Title Mr Mrs Ms

Name*

Address*

Address*

Address

Postcode

Phone*

Email address*

New employment address

New employment address

New employment address

New employment postcode

Reason for purchasing/rent Downsizing Upsizing Investment First Time Buyer Relocation Employment relocation Other

Present status Awaiting sale No chain Contracts exchanged On market First Time Buyer Cash buyer

Time scale for move Immediately 0-3 months 3-6 months 6 months+

Length of rental

Preferred Area/Location

Desirable commuting time

Preferred method of commute Walk / Cycle Bus Train Car

Maximum price

Preferred price

Detached Will consider Yes No

Semi detached Will consider Yes No

Terraced Will consider Yes No

Bungalow Will consider Yes No

Cottage Will consider Yes No

Apartment Will consider Yes No

Duplex Will consider Yes No

Town house Will consider Yes No

Site Will consider Yes No

Other property type

Age of property New Modern Traditional Period

Type of area City Suburb Town Village Rural Sea/river views Mountain views Country views

Required condition of property Immaculate Good Fair Redevelopment

Number of bedrooms

Number of receptions

Number of bathrooms

Home office/study

Den/nursery

Off road parking Will consider Yes No

Garage Will consider Yes No

Small Garden Will consider Yes No

Large Garden Will consider Yes No

No Garden Will consider Yes No

Court yard Will consider Yes No

Outbuildings Will consider Yes No

Additional land in acres

Any other accommodation requirements

Bus Essential Desirable Not Required

Rail Essential Desirable Not Required

Motorway Essential Desirable Not Required

Airport Essential Desirable Not Required

Taxi Essential Desirable Not Required

Local Convenience shops Essential Desirable Not Required

Shopping centre Essential Desirable Not Required

Supermarket Essential Desirable Not Required

Cinema Essential Desirable Not Required

Restaurants Essential Desirable Not Required

Pubs Essential Desirable Not Required

Leisure Centre Essential Desirable Not Required

Golf clubs Essential Desirable Not Required

Primary schools Essential Desirable Not Required

Secondary schools Essential Desirable Not Required

Third levels Essential Desirable Not Required

Pre schools/Nursery Essential Desirable Not Required

Creche Essential Desirable Not Required

Hospital Essential Desirable Not Required

Health centre Essential Desirable Not Required

Any other requirements