Mr Investa - Valuation Information Form

Personal Information
Full Name*

First NameLast Name
Relation to the Property*

OwnerBoard MemberDeveloperOther
Address Line 1*
Address Line 2
City*
Phone 1*

Area CodePhone Number
Phone 2

Area CodePhone Number
Fax

Area CodePhone Number
E-mail*
How did you hear about us?
Property Information
Estimated Date for Sale*

MonthDayYear
Property Name/Number*
Address Line 1*
Address Line 2
City*
Postal Code*
Number of Bedrooms*
Year Built
Developer
Purchase Price
Property Type*

Residential HouseResidential FlatCommercialOther / Not Sure
Property Style*

Detached HouseSemi Detached HouseEnd of Terrace HouseTerraced HouseTownhouseApartmentDuplex ApartmentLow-rise blockHigh-rise blockMixed Use (Commercial & Residential)Office BuildingOther
Please check all amenities

BathroomEn-suiteW.C.Front GardenRear GardenOffice/StudyGymSteam Room/SaunaPoolTennis CourtOther
Parking

NoneOn StreetResidents PermitSecure GatedDrivewayOther
Lease Length
Remaining Years
Ground Rent
Service Charge
Does the property have an EWS1 Form in place

YesNo
Other - Please list
Please provide any additional information or comments
Appointment
Should be Empty: