Name

Address Line 1

Address Line 2

City

Postcode

Telephone

Email Address

Are you: Are you: Selling a Property Purchasing a Property

Sale Price

Is the house or flat leasehold? Is the house or flat leasehold? Yes No

Do you have a mortgage? Do you have a mortgage? Yes No

Is this a buy-to-let / second home property? Is this a buy-to-let / second home property? Yes No

Purchase Price

Is the house or flat leasehold? Is the house or flat leasehold? Yes No

Are you buying a new build property? Are you buying a new build property? Yes No

Do you need a mortgage? Do you need a mortgage? Yes No

Do you have a First Time Buyer ISA? Do you have a First Time Buyer ISA? Yes No

Are you a first time buyer? Are you a first time buyer? Yes No

Is this a buy-to-let / second home property? Is this a buy-to-let / second home property? Yes No

Once you have purchased the property will this be the only property you own? Once you have purchased the property will this be the only property you own? Yes No

Location of the property

How many buyers are there?