Leaseholder Information Form

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Your details
Your full name*
Prefix First Last
Your correspondence address*
Address Line 1 Address Line 2 City County Post Code
Your email address*
Enter Email Confirm Email
Date of birth*
Landline number (Daytime)*
Landline number (Evening)*
Mobile number*

Joint owners details
Your joint owners full name*
Prefix First Last
Joint owner's correspondence address*
Address Line 1 Address Line 2 City County Post Code
Joint owners email address*
Enter Email Confirm Email
Joint owners date of birth*
Joint owners landline number (Daytime)*
Joint owners landline number (Evening)*
Joint owners mobile number*

Property details
Address of leasehold property to be included in the lease extension/enfranchisement/management claim:*
Address Line 1 Address Line 2 City County Post Code
On what date did you purchase the property?*
Do you own any other property in the building?*
- Yes
- No
- N/A
If yes, what is the property number?*
Is the property in mortgage?*
- Yes
- No
If in mortgage, to whom?*
A/C No. or lender ref*
GDPR & Privacy Policy
Privacy Policy*
- By completing this form you agree with the storage and handling of your data by Adcocks Ltd.

Your details