1.1 Property Address

Address Line 1*

Address Line 2

Town*

County*

Post code*

1.1.1 Unique property reference number*

You can find your UPRN here

1.2 Council Tax/Domestic Rates - find your council tax rate here

1.2.1 Council tax band/Domestic rates

1.2.2 Is the property a new build and are the council tax/domestic rates not yet available?
YesNo

1.2.3 Is the property exempt from council tax/domestic rates? If yes, provide details*
YesNo

1.3 What is the tenure of the property?

Freehold/heritable titleFreehold with common managed areasLeaseholdCommonholdShared OwnershipOtherUnknown

2. Physical Characteristics of the property

2.1 Is the property part of or located over commercial premises? If yes, provide details
YesNo

3. Utilities/Services

3.1 Indicate which services are connected to the mains services in the property

3.2 Provide details of the electricty supplied to the property other than mains property, such as renewable energy sources or any form of energy supplied from an additional privately owned source

3.3 Batteries and charging

3.3.1 Does the property include space, or a designated area for storage batteries, such as a domestic battery energy storage system located outside the property or in a garage? If yes, provide details
YesNo

3.3.2 Does the property include electrical vehicle charging? If yes, provide details including how the supply or installation has been provided
YesNo

3.4 Details of water supply other than mains water

3.4.1 Does the supply of water originate beyond the boundries of the property? If yes, provide details including information regarding access for maintenance or repair
YesNoDon't Know

3.5 Is there a septic tank, cesspool, cesspit or sewerage treatment plant connected to the property? Tick those that apply and indicate the date last emptied.

3.5.1 If applicable, provide details of any licensing related to any of the above
N/A

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.

3.5.2 Is the septic tank, cesspool, cesspit or sewarage treatment plant shared with other properties?

YesNo

3.5.3 Is the septic tank, cesspool, cesspit or sewarage treatment plant located on someone else's land? If yes, provide a plan showing the location and how to access it

YesNo

3.5.4 Does the septic tank, cesspool, cesspit or sewarage treatment comply with current septic tank and sewage regulations?

YesNo

3.6 Does the responsibility for the drains within the property sit with the property owner? If no, provide details

YesNo

3.7 Heating sources for the property

3.8 Is there central/partial heating in your property?

YesNo

Broadband and mobile signal

3.9 Does the property have broadband access? If no, list options available that allow connection to the internet, e.g. mobile, satellite, fixed wireless, or local gigabit networks

YesNo

3.11.1 Are there any restrictions related to mobile phone signal or coverage at the property? If yes, provide details

YesNo

3.11.2 Do all rooms in the property receive consistent phone signal? If no, specify which rooms do not

YesNo

4. Parking

4.1 What are the parking arrangements at the property? Select all that apply

Garage

Yes

Allocated parking space(s)

Yes

How many?

Driveway

Yes

Metered parking

Yes

Resident permit for street parking

Yes

Other

Yes

Shared parking with allocated space

Yes

None

Yes

4.2.1 Describe the available parking, including its location in relation to the property

4.2.2 Is there dedicated disabled parking available? If yes, provide details as to the number of available spaces and their location in relation to the property
YesNo

4.2.3 Is there dedicated electric parking vehicle available? If yes, provide details as to the number of available spaces and their location in relation to the property.
YesNo

4.3.1 If a permit is required for parking, detail the costs and terms of the permit. Include how a permit
can be obtained and estimate how long it takes to get one.

N/A

4.3.2 Are there any parking restrictions such as a limit on available spaces or restrictions on the
type or size of vehicles? If yes, provide details

YesNo

4.4 If the buyer is required to pay for parking, state the payment required and whether it is part of, or
separate from, an existing service charge.

N/A

4.5 Is the parking space included in a separate contract? If yes, provide details
YesNo

4.6 Does the property have access to another car park that is not considered a communal
residential car park, such as a National Car Park (NCP) or private pay and display? If yes,
provide details and whether there are any additional costs.

YesNo

5. Fire Safety and Building Safety

5.1 Does the property have a potentially flammable external wall system
(including cladding)?

YesNoDon't know

5.2 Is your property located within a building that is over 18m tall or at
least seven storeys and contains a minimum of two residential units?
If yes, provide the contact details of the principal accountable person
(England only).

YesNoDon't 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).

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

5.3.1 Does the property have a timber framed balcony?
YesNoDon't know

5.3.2 Has spray foam insulation been installed at the property?
YesNoDon't know

5.3.3 Does the property contain asbestos?
YesNoDon't know

5.3.4 Is there a smoke alarm in the property? If yes, provide details on the
type and location of each smoke alarm.

YesNoDon't know

5.3.5 Is there a mains-powered carbon monoxide alarm in the property? If
yes, provide details on the type and location of each alarm.

YesNoDon't know

5.3.6 Has the property ever been subject to subsidence or structural faults? If
yes, provide details.

YesNoDon't know

5.3.7 Is the property of standard construction? If no, provide details

YesNoDon't know

5.4 Have there been any structural alterations, extensions, significant repairs or renewals to the property?
For example, a loft or garage conversion, removal of internal walls/chimneys, installation of rolled steel joists(s) RSJ or change of use.

YesNoDon't know

5.5 Are any of the works listed under question 5.4 unfinished? If yes, provide details and whether the work
will be finished before the sale is completed.

YesNo

5.6 Are you aware of any breaches of planning permision conditions or Building Regulations consent conditions or work not having the
necessary consents? If yes, provide details.

YesNo

5.7 Are ther any planning control issues to resolve? If yes, provide details.

YesNo

5.8 Is the property subject to a Green Deal load, Green Homes Grant or another financed home improvement scheme? If yes,
please include any outstanding payments for the renewable devices and any feed-in tariffs.

YesNo

5.9 Please provide further details regarding any fire safety risks related to the above, including the identified risk, any work
which needs to be done, any work that has already been completed, any costs to the purchaser and the impact of any risks on the
ability for the purchaser to reside within the property.

6. Restrictions

6.1.1 Is your property a listed building? If yes, provide details of the listing, including the grade, along with any specific restrictions.
YesNoDon't know

6.1.2 Is your property in a designated conservation area? If yes, provide details of the restrictions
YesNoDon't know

6.1.3 Is the property subject to any restrictions on permitted development, such as Article 4 restrictions on change of use? If yes, provide details
YesNoDon't know

6.1.4 Is the property subject to any restrictive covenants? If yes, provide details
YesNoDon't know

6.1.5 Are any trees on the property subject to a tree preservation order?
YesNoDon't know

6.1.6 Have the terms of the order been complied with?
YesNoDon't know

6.1.7 Are there any lease restrictions for the property? If yes, provide details.
YesNoDon't know

6.1.8 Are there any other restrictions that the buyer should be aware of?
If yes, provide details.

YesNoDon't know

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

7. Rights and easements

7.1 Does the property benefit from any rights or arrangements over any neighbouring
property? For example, rights to go onto neighbouring land to maintain the property or
right to park or drive over neighbour’s land etc. If yes, provide details.

YesNoDon't know

7.2 Has anyone taken steps to prevent access to the property, complained
about or demanded payment for access to the property? If yes,
provide details.

YesNoDon't know

7.3 Is there a public right of way through and/or across your house,
buildings or land? If yes, provide details.

YesNoDon't know

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

7.4.1 Right of light
YesNoDon't know

7.4.2 Right of support from adjoining properties
YesNoDon't know

7.4.3 Customary rights, e.g. rights deriving from local traditions
YesNoDon't know

7.4.4 Other people’s rights to mines and minerals under the land
YesNoDon't know

7.4.5 Chancel repair liability
YesNoDon't know

7.4.6 Other people’s rights to take from the land (e.g. timber, hay or fish)
YesNoDon't know

7.4.7 Any other rights or arrangements affecting the property?
YesNoDon't know

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

8. Environmental issues

8.1 If there have been any issues related to flooding whilst the seller has owned the property, please answer
the following questions

9. Planning permission and outstanding development proposals

9.1 Are there any existing plans awaiting planning permission that would
affect the nature of the property or its use including its land? If yes,
provide details.

YesNoDon't know

9.2 Are there any planning proposals within one mile of the property that would indirectly
impact the property by affecting the surrounding area? For example, large local
developments, infrastructure projects or commercial builds? If yes, provide details.

YesNoDon't know

9.3 Are there any known building works or approved proposals that would
affect the privacy or light of the property? If yes, provide details.

YesNoDon't know

9.4 Are there any known building works or approved proposals that
obstruct the view of the property? If yes, provide details.

YesNoDon't know

10. Accessibility and adaptations

10.1 If applicable, provide details of any adaptations designed to improve the accessibility of the
property, which include but are not limited to step free access, a wet room, level access shower
and lateral living.

N/A

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