

Tel No:

Active Enforcement Ltd Certificated Bailiffs Fort Dunlop Fort Parkway Birmingham B24 9FE
REG No.5863112