Valuation Information Form

Full Name*

First NameLast Name

Relation to the Property*

OwnerBoard MemberDeveloperOther

Address Line 1*

Address Line 2

City*

Phone 1*

Area CodePhone Number

Phone 2

Area CodePhone Number

Fax

Area CodePhone Number

E-mail*

How did you hear about us?

Estimated Date for Sale*

MonthDayYear

Property Name/Number*

Address Line 1*

Address Line 2

City*

Postal Code*

Number of Bedrooms*

Year Built

Developer

Purchase Price

Property Type*

Residential HouseResidential FlatCommercialOther / Not Sure

Property Style*

Please check all amenities

Parking

Lease Length

Remaining Years

Ground Rent

Service Charge

Does the property have an EWS1 Form in place

YesNo

Other - Please list

Please provide any additional information or comments

Appointment