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I am

Acting on Behalf of

The Purchaser

The Seller

Refinancing

Firm Name (If applicable)

Property Inquiry Request Form

Complete this form in full for each separate property. Forms not fully completed and/or not accompanied by the required fee will be returned unanswered. A minimum of 2-3 weeks is required for processing.

INFORMATION REQUESTED BY:

Your Reference No:

Contact Name:

Email:

Address:

FAX No:

City/Town

Postal Code:

Phone No: