Authority to Act (HV)

Property Info
When did you purchase the property?

DayMonthYear
If you cant remember the exact date, please select the first of the month.
Estimate of current property value
If you're unsure, please enter your best guess.
Do you currently receive a wayleave payment?

YesNo

Terms of Engagement
In signing below the Owner(s) confirm they have read the terms of engagement (below) and, on behalf of all owners, now wish to appoint Thomson Broadbent
1. The Owner(s) instruct and appoint Thomson Broadbent Ltd (“the Company”) as sole and exclusive agent for the full duration of the claim process to negotiate a new wayleave or easement agreement in respect of the presence of overhead and underground power lines, poles, pylons, fibre optic cables, stays, transformers and/or other electrical equipment which is currently situated on my/our property.
2. The Owner(s) agree to pay the Company a contingent-only success fee equal to 20% + VAT of the consideration received in respect of the new wayleave or easement agreement.
3. The Owner(s) acknowledge and understand that the company will use and store their data as stated in the Privacy Policy Notice.
4. The Owner(s) acknowledge, understand, and accept the Company’s Terms of Business which they have read and understand form part of the contract between us.
Full Name*
Full name of the person completing this document.
Signed*

Clear
Date*

DayMonthYear
Date
Hour MinutesAM/PM Option
Any comments?
e.g. property currently on the market
Should be Empty:

Authority to Act