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Client Ref             
             

   I/ We authorise Lawson Maclaine Ltd of 1st Floor, Global House, Manor Court, Manor Royal, Crawley West Sussex RH10 9PY to effect peaceable re-entry and thereby
   secure forfeiture of the Lease between:
             
Tenant         
And               
Landlord         
         
Building Name or Number         
               
Address         
             
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Relevant Clause         
             
             

   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 following their being made secure.
             
Dated this    Day of       
             
Signature of person authorising Distraint   (only applicable if form is being printed)      
             
Name of Authority             
             
Address   
   
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Contact Details   

Telephone Number   

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