PBS Ref:
Client ID:
Your Ref:
I/We hereby authorise:
Parkinson Bailiff Services Ltd
of:
The Lodge to Shaw Hill, 177 Preston Road, Whittle-le-Woods, Chorley - PR6 7PR Tel: 08450 090909 / Fax: 08450 091010 Email: admin@parkinsonbailiff.co.uk
Tenant:
Landlord:
Related to:(demised premises)
Full postcode:
As allowed under clause:
(relevant clause)
Date of lease:
and to change locks, display necessary termination notices as required; and for so doing this shall be sufficient warrant, authority and indemnification against all actions at law, as well as 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 premises folllowing their being made secure.
Dated this:
Full name of person authorising forfeiture:
Name of Authority:
Address of Authority:
Name:
Email:
Telephone:
Fax:
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