Michael Lever

Subject
Confidential - Rental Evidence Questionnaire

Your Name: ***


Your email: ***


Tel or mobile: ***


Address of shop, with postcode: ***


Head office contact details if different:


Your address for correspondence, if different to shop:


Business Trading name:


Company Name if different


Type of business:


Do you own the freehold? YES or NO ***
YES
NO

If YES then no further assistance is required.
Thank you, please go to the bottom of the form and click SEND

If NO then please provide the following information
If NO then 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):
A1 A2 A3 A4 A5 sui generis B1 B8 Other A1/A2 A3/A5 A3/A4/A5

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 (exclusive pa) £:


Date of last rent review:


Date of next rent review:


Date when lease expires:


Do you sub-let any part of the premises:
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 figure agreed?
YES
NO

Please attach devaluation confirmation, if any


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


Contact details of Landlord or Landlord's Surveyors:


Any other information you think could help: