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Personal Details:                  
Title: Mr Mrs Miss Ms  
 
First name:  
  Middle name:    
  Surname:    
  Postal address - line 1:    
  Postal address - line 2:    
  Town:    
  County:    
  Postcode:    
  Home telephone no:    
  Work telephone no:    
  Mobile telephone no:    
  Email address:    
  Are you buying this property jointly with anyone else?
  Yes:    
  Their first name:    
  Their middle name:    
  Their surname:    
  No:    
  What is the address of the new property?
  New Address - Line 1:    
  New Address - Line 2:    
  Town:    
  County:    
  Postcode:    
  Do you know the sellers name?
  Yes:    
  Sellers name:    
  No:    
  Purchase price:
 
£
    
  Is the property freehold or leasehold?
  Freehold:    
  Leasehold:    
  Are there any estate agents?
  Yes:    
  Name of company:    
  Estate Agents Address:    
  Address Line - 2:    
  Town:    
  County:    
  Postcode:    
  Telephone no:    
  Agents name:    
         
  No:    
  Sellers telephone no:    
  Sellers solicitors name:    
  Solicitors address:    
  Address line - 2:    
  Town:    
  County:    
  Postcode:    
  Telephone no:    
  Do you need a mortgage?
  Yes: I am arranging one myself.    
  Lenders name is:    
  Yes: I am not arranging my mortgage.    
  My brokers name is:    
  My brokers company is:    
  Brokers telephone no:    
  Lenders name is:    
 
  No:    
       
 


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