Title: Mr. Mrs. Miss. First Name: Last Name: Address: Town: Postcode: Reason For Sale: Inherited Divorce Repossession Moving Abroad Financial Problems Other Type Of Property: Terraced Semi Detached Bugalow Flat Or Apartment Other No Of Bedrooms: 1 2 3 4 more Is the property ex-Council: yes no Property On The Market: No Yes Estimated Value if known: How did you arrive at this figure?: Outstanding Mortgage : Other Loans secured against property: Based on your estimated value for your property you can realistically expect an offer between 75 to 80% of the property value, Please confirm you are happy to discuss this preliminary offer: Yes Maybe no Telephone No: Email Address: Further Comments:

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