
	Instruct Us BUYING & SELLING A PROPERTY

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		For Office Use Only

Personal Details

Title *:
First Name *:
Last Name *:
Address 1 *:
Address 2 :
Address 3 :
Town/City *:
County *:
Home Phone *:
Work Phone:
Mobile Phone:
Fax:
E-Mail Address:
Status *:
PPS Number *:

Selling Property Details

Property Address 1 *:
Property Address 2 :
Property Address 3 :
Town/City *:
County *:
Is the property your Family Home? *
Do you have a Will? *
Selling Price *: €
The Title Deeds are with *:



Are you selling this property jointly with anyone else?

Yes *:
First Name *:
Last Name *:
Status *:
PPS Number *:
No *:
Do you have a Mortgage? *

Current Lenders Details ( if applicable )

Lender


Address 1:
Address 2:
Address 3:
Town/City:
County:
Current Mortgage Amount: €
Mortgage Account No.:

Selling Estate Agent Details

Name *:
Address 1 *:
Address 2 :
Address 3 :
Town/City *:
County *:

Purchase Property Details

Property Address 1 *:
Property Address 2 :
Property Address 3 :
Town/City *:
County *:
Will you be the owner occupier of the property? *
Purchase Price *: €
Mortgage Required *: €
(if none, enter zero)

Are you buying this property jointly with anyone else?

Yes *:
First Name *:
Last Name *:
Status *:
PPS Number *:
No *:

Lenders Details

Lender *


Address 1 *:
Address 2 :
Address 3 :
Town/City *:
County *:

Selling Estate Agent Details

Name *:
Address 1 *:
Address 2 :
Address 3 :
Town/City *:
County *:

Sellers Solicitor Details (if known)

Name:
Address:
Address 2:
Address 3:
Town/City:
County:

I have read the Privacy Policy *

* Required Information


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