Name(s) and address
E-mail address Daytime telephone number
Address (if different from above)
Is the property:- Freehold Leasehold
Price of property being sold £
With whom do you have your mortgage?
What is your account number?
Address Post Code
Price of property being purchased £
Will you require a mortgage? Yes No
If so, from whom?
When would you like to complete the transaction? early mid late January February March April May June July August September October November December
Is there any additional information you feel is important?