Client No: 1 Your date of Birth (Required) Your Residency Status (Required) -- Please Select One --Aust CitizenPermanent ResidentNZ 444 VisaO/seas Resident Client No: 2 - If Applicable Your date of Birth Your Residency Status -- Please Select One --Aust CitizenPermanent ResidentNZ 444 VisaO/seas Resident Questions About the Property Is the Property to be Sold at Auction - If Yes See Our Fees TAB(Required) YesNo Type of Property being sold (Required) -- Please Select One --HouseApartment/Flat/UnitFactoryVacant LandCommercialCarpark Number of Bedrooms in Property (Required) -- Please Select One --OneTwoThreeFourFiveSixNot Applicable Tenancy / Who Lives in the property (Required) -- Please Select One --I/We doTenantedVacant Land Have you received any notices from any Government Departments regarding the Property (Required) YesNo Is the Building on the Property under 7 Years Old (Required) YesNo Has there Been any Renovations to the Building/s over the past 7 Years YesNo Any Building or Renovations in the last 7 years done as an Owner Builder YesNo Connections to the Property - Tick all that are applicable ElectricityGasWaterSeweragePhoneNBN Are you aware of any Unregistered Easements or Covenants on the Property (Required) YesNo Is there an Owners Corporation Involved (required) YesNo Real Estate Agent Details Any Other Information about your property you feel that we should know or advise How Did you Find us (Required) -- Please Select One --Google SearchBing - Yahoo SearchExisting CustomerReferred by Belinda GibsonQoinReferred by a Friendreferred by an AgentPrint AdvertisingOther Account number for funds to go to After settlement