Dixon House
77-97 Harpur Street
Bedford
MK40 2SY
Tel: (01234) 353221 60 High Street
Newport Pagnell
Bucks
MK16 8AQ
Tel: (01908) 613545 Chancery House
199 Silbury Boulevard
Central Milton Keynes
MK9 1JL
Tel: (01908) 696002

HIP Form

Please fill in the form below. All entries with an asterisk * are mandatory.

Property Details

Address of property to be sold

Address:

Postcode:

Sale/ Market Price:

Estate Agent

(Name and branch):

Seller Details

Title and full Name of Seller

Title: *Forename: *Surname: *

Address: *

Postcode: *

Contact Details

(Please indicate the best number by selecting the appropriate button)

Home: *

Work:

Mobile:

Email Address:

Second Seller Details

Title and full Name of Seller

Title:Forename:Surname:

Address:

Postcode:

Contact Details

(Please indicate the best number by selecting the appropriate button)

Home:

Work:

Mobile:

Email Address:

Is this a Probate Sale: yes no

Is this a Sale by Attorney: yes no

Does the seller currently reside at the property?: yes no

Is the property currently Let / Tenanted?: yes no