On-Line Valuation Form   Reason for sale*  ") Facing eviction") Stop repossession") Debts - financial problems") Reduce outgoings") Broken chain - lost buyer") Divorce - separation") Moving abroad") Job relocation") Release cash") Inherited property") Look after a relative") Buy another property quickly") Other")   Do you want to Sell & Rent Back?*  ") Yes") No") Maybe")   Your Contact Details    Title*  ") Mr") Mrs") Miss") Ms")   First Name *    Surname *    Address*                   Post Code*    Daytime Phone*    Mobile/Home/Other    Email*     Best time to call   Morning Afternoon Evening Anytime   Your Property    When do you need to sell by?*  ") Within 1 week") Within 1 month") 1-2 months") Within 3 months") 3+ months")   Is it for sale with an estate agent?*  ") Yes") No")   Property Type*  ") Semi") Detached") Mid Terrace") End - Terrace") Bungalow - Semi") Bungalow - Detached") Flat") Maisonette") Land") Other")   Does the property have:  ") Garage") Off Road Parking") Garden")   Property Condition*  ") Immaculate") Good") Fair") Poor") Very Poor") Derelict")   List any works, decorating, updating or repairs needed    List any improvements made in the last 3 years     Estimated current realistic value* £    Outstanding Mortgage* £  Enter 0 if none    Other secured borrowing: Total* £  Enter 0 if none    Your Asking price £     Are you prepared to accept up to 20% off the market value for a fast cash sale?  ") Yes") No") Maybe")   Any other information you want to add about the property or your needs  If you wish to receive a Guaranteed offer within 24 hours You must agree with: I am prepared to accept on offer of 15-20% less than the actual open market value. I Agree   * Required information

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