e) I am the insolvency practitioner for the former please complete section (B) premises licence holder who is insolvent f) I am applying as the former premises licence holder is please complete section (B) no longer entitled to work in the UK Date of lapsing of licence On what date (as applicable) Day Month Year Did the former premises licence holder die? Was the power of attorney registered under section 6 of the Enduring Powers of Attorney Act 1985? Did the former holder become insolvent? Did the former holder’s immigration status expire? DETAILS OF INDIVIDUAL NOTICE GIVERS (fill in as applicable) Other title Mr Mrs Miss Ms (for example, Rev) Surname First names Please tick yes Date of Birth I am 18 years old or over Nationality Current postal address if different from premises address Post Town Postcode Daytime contact telephone number Email address (optional) DETAILS OF SECOND INDIVIDUAL NOTICE GIVER (IF APPLICABLE) Other title Mr Mrs Miss Ms (for example, Rev) Surname First names
e) I am the insolvency practitioner for the former premises licence holder who is insolvent please complete section (B) f) I am applying as the former premises licence holder is no longer entitled to work in the UK please complete section (B) Date of lapsing of licence On what date (as applicable) Day Month Year Did the former premises licence holder die? Was the power of attorney registered under section 6 of the Enduring Powers of Attorney Act 1985? Did the former holder become insolvent? Did the former holder’s immigration status expire? DETAILS OF INDIVIDUAL NOTICE GIVERS (fill in as applicable) Mr Mrs Miss Ms Other title (for example, Rev) Surname First names Please tick yes Date of Birth I am 18 years old or over Nationality Current postal address if different from premises address Post Town Postcode Daytime contact telephone number Email address (optional) DETAILS OF SECOND INDIVIDUAL NOTICE GIVER (IF APPLICABLE) Mr Mrs Miss Ms Other title (for example, Rev) Surname First names
prem8-interim-authority-notice.docx