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PERSONAL DETAILS
Name:
Daytime contact number:
Mobile contact number:
Email:
PROPERTY DETAILS
House name/number:
Street/Road:
Town/City:
County:
Post Code:

Property Type
Number of Bedrooms	1 2 3 4 5 6 more than 6
Number of Bathrooms	1 2 3 more than 3
How quickly do you need to sell?	Now 1 Week 2 Weeks 1 Month Longer
Why are you selling the property?
What is the condition of the property?	Excellent Good Needs Work
Is it Ex Local Authority?	Yes No
Is it for sale with an estate agent?	Yes No If Yes, who?
FURTHER DETAILS
What is the value of the property?	Who valued it and when?
What is the outstanding mortgage?	Which Lender?
Any secured loans on the property?	Which Lender?
Do you have any late payments or arrears?	Yes No If Yes, approx how much?
What is the estimated rental income per month?
Do you want to sell and rent back?	Yes No
Would you consider a CASH OFFER up to 75% of your property's market value for a FAST HASSLE-FREE SALE?	Yes Maybe No
Please provide further information you feel may be relevant for the cash buyer:

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