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59
Questions
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1
How did you hear about Next Place?
*
This field is required.
Recommendation
Previous Customer
For Sale/To Let Board
Online Reviews
Social Media
Other
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2
What is the reason for your sale?
*
This field is required.
Upsizing
Downsizing
Deceased Estate/Probate
Relationship Breakdown
Relocation
Nursing Home/Care
Investment Property
Other
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3
What are your onward plans?
*
This field is required.
Once a sale is agreed, what will you be doing next?
Purchasing a property
Renting a property
There will be No Upward Chain
The property is empty
Other
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4
What is the address of the property being sold
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
How many legal owners of the property are there?
*
This field is required.
Please Select
1
2
3
4
5
6
Please Select
Please Select
1
2
3
4
5
6
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6
Please provide all of the legal owners names.
*
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Huge
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Small
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Ok
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7
Has the property had a sale agreed subject to contract in the last 12 months that has fallen through?
*
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YES
NO
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8
Under Consumer Protection Regulations (CPR), we are obliged to advise buyers why a house sale has fallen through. Please provide a brief description of why the sale fell through.
*
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9
Is the property
*
This field is required.
A house
A bungalow
An apartment/masionette
Other
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10
Is it...
*
This field is required.
Detached
Link Detached
Semi Detached
End of Terrace
Mid Terrace
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11
Is the apartment...
*
This field is required.
Ground floor
First floor
Second Floor
Other
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12
Does the property require work?
*
This field is required.
YES
NO
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13
Does the property have land?
*
This field is required.
(Outside of a normal size garden)
YES
NO
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14
Who is the local authority/council?
*
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15
What council tax band is the property?
*
This field is required.
Please Select
A
B
C
D
E
F
G
Please Select
Please Select
A
B
C
D
E
F
G
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16
Is the property
*
This field is required.
Freehold
Flying Freehold
Leasehold
Commonhold
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17
Is the property shared ownership?
*
This field is required.
YES
NO
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18
What is the percentage being sold?
*
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19
How many years are left on the lease?
*
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20
How much is the ground rent per annum?
*
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21
How much is the service charge per annum?
*
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22
What is the total cost per month of the remaining share
*
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Please include insurance, ground rent and rent on the share
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23
Property Age
*
This field is required.
Please Select
Unspecified
New Build
2010's
2000's
1990's
1970-1990
1960-1970
1940-1960
1910-1940
Edwardian 1901-1910
Victorian 1830-1901
Georgian 1710-1830
Please Select
Please Select
Unspecified
New Build
2010's
2000's
1990's
1970-1990
1960-1970
1940-1960
1910-1940
Edwardian 1901-1910
Victorian 1830-1901
Georgian 1710-1830
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24
When was the property originally built?
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25
Construction Material
*
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Brick and Block
Timber Frame
Insulated concrete framework
Stone built
Steel frame construction
Structural insulated panels
Cob construction
Straw bale
Other
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26
The Roof
*
This field is required.
What type(s) of roofing does your property have?
Asphalt shingles
Slate tiles
Clay tiles
Thatched
Flat
Metal roofing
Concrete roof tiles
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27
Since owning, has there been any work on the roof?
*
This field is required.
YES
NO
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28
Is the loft boarded?
*
This field is required.
Yes
No
Partially
There is no loft
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29
Does the loft have spray foam insulation?
*
This field is required.
YES
NO
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30
Are you aware of any of the following issues at the property?
*
This field is required.
None of the below
Damp
Subsidence
Japanese Knotweed
Unsafe cladding
Asbestos
Risk of collapse
At-risk wooden decking for external structures
Lack of emergency lighting where required
Insufficient fire/smoke alarm systems
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31
Is your property at particular risk of floods and/or erosion?
*
This field is required.
YES
NO
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32
Has there been any flooding within the last five years?
*
This field is required.
YES
NO
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33
Are there any sources of flooding affecting the property?
*
This field is required.
River
Sea
Groundwater
Lake
Reservoir
Other
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34
Does the property have flood defenses?
*
This field is required.
YES
NO
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35
Are there any planning permissions or proposals for development that will affect your property?
*
This field is required.
YES
NO
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36
Is your property on a coalfield or mining area?
*
This field is required.
YES
NO
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37
Is the property a listed building?
*
This field is required.
YES
NO
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38
Is your property in a conservation area?
*
This field is required.
YES
NO
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39
Do any public rights of way affect your your property or its grounds?
*
This field is required.
YES
NO
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40
Has your property had adaptions for accessibility?
*
This field is required.
YES
NO
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41
Are there any restrictions associated with the property?
*
This field is required.
YES
NO
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42
Does the property have required access (easements, servitudes, or wayleaves)?
*
This field is required.
YES
NO
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43
Heating
*
This field is required.
Central heating (electric)
Central heating (gas)
Other gas heating system
Communal heating system
LPG/oil central heating
Wood burner/open fire
Biomass boiler
Solar panels and related technology
Ground source heat pump
Air source heat pump
Other
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44
Is there a gas supply at the property?
*
This field is required.
YES
NO
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45
How old is the boiler if there is one?
*
This field is required.
In years
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46
Is it under warranty?
*
This field is required.
YES
NO
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47
When was it last serviced?
-
Date
Year
Month
Day
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48
Where is is located?
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49
Where is the electric fuse board located?
*
This field is required.
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50
What are the electricity sources being supplied to the property?
*
This field is required.
National Grid
Wind turbine(s)
Solar PV (Photovoltaic) panels
Generator/private supply
Other
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51
What are the water sources being supplied to the property?
*
This field is required.
Direct mains water
Wells
Boreholes
Springs
Other
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52
Is the water supply metered?
*
This field is required.
YES
NO
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53
Sewerage arrangements at the property?
*
This field is required.
Standard UK domestic
Septic Tank
Domestic/small sewage treatment plants
Cesspit
Cesspool
Other
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54
Is air conditioning fitted at the property?
*
This field is required.
YES
NO
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55
How is broadband internet provided to the property?
*
This field is required.
ADSL copper wire
Cable
FTTC (fibre to the cabinet)
FTTP (fibre to the premises)
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56
How would you best describe the level of the mobile signal/coverage at the property?
*
This field is required.
Good
Intermittent
Poor
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57
What are the parking arrangements, and/or garage location?
*
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58
Any other information?
Any other relevant information about your property, extensions, improvements etc
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59
This form was filled out by...
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