DAYTIME CONTACT No.
EVENING CONTACT No.
HOUSE NAME/NUMBER
TOWN
Please Select
Apartment / Flat
Mid Terrace
End Terrace
Semi Detached
Detached
Bungalow
Land
Commercial
NUMBER OF BEDROOMS
Please Select
1
2
3
4
5
6
7+
WHAT IS THE CONDITION OF YOUR PROPERTY?
Please Select
Excellent
Very Good
Good
Average
OK
Poor
WHAT IS THE APPROXIMATE VALUE?
Please Select
Own Opinion
Estate Agents
Similar Property
Please Select
ASAP!
Within 2 Weeks or o!
Within 1 Month or so!
No Fixed Deadline!
WHY ARE YOU SELLING THE PROPERTY?
Please Select
Repossession
Debt / Financial Difficulty
Broken Chain
Divorce / Seperation
Relocation / Emigration
Inherited / Probate
Seen Another
Broken Chain
Loss of Job
Cant Sell
Family Reasons
Ill Health
Retirement
Bought Another
Other / Specify
IS THE PROPERTY ON SALE THROUGH AN ESTATE AGENT?
WOULD YOU LIKE TO SELL AND RENT BACK?
PLEASE PROVIDE ADDITIONAL INFO YOU FEEL MAY BE RELEVANT
NAME
EMAIL
LAST NAME
STREET / ROAD
POSTCODE
PROPERTY TYPE
WHAT IS THIS BASED ON?
Yes
Yes
No
No
HOW QUICKLY DO YOU NEED TO SELL?
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