Authority to Act as Party Wall Surveyor for Adjoining Owner

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Authority to act (under the Party Wall etc Act 1996) for Adjoining Owners

This form provides you with a quick, easy and secure way to authorize Allen Norman to act as your party wall surveyor under the Party Wall etc Act 1996. If you can then please attach copies of the notice(s)...these can be photos taken on a smart-phone or scanned copies. We've also included a comments box so that you can add any other information you would like us to be aware of. By submitting this form you confirm that you have the authority to do so on behalf of any joint owners who do not separately submit the form.

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Name

Address

Please provide your property address and postcode

Date of Notice

Please indicate the date on the notice you have received

I/we dissent to the notice.

I/we agree to this statement

I/we appoint you, Mr Allen J Norman, of Ely Design Group, as my/our Surveyor, in accordance with Section 10 of the above Act and authorise you to make any necessary appointments on my/our behalf. (copy)

I/we agree to this statement

I/we hereby authorize you to sign, issue and receive any notices in connection with the works proposed at the above.

I/we agree to this statement

I/we hereby confirm that we are willing to receive any notice or document under the Act by email at the email address below.

I/we agree to this statement

Email address for receiving notice(s) or document(s)

Today's date

Please add today's date in the box above as the date when you formally dissent to the notice(s) you have received and appoint Allen Norman as your surveyor.

Signature