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Contact Details
Title
Mr
Mrs
Miss
Dr
Rev
Other
Details of Property
Reason for selling
Quick sale
Sale and rent back
Moving abroad
Divorce / Separation
Failed sale
Repossesion
Financial trouble
Inherited the property
facing eviction
Other
Property type
Apartment / Flat
Mid terrace
End terrace
Detached bungalow
Semi-detached bungalow
Semi Detached house
Detached house
Maisonette
Chalet
Other
Is your House...
Freehold - with mortgage
Leasehold - with mortgage
Not sure - but have a mortgage
Freehold - no mortgage
Leasehold - no mortgage
not sure but don't have a mortgage
No. of bedrooms
1
2
3
4
5
6
7
8
9
10+
No. of reception rooms
1
2
3
4
5
6
7
8
9
10+
Separate Kitchen
Kitchen Diner
Is the property on the market ?
Yes
No
How long for?
1 month
3 months
6 months
1 year +
Garden(s)
Front
Back
Both
Parking
Off-road
Garaged
Permit
Street
Property Condition
Does it need :
New Wind
ows
No
Yes
New Kitchen
No
Yes
New Boiler
No
Yes
New Carpets
No
Yes
New Bathroom
No
Yes
Re-wiring
No
Yes
Overall Condition
Excellent
Good
Average
Below Average
Poor
Uninhabitable
Financial Details
What is market value based upon
Estate agent valuation
similar properties in area
recent survey
Would you accept an offer of 85% or below of market value ?
Yes
No
Maybe
When do you need to sell ?
within 2 weeks
within 1 months
within 2 months
within 3 months
Would you like to rent back ?
Yes
No
Unsure
Any additional information that we should be aware of: