Estate Agent Form

Estate Agent - Requst Form

Please complete this form with your client's details

ESTATE AGENT DETAILS
ESTATE AGENT NAME
BRANCH
CUSTOMER DETAILS
Title	First name
	Surname
Contact Number
House Number
Street or Road Name

Town or City
County
Postcode
E-mail
Is the property occupied by just one family?	Yes	No
Are we able to contact the Home Owner direct?	Yes	No
Is the property vacant or occupied?	Vacant	Occupied
If vacant, is the property derelict?	Yes	No
Who will arrange access to the property?	Home Owner	Estate agent
Is the property Freehold or Leasehold ?	Freehold	Leasehold

Hi Pack Inspector Limited , PO Box 670, Hale, Manchester. WA15 8LG- t:0845 3883 789 :0161 903 9220 e:info@hipackinspector.co.uk

Company Number: 06337352

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