Ashley House, Siemens Road, Stafford ST17 4DT
Tel: 01785 224999 | Fax: 01785 224774 | Email: info@penhamexcel.co.uk

We hereby authorise you to Distrain under the Distress for Rent Rules 1988 the Goods and Effects in tenure and occupation of :
Name
of
Tenant
Being situated at:  
Address
of Tenant
For the sum of:  
Total Amount
Outstanding
Being arrears of Rent due to the Landlord:  
Name of
Landlord
On the
day of
Due Date

And to proceed therein for the recovery of the said Rents and Costs of Distress as the law directs: And for so doing, this shall be your sufficient Warrant, Authority and indeminification against all Actions at Law, as well as against all costs, charges or expenses which you may incur or be liable to pay by reason of your executing this Warrant and hereby undertake not to hold you accountable for any good forcibly or clandestinely removed.

SPECIFY TENANCY [/]
COMMERCIAL
Office
Shop / Lock Up
Shop / dwelling
Warehouse / Factory
Open Land
Local Authority
Ground Rent
Dated this day of
Name / Signature of person authorising distraint
Name and address of authority (Landlord / Solicitor)
Name of
Authority
Mobile Number  
Telephone Number  
Further Information  

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BACS Cheque

Bank Account Name  
Bank Account No:  
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PENHAM EXCEL LTD
(Enforcement Agents)
Ashley House, Siemens Road, Stafford ST17 4DT
Tel: 01785 224999 | Fax: 01785 224774 | Email: info@penhamexcel.co.uk