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REFERRAL APPLICATION FORM
REFFERING SITE DETAILS
Error!
Please Fill required values in the form. They are marked with (*).
Sales Advisor Name:
Contact Number *
New Build
Off Plan Build
Resale
Email *
NPT require to market the property in advance of completion, has this been explained to the seller?
Yes
No
PROPERTY SELLERS DETAILS
First Name:
Last Name:
Contact Number:
Is the property a probate sale?
Yes
No
Address
Postcode :
Tenure:
Leasehold
Freehold
Property Type :
Cottage
Detached
Detached Bungalow
End Terrace
Flat
Gemini Bungalow
Maisonette
Other
Semi-Detached
Semi detached Bungalow
Split-Level Maisonette
Studio
Terraced
Town House
Number of bedrooms:
1
2
3
4
5
More..
Estimated value :
Estimated exchange/completion date? I.e. available premarketing time :
Any other relevant information :
Probate lawyer Name :
Probate lawyer Phone no. :
Probate lawyer Address :
MARKETING/VALUATION DETAILS
Is the property on the market?
Yes
No
What is the asking price and which estate agents?
Has it previously been under offer?
Yes
No
Agents Contact name(s) *
Agents Contact numbers(s) *
Have any other agents valued?
Yes
No
Agents Contact name(s):
Agents Contact numbers(s):
Are there any agents you would rather we avoided for your valuation?
Yes
No
Agents Contact name(s):
Agents Contact numbers(s):
Would you like to specific local estate agent for the valuation of this property?
Yes
No
Estate Agent 1 *
Estate Agent 2 *
Estate Agent 3 *
ONWARD PROPERTY PURCHASE DETAILS
House No. *
Street Address 1
Street Address 2
Town
Postcode *
Likely completion date *
Other details / information *
I confirm the property seller has given my permission to share this information with National Property Trade.
Yes
No
Signed
Date