Address * 

Post Code * 

Home Telephone * 

Work Telephone* 

Mobile Telephone* 

Email  

When is the best time to contact you? 

Which is the best number to contact you? 

What is your motivation to sell and what are your circumstances for contacting us? 

Broken Chain, Need Quick sale Pending Re-Possession Probate Property Mortgage arrears/Mounting debts ill Health Unemployment Matrimonial Emigration Landlord with problem tenant Landlord with un-let property Other  

If matrimonial are both parties in agreement to sell?

Yes No

What is your situation?

What is your preferred timescale?

What would be your ideal outcome?

Property Type  

Flat Maisonette House Bungalow Chalet Other  

If other. Give details

Property Sub Type  

Purpose built flat Converted flat Mid Terrace End Terrace Town House Semi detached Detached Other  

If other. Give details

No Bedrooms  

1 2 3 4 5 5+  

No. of Reception Rooms  

1 2 3 4 5 5+  

No. of Bathrooms  

1 2 3 4 5 5+  

Full Gas Central Heating  

Yes No

Garden  

Yes No

Garage  

Yes No

Driveway  

Yes No

Shared Driveway  

Yes No

Is the property Ex local authority?  

Yes No

Age of Property  

Pre war Post war 1950s 1960s 1970s 1980s 1990s 2000 plus  

Location  

Town Urban Rural Semi Rural  

Property Construction  

Brick Concrete Panelled Timber Roughcast Stone Timber Framed Other  

If other. Give details

Is the property  

Freehold Leasehold

Is the property tenanted?  

Yes No

How long have you owned the property?  

Is there currently a mortgage loan outstanding on the property?  

Yes No

If yes, what is the amount outstanding (including redemption penalties if any/known)? £

Are there any other loans secured against the property or any other loans that you are wishing to pay off?  

Yes No

If yes, what is the total amount outstanding £

Is your property currently on the market with an estate agent?  

Yes No

If yes, give name of estate agent.

How long has your property been on the market?  

1-4 weeks 5-8 weeks 9-12 weeks 13-16 weeks 17-20 weeks 21-24 weeks 25-28 weeks more than 28 weeks  

How many buyers have viewed your home?  

None 1-5 6 -10 11-15 16-20 21-25 26-30 More than 30  

Why do you think that the property has not sold?

What price are you currently asking for the property via the estate agent? £  

How would you describe the condition/decoration of the property  

Excellent Good Fair Poor Very Poor  

Does the property require any updating or modernisation?  

Yes No

If yes, please give details

Has the property ever suffered from subsidence or any structural defects?  

Yes No

If yes, please give details

Should we agree to purchase your property there will be no costs incurred by you.  Are you prepared to accept an offer of between 75% to 80% of true market value to achieve a 'Quick' exchange of contracts?  

Yes No

What do you believe is the true market value of your property £  

Would you be interested in our 'leaseback scheme', allowing you to rent the property from us?  

Yes No

Where did you hear about us?

Thank you for your enquiry. We will contact you shortly