1.1 Property Address








    You can find your UPRN here

    1.2 Council Tax/Domestic Rates





    1.3 What is the tenure of the property?

    2. Physical Characteristics of the property



    3. Utilities/Services

    Electricity

    Gas

    Liquid Petroleum Gas (LPG)

    Water main of private water supply

    Drainage to public sewer

    Cable TV or satellite

    Telephone

    Broadband

    Other

    Generator/private supply

    Photovoltaic (PV) / solar electricity panels

    Wind turbines

    Other

    3.3 Batteries and charging





    Wells

    Boreholes

    Springs

    Other





    Septic tank

    Date last emptied

    Cesspool

    Date last emptied

    Cesspit

    Date last emptied

    Sewarage treatment plant

    Date last emptied



    If there is a septic tank, cesspool, cesspit or sewerage treatment plant connected to the property, please answer
    the following questions otherwise skip to 3.7.

    YesNo

    YesNo

    YesNo


    YesNo

    Central heating (electric)

    Central heating (gas)

    Other gas heating system

    Communal heating systems

    LPG/oil central heating

    Wood burner/open fire

    Biomass boiler

    Solar panels

    Ground or air source heat pump

    Central heating (electric)

    Other

    YesNo

    If you answered yes to question 3.8, please answer the following questions otherwise skip to question 3.9.


    YesNo

    YesNo

    Broadband and mobile signal


    YesNo

    If you answered yes to question 3.9, please answer the following questions otherwise skip to question 3.11.1.

    YesNo


    YesNo


    YesNo

    4. Parking

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes
















    5. Fire Safety and Building Safety



    Dont know







    The definition of a principal accountable person (PAP) and accountable person (AP) can be found on the
    UK Government website: www.gov.uk/guidance/safety-in-high-rise-residential-buildings-accountablepersons#
    accountable-person
    (Contact details of all relevant accountable persons should have been handed to
    residents or displayed in a communal area of the flat).

    If you answered yes to question 5.2, please answer the following questions otherwise skip to 5.3.











    5.3 The next questions relate to all buildings and should be completed for all transactions.








    6. Restrictions





    HMLR Local Land Charges and the Local Planning Authority can provide further details if existing restrictions are
    not known.

    7. Rights and easements







    7.4 Do you know of any of the following rights or arrangements affecting the property?










    We recommend double checking this section with a conveyancer to ensure that any rights are identified.

    8. Environmental issues











    9. Planning permission and outstanding development proposals









    10. Accessibility and adaptations



    Consumer protections regulations declaration

    By signing this form, I confirm the answers to be truthful and accurate and to the best of my knowledge. The
    questions have been designed to assist with the smooth selling of the property. Any misleading or incorrect answers
    are likely to be exposed later in the conveyancing process and may hinder the sale.

    I will provide additional documentation in support of the information supplied on this form. I understand that this
    does not replace any official or legal information required for the sale of the property.

    If there are any changes which alter the information provided, I will update the form immediately and notify the
    estate agent and my conveyancer.

    Name

    Date

    Name

    Date