Address of Property you are Selling

Provide the address of the property you are selling.

Unit/Street Number *
Street Name *
Suburb *
Post Code *
Council *

What is the Title* of the property? You may find this information in your Council Rates Notice.

Strata	Lot/s Strata Plan (SP)
Non-Strata	Lot   Deposited Plan (DP) Section

Your Personal Details

Surname *
Given Names *	If a Company, provide Company Name and ABN
You are:	one of the Owners of the Property
	the only Owner
	the Sole Director of the Company that owns the Property
	one of the Directors of the Company
	a person with Legal Authority to sell the Property:

If you are not the Owner, please indicate your Legal Authority to sell the Property

	Registered Power of Attorney
	Executor / Trustee of Deceased's Estate
	Court Order:
Please Specify
	Under another Authority:
Please Specify

Enter full names of all Other Registered Owners

Registered Owners

Separate each with a comma

Your Home Address

Same as above
Unit/Street Number *
Street Name*
Suburb *
Post Code *

Your Contact Details

Main Email *
Other Email
Home Phone *
Home Fax
Work Phone
Work Fax
Other Contact Details

Real Estate Agent

Will you be using a Real Estate Agent?

No    Yes

If so, provide their contact details

Real Estate
Address
Phone
Fax
Email
Salesperson's Name
Salesperson's Mobile
Salesperson's Email
Co-Agent's Name
Co-Agent's Address

Auction

Is the property to be sold at Auction?

	No    Yes
Auction Date	DD/MM/YYYY

Statement

By clicking 'Continue' I declare that I have read all the information disclosed in the Costs Agreement and I fully understand, accept and agree with all the information disclosed, and with all the terms and conditions.