1st Buyer Title MrMrsMissMsDrRev

1st Buyer Full Name

2nd Buyer Title n/aMrMrsMissMsDrRev

2nd Buyer Full Name

Your Home Postcode

House Number/Name

Buyer 1 Telephone

Buyer 2 Telephone

Email Address/es

Your Position To Buy First Time BuyerNo Property To SellCurrent Property Sold Subject To ContractCurrent Property On The MarketCurrent Property Not On The Market

If You Are Selling Your Current Property, Please Confirm The Name, Location And Contact Details Of Your Estate Agent.

Would You Like A Market Appraisal Of Your Home? YesNoNot Relevant

What Is Your Financial Situation With Regard To Purchasing A Property? Mortgage RequiredCash Buyer (available immediately)Cash Buyer (when current property sold)

If You Require A Mortgage, Do You Have An Agreement In Principle From A Lender And If So Which Lender?

How Much Deposit Do You Have (if Mortgage Required)

What Type Of Property Will You Consider?

If Flats & Maisonettes Considered Will You Consider?

Minimum Bedrooms 0 (Studio Flat)12345

Maximum Purchase Price

What Else Would You Like The Property To Have?

Areas Considered

What Do You Like About The Shepperton Area?

Reason For Moving

Are You Interested In A Particular Property/properties That We Have For Sale? YesNo

If 'Yes' Please Give Details

When Are You Available To View (please Give Dates And Times)?

NOTE 1. We politely inform you of the following. If a potential buyer books a viewing and fails to attend without prior cancellation, their details will be removed from our database.

---

Please Print Your Name To Confirm You Have Read Note 1

NOTE 2. We politely inform you of the following. After every property viewing, Bazely & Co will contact the viewers for feedback. We will telephone and/or email for feedback three times and if we receive no response we will assume that the buyer is no longer looking to purchase a property and their details will be removed from our database.

---

Please Print Your Name To Confirm You Have Read Note 2