Name:

E-mail Address:

Telephone Number:

How do you want to be contacted?:

Best time to contact you?:

House Name / Number:

Street:

Town:

County:

Postcode:

Type of Property:

Number of Bedrooms:

Is there a garage?:

Is there off-road parking?:

Is the property on the market?:

Condition of the Property:

Does it need a new kitchen?:

Does it need a new bathroom?:

Does it need central heating?:

Does it need re-wiring?:

Does it need new windows?:

Does it need decorating?:

Does it need new carpets?:

Market value: (if known)?

Minimum price acceptable?:

Reason for sale?:

How quickly do you want to sell?:

Option to rent back after sale?:

Any additional information: