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Authority To Secure Against Unlawful Occupation

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I/We hereby authorise J.P.DAWKINS LTD peaceably to enter the premises mentioned hereunder:

Premises:
and to change locks, and re-secure the premises; and for so doing this shall be a 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.
Landlord:
Type of Premises:
Warehouse
Office
Food Outlet (please specify)
Retail (please specify)
Other (please specify)

Description (i.e. door colour/ neighbouring units, no. of floors):
Are there common doors?:
Yes
No
Dated (day, month and year):
Signed (Person Authorising Action):
Name and address (Landlord/Solicitor/Agent):
Telephone Number:
Fax Number:
Send keys to:
Above address Other (please specify)
Address invoice to:
Special Instructions:
Upload an attachment:

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