Current Start Preview Complete Information message Filling out this form will email the relevant department Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther…- Select -▾- Select -MissMsMrMrsDrOther… Enter other… First name Last name Address Customer address First line of address Second line of address City/Town Postcode Is this property being offered? Yes No Contact Contact details Email Phone number Other details Do you own the property Yes No Relationship to owner Property details Property being offered Address of property being offered First line of address Second line of address City/Town Postcode Property purchase date Property type Type of property Type of property Select the type of propertyHouseBungalowFlatMaisonetteOther…Select the type of property▾Select the type of propertyHouseBungalowFlatMaisonetteOther… Enter other… Floor number Type of house/bungalow Select house/bungalow typeTerraceSemi-detachedDetachedSelect house/bungalow type▾Select house/bungalow typeTerraceSemi-detachedDetached Room details Number of bedrooms Number of rooms downstairs Heating type Heating type - Select -Central heatingElectric heatersStorage heatersOther…- Select -▾- Select -Central heatingElectric heatersStorage heatersOther… Enter other… Modifications and improvements Please tick all that apply Extension Conservatory New kitchen New bathroom Porch New windows Loft conversion Other… Enter other… Additional information Additional information 15854
