Contact
Churchill DC Ltd
11 Orchard Court
Heron Road
Sowton
Exeter. EX2 7LL
E
info@churchilldc.co.uk
T
01392 203200
F
01392 203209
DX:135607 Exeter 16
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Distress Warrant (Rent arrears)
Required fields are marked with a *.
Tenant Name: *
Tenant Address: *
Post Code:
for the sum of: *
(the full amount you want us to collect)
£
being the rent due on: *
(insert date on which the latest sum of rent was due)
calculated at: *
£
per
choose
week
month
quarter
and to proceed for the recovery of the said rent as the law directs and we/I do hereby indemnify you against any proceeding or proceedings that may be instituted against you, as well as against all fees or charges which you may incur or be liable to pay by executing this warrant, and do hereby undertake not to hold you accountable for any goods forcibly or clandestinely removed.
Date of Instruction: *
Payment Timeframe: *
Levy & Collect Full Bal / Remove
Levy & 5 Days
Levy & Other
Special Instructions:
Name of Landlord / Agent: *
Landlord / Agent Address: *
Landlord / Agent Post Code:
Contact Email: *
Contact Tel: *
Name of Landlord if Different to Above:
Landlord's Address if Different to Above:
Post Code:
Specify Tenancy: *
Residential
Commercial
Is there a Lease or Agreement? *
Yes
No
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click
to see our Churchill Collect site who specialize in debt recovery.
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