privateownerform

Type of Property

Select a Property Type

House

Apartment / Flat

Number of Bedrooms

Commercial

Land

Portfolio

How many properties

Address of property

Is this property mortgaged?

Yes No

Term left on the mortgage

Time left on the mortgage in years

Any mortgage arrears?

Approx amount of arrears

Address of 2nd property

Is property 2 mortgaged?

Yes No

Term left on the mortgage of property 2

Time left on the mortgage of property 2 in years

Any mortgage arrears?

Approx amount of arrears

Address of 3rd property

Is property 3 mortgaged?

Yes No

Term left on the mortgage of property 3

Time left on the mortgage of property 3 in years

Any mortgage arrears?

Approx amount of arrears

Address of 4th property

Is property 4 mortgaged?

Yes No

Term left on the mortgage of property 4

Time left on the mortgage of property 4 in years

Any mortgage arrears?

Approx amount of arrears

Address of 5th property

Is property 5 mortgaged?

Yes No

Term left on the mortgage of property 5

Time left on the mortgage of property 5 in years

Any mortgage arrears?

Approx amount of arrears

Address of 6th property

Is property 6 mortgaged?

Yes No

Term left on the mortgage of property 6

Time left on the mortgage of property 6 in years

Any mortgage arrears?

Approx amount of arrears

Address of 7th property

Is property 7 mortgaged?

Yes No

Term left on the mortgage of property 7

Time left on the mortgage of property 7 in years

Any mortgage arrears?

Approx amount of arrears

Address of 8th property

Is property 8 mortgaged?

Yes No

Term left on the mortgage of property 8

Time left on the mortgage of property 8 in years

Any mortgage arrears?

Approx amount of arrears

Address of 9th property

Is property 9 mortgaged?

Yes No

Term left on the mortgage of property 9

Time left on the mortgage of property 9 in years

Any mortgage arrears?

Approx amount of arrears

Address of 10th property

Is property 10 mortgaged?

Yes No

Term left on the mortgage of property 10

Time left on the mortgage of property 10 in years

Any mortgage arrears?

Approx amount of arrears

Address of 11th property

Is property 11 mortgaged?

Yes No

Term left on the mortgage of property 11

Time left on the mortgage of property 11 in years

Any mortgage arrears?

Approx amount of arrears

Address of 12th property

Is property 12 mortgaged?

Yes No

Term left on the mortgage of property 12

Time left on the mortgage of property 12 in years

Any mortgage arrears?

Approx amount of arrears

Address of 13th property

Is property 13 mortgaged?

Yes No

Term left on the mortgage of property 13

Time left on the mortgage of property 13 in years

Approx amount of arrears

Any mortgage arrears?

Address of 14th property

Is property 14 mortgaged?

Yes No

Time left on the mortgage of property 14 in years

Term left on the mortgage of property 14

Any mortgage arrears?

Approx amount of arrears

Address of 15th property

Is property 15 mortgaged?

Yes No

Term left on the mortgage of property 15

Time left on the mortgage of property 15 in years

Any mortgage arrears?

Approx amount of arrears

Address of 16th property

Is property 16 mortgaged?

Yes No

Term left on the mortgage of property 16

Time left on the mortgage of property 16 in years

Any mortgage arrears?

Approx amount of arrears

Address of 17th property

Is property 17 mortgaged?

Yes No

Term left on the mortgage of property 17

Time left on the mortgage of property 17 in years

Any mortgage arrears?

Approx amount of arrears

Address of 18th property

Is property 18 mortgaged?

Yes No

Term left on the mortgage of property 18

Time left on the mortgage of property 18 in years

Any mortgage arrears?

Approx amount of arrears

Address of 19th property

Is property 19 mortgaged?

Yes No

Term left on the mortgage of property 19

Time left on the mortgage of property 19 in years

Any mortgage arrears?

Approx amount of arrears

Address of 20th property

Is property 20 mortgaged?

Yes No

Term left on the mortgage of property 20

Time left on the mortgage of property 20 in years

Any mortgage arrears?

Approx amount of arrears

Enter the addresses of additional properties

Contact Details

Your name

Contact Number

Contact email

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