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Application Form

Applicant Information

Title: *
Name: *
Address: *
 
Town: *
County:
Postcode: *

Contact Information

Email Address: *
Home Telephone: *
Work Telephone:
Mobile Telephone: *

Type of Property

House Bungalow Flat/Apartment Detached
Semi Detached End Terrace Terraced  
 
Freehold Leasehold    
 
Leasehold
No. of years remaining on Lease:
Service Charges (£ per annum):
Ground Rent (£ per annum):
Flat/Apartment
Purpose Built or Conversion:
No. Floors in Block:
No. Units in Block:

About the Property

No. of bedrooms:
No. of receptions:
No. of bathrooms:
No. of garages:
Cloakroom: Yes: No:
Double glazing: Yes: No:
Off road parking for how many cars?
Central heating: Yes: No:
Age of property?
Has the property been extended? Yes:No:
If so when?
Type of accommodation added:
Was planning permission and
building reg. approval obtained?		 Yes: No: Not Needed:
Was the property previously
owned by the Local Authority?		 Yes:No:
How long have you
owned the property?
Has the property ever suffered from
structual movement or flooding?		 Yes:No:
 
If yes give details:
 
Notable features of property:
 
Any other information:

Marketing

Is your property on the market? Yes:No:
Agent Name:
Address:
 
Town:
County:
Postcode:
Contact Name:
   
Date on market:
Number of viewings:
Offers received:
Has there been any abortive sales? Yes:No:
If yes, reason for fall through:
Notes: