Real Estate Services Form

Name of Requester

First Last

Email

Address

Street Address Address Line 2 City/Town Postal code Country

Phone

Fax

Service Required

Sale
Rent
Other

Specify Other

Is request for yourself or client?

Myself
Client

Client's Name

First Last

Client's Address

Street Address Address Line 2 City/Town Postal Code Country

Are you the Owner?

Yes
No

Owner's Name

First Last

Owners Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner's Phone

Owner's Fax

Property Details

Property Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional property directions

If the property has not got a straightforward address or is difficult to locate please let us have directions by reference to identified markers – i.e. Post Office, School, Police Station, Electricity Light Pole, nearby houses, roads or Mile Markers

Property Type

Land- one building lot
Land- larger parcel or development site
House and Land

Is property occupied?

Yes
No

List Occupants

Occupants' Phone

Inspection Access details

How do we arrange access to the property for our inspection?

LEGAL DETAILS

Do you have the details of the Deed for this property?

This would be on the front page and look something like this 1887/1964 or 196/54

Yes
No

Please provide those details

Do you have a survey plan or ‘Cadastral’ sheet for the property?

This is also sometimes called a land plan and will show the land area and boundaries

Yes
No

Do your attorney or bank hold these documents?

This is also sometimes called a land plan and will show the land area and boundaries

Yes
No

Name of Bank or Attorney

Bank or Attorney phone

Any additional comments

If you do not hear from us within 5 working days from submitting this form, please contact us by phone or e-mail

Raymond & Pierre

LEGAL DETAILS

HEAD OFFICE

CENTRAL BUREAU

SOUTH BUREAU