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1
Title
:
Title
Mr.
Mrs.
Ms.
Miss
Dr.
2
First name
:
3
Surname
:
4
Phone number
:
5
Email address
:
6
Postcode
:
Address :
7
Reason for sale
:
Please choose
Chain Break
Divorce / Break Up
Former Buy to Let
Found another house
Financial Difficulties
Illness
Inheritance
Moving Abroad
Moving into Rented / Family / Partner
Career Related
Retirement
Other
8
Property type
:
Please choose
Studio Flat
Flat
Maisonette
Terraced House
End of Terraced House
Townhouse
Semi- Detached House
Detached House
Detached Bungalow
Terraced Bungalow
Semi Detached Bungalow
9
Bedrooms
:
Please choose
1
2
3
4
5
6
7
8
10
Value of Property ( Approx £ )
:
11
Is it on The market?
:
Select
Yes
No
12
Mortgage Remaining ( Approx £ )
: