Michael Lever

PRIVATE and CONFIDENTIAL

This form for emailing is only for the use of landlords whom I have contacted for information.

Please fill in the form and click send to email, thank you.

(This is an email only: the information is not stored on a website.)

Subject

Your Name: ***

Your email: ***

Tel or mobile:

Address of shop, with postcode: ***

Your address for correspondence (if different to the address in my letter)

Company Name if different (if different to the one in my letter)

Please provide the following information:

Description of premises (for example: lock-up shop, shop and basement, shop and flat, shop and upper floors): ***

Does the shop have on-site parking or rear vehicle access: ***
NO
YES

Please provide brief details of lease (for example: term, start date, rent review intervals, repairing covenants, user, redevelopment clause): ***

Use Class (if known):

Is there a break clause: ***
NO
YES

If YES to break clause, then please state year:

Is the lease inside or outside Landlord and Tenant Act 1954:
INSIDE
OUTSIDE
unsure

Current rent payable £

Date of last rent review:

Date of next rent review:

Date when lease expires:

Is any part of the premises sub-let:
NO
YES

If YES then please provide full details:

Please confirm areas and/or ITZA:

Is the ITZA agreed?
YES
NO

If you know the analysis then please state Zone A £

Is the Zone A value agreed?
YES
NO

Please attach devaluation confirmation, if any

Contact details of your Surveyors, if any, that acted for you:

Contact details of Tenant or Tenant's Surveyors:

Any other information you think could help:

Please confirm whether you want to be notified of the outcome
Yes
No