Should you wish to extend your lease, please complete this form as fully as possible and we will respond accordingly.
Please note that in order to provide a lease extension offer specific valuation work will need to be undertaken so a £95.00 application fee is payable prior to a quote being issued. The application fee will be deducted from the total costs payable for the lease extension should you decide to proceed. If you do not wish to proceed, or the lease extension does not complete for any reason, the fee is non-refundable.
On receipt of your completed form we will telephone you on the contact number provided to take payment of the application fee by debit or credit card. Please ensure you do not make a note of any card account details on the form.
We shall endeavour to provide our clients' terms within ten working days from the receipt of your form, and application fee.
* mandatory fields
Account Reference Number: * (what is this?)
Property Description:
Property Address Address Line 1 (what is this?) Address Line 2 Town/City County Postcode
Local Authority Area
Name of Applicant(s) *
Name of Owner(s) (if different to applicant)
Correspondence Address Address Line 1 * Address Line 2 Town/City * County Postcode *
Contact Home No.
Contact Daytime No.
Email Address.
Annual Ground Rent
Ratable Value (this will be shown on your Water Rate Demand)
Expiry Date of Lease (if known)
Type of Property (please tick all that apply)
If Flat or Maisonette please give which floor
If Other please give details
Number of Bedrooms *
Number of Reception rooms *
Value of the Property (estimate)
When did you buy the property? *
How long have you lived there?
Are you living there at the moment? Please Select Yes No
Is the property currently on the market? Please Select Yes No
Do you pay a Management or Service Charge fee at all? Please Select Yes No *
If yes, please provide their contact details below
Have you (or any previous owner) made any alterations or extensions to the property? Please Select Yes No *
If yes, please list
Has a garage been built at the property since the property was built? Please Select Yes No
If you answered yes to either of the previous two questions, was Freeholder's consent obtained? Please Select Yes No Not Sure
Is the property used for residential purposes only? (i.e. non business premises) Please Select Yes No
I hereby declare that all the information provided is correct to the best of my knowledge *