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Personal Details
Title
Mr
Mrs
Ms
Miss
Dr (Man)
Dr (Woman)
Rev (Man)
Rev (Woman)
Company
First Name
Surname
Should you have a second name on the property please record these details here.
Title
Mr
Mrs
Ms
Miss
Dr (Man)
Dr (Woman)
Rev (Man)
Rev (Woman)
Company
First Name
Surname
Contact Number
Mobile Number
Email Address
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Property Details for the EPC
Building / Number
Street Name
Town
County
Post Code
Number of bedrooms
Please Select
1
2
3
4
5
6
7
8
9
10+
Approx Value of Property
Property for Sale / Rent?
Please Select
For Sale
For Rent
Leasehold /
Share of
Freehold
NO
YES
Is the property a flat?
(inc maisonette)
NO
YES
What type of building
is the flat in?
Please Select
Purpose built block
Converted house
Conversion of commercial premises
Who is selling the
property?
Please Select
The owner / owners
A representative for an owner who has died
A representative for an owner who is living
Other (please give details)
Estate Agents Details (optional)
Agent Name
Agent Tel Number
Agent Email Address
Notes / Additional Comments
Where did you hear about us?
Please Select
Google
Yahoo
MSN
Other search engine
Estate Agent
Friend / Colleague
Newspaper Article
The Independent
Moneysupermarket
Mypropertyforsale.co.uk
Other - please specify below
Any additional notes
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Free Solar Panels
and
PV Solar Panels
My Hip Home is a trading name of Hipsco Ltd. Registered Office: Unit K7, St Annes Business Park, Lytham St Annes, Lancashire, FY8 3DP, Phone: 0845 686 4477
© 2008 My Hip Home - All rights reserved | Registered in England and Wales Company No: 5428419 | Email: support @ myhiphome.co.uk