Repossession

We hereby authorise Newlyn plc to effect peaceable re-entry and secure forfeiture of the Lease between:

Name of tenant:

Current landlord details:

Address of property:

Date of lease:

Clause (Re-Forfeiture):

Original tenant (If different):

Original landlord (If different):

Person authorising forfeiture:

Dated:

On completion send keys to:

Email address:

Type of Premises   Warehouse Office Food Outlet (Specify below) Retail Other (Specify below)

Other information :

Name and address of instructing client / landlord:

We do hereby indemnify you against any proceedings or proceedings that may be instituted against you, as well as against all fees and charges which you may incur or be liable to pay by executing this instruction.