Primary Contact Details *

First Name

Last Name

Date of Birth?

MM

DD

YYYY

Phone *

(###)

###

####

What is your home address?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is the address of the property you are selling? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this property? *

Can tick more than 1 option

Established residential

Brand new residential/ less than 5 years old

Vacant land

Serviced Apartment

Commercial/Industrial

Farm

Other

What's included in the sale?

Car park

Storage Cage

Courtyard

Are all fixtures & fittings included?

Is the property tenanted?

Which of the following services are available at the property?

Electricity

Gas

Water

Sewerage

Telephone

Contact person in agency?

First Name

Last Name

Contact number of agency:

(###)

###

####

Is the name registered on title an:

Only 1 option can be selected

Individual

Company

What will be your address after settlement? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Terms and Conditions Acceptance *

I accept that submitting this form will appoint Inspire Law to act on my behalf in this property transaction.