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Property Information Questionnaire
Lead landlord personal details
Title
*
Please select
Mr
Mrs
Miss
Ms
Mx
Dr
Prof.
Rev.
Father
Sir
Other
Title - other
Forenames
*
Surname
*
Email
*
Telephone number
Residency
Please select
UK
Abroad - deduct Withholding Tax
Abroad - do not deduct Withholding Tax
Non-UK resident landlords (NRL) number
Are you registered as a landlord? (for example, Scotland, Wales and Northern Ireland)
Please select
Yes
No
Landlord registration number
Expiry date
DD slash MM slash YYYY
Registered landlord - further information
Please include any additional landlord registration numbers and expiration dates.
Are there additional owners for this property?
Please select
Yes
No
Landlord two
Title (landlord two)
Please select
Mr
Mrs
Miss
Ms
Mx
Dr
Prof.
Rev.
Father
Sir
Other
Title - other (landlord two)
Forenames (landlord two)
Surname (landlord two)
Email (landlord two)
Telephone number (landlord two)
Residency (landlord two)
Please select
UK
Abroad - deduct Withholding Tax
Abroad - do not deduct Withholding Tax
Non-UK resident landlords (NRL) number (landlord two)
Landlord registration number (landlord two)
Expiry date (landlord two)
DD slash MM slash YYYY
Landlord three
Title (landlord three)
Please select
Mr
Mrs
Miss
Ms
Mx
Dr
Prof.
Rev.
Father
Sir
Other
Title - other (landlord three)
Forenames (landlord three)
Surname (landlord three)
Email (landlord three)
Telephone number (landlord three)
Residency (landlord three)
Please select
UK
Abroad - deduct Withholding Tax
Abroad - do not deduct Withholding Tax
Non-UK resident landlords (NRL) number (landlord three)
Landlord registration number (landlord three)
Expiry date (landlord three)
DD slash MM slash YYYY
Landlord four
Title (landlord four)
Please select
Mr
Mrs
Miss
Ms
Mx
Dr
Prof.
Rev.
Father
Sir
Other
Title - other (landlord four)
Forenames (landlord four)
Surname (landlord four)
Email (landlord four)
Telephone number (landlord four)
Residency (landlord four)
Please select
UK
Abroad - deduct Withholding Tax
Abroad - do not deduct Withholding Tax
Non-UK resident landlords (NRL) number (landlord four)
Landlord registration number (landlord four)
Expiry date (landlord four)
DD slash MM slash YYYY
Emergency contact details
Name
Home telephone
Mobile telephone
Work telephone
Email
Relationship
Flat number
Street number/house name
Street
Suburb
Town/city
Postcode
Property address
Flat number
Street number/house name
Street
*
Suburb
Town/city
*
Postcode
*
Unique property reference number (UPRN)
Please click
here
to find the UPRN of the property.
Mortgage and insurance
When did you become the owner of this property?
DD slash MM slash YYYY
Mortgage
Please select
None
Buy-to-let
Non buy-to-let (consent to rent given)
Non buy-to-let (consent to rent not yet given)
Mortgage - further information
Building insurance
Please select
Yes
No
Building insurance provider
Building insurance reference number
Building insurance expiry date
DD slash MM slash YYYY
Building insurance - further information
Contents insurance
Please select
Yes
No
Contents insurance provider
Contents insurance reference number
Contents insurance expiry date
DD slash MM slash YYYY
Contents insurance - further information
Is the insurance above specialised landlord insurance?
Please select
Yes
No
Council Tax
Council tax
The Council Tax band for the property can be confirmed by checking online via the
Tax Service
for England and Wales and via the
SAA
(Scottish Assessors Association) for Scotland.
Please select
A
B
C
D
E
F
G
H
I (Wales only)
Exempt
Not yet available
Unknown
Council tax - further information
Some properties may be exempt from Council Tax in limited circumstances. If the property is exempt from Council Tax, the reason for this may be material information and should be disclosed (e.g., a prohibition order which prevents its use until compliance with the order).
Are there any significant changes to the property which may affect its banding?
For some properties, there is a possibility the Council Tax band is due to increase due to major works on the property. Please confirm if there have been any significant changes to the property which might affect its banding. Further information can be found on
GOV.UK
(for England and Wales) and on the
SAA
(Scottish Assessors Association) (for Scotland).
Please select
Yes
No
Council tax band - further information
Is the property subject to a Council Tax (Empty Homes) Premium?
If yes, please provide further information and specify the percentage.
Please select
Yes
No
Council Tax (Empty Homes) Premium - further information
Who will be responsible for Council Tax?
Who will be responsible paying for council tax.
Please select
Tenant
Landlord
Rent and deposit
Are there currently tenants living in the property?
Please select
Yes
Yes (notice given)
No
Current rent
Frequency of current rent payments
Please select
Monthly
Weekly
Quarterly
Termly
Do you currently hold a deposit for the property?
Please select
Yes (custodial)
Yes (insured)
No
Deposit held
Tenancy deposit scheme
Please select
MyDeposits (England and Wales)
Tenancy Deposit Scheme (England and Wales)
Deposit Protection Service (England and Wales)
Letting Protection Service (Scotland)
Safe Deposits Scotland
MyDeposits Scotland
Tenancy Deposit Scheme Northern Ireland
MyDeposits (Northern Ireland)
Landlord estimated rental price
Minimum acceptable rent
Preferred frequency of rent collection
Please select
Monthly
Weekly
Bills included
Please select
Yes
No
Bills included - further information
Are there any other payments due by the tenant?
Please select
Yes
No
Other payments due by the tenant - further information
Bank details
Primary account
Name of recipient
Sort Code
Account number
Building society roll numer, if applicable
IBAN
SWIFT address / BIC
Percentage split of rent payment
Secondary account (optional)
Name of recipient (two)
Sort Code (two)
Account number (two)
Building society roll numer, if applicable (two)
IBAN (two)
SWIFT address / BIC (two)
Percentage split of rent payment (two)
Tertiary account (optional)
Name of recipient (three)
Sort Code (three)
Account number (three)
Building society roll numer, if applicable (three)
IBAN (three)
SWIFT address / BIC (three)
Percentage split of rent payment (three)
Safety certificates and compliance
Landlord's Gas Safety Certificate (GSC)
Please select
Yes
No
Landlord's Gas Safety Certificate (GSC) - expiry date
DD slash MM slash YYYY
Energy Performance Certificate (EPC)
Please select
Yes
No
Energy Performance Certificate (EPC) - expiry date
DD slash MM slash YYYY
Portable Appliance Test (PAT)
Please select
Yes
No
Portable Appliance Test (PAT) - expiry date
DD slash MM slash YYYY
Electrical Installation Condition Report (EICR)
Please select
Yes
No
Electrical Installation Condition Report (EICR) - expiry date
DD slash MM slash YYYY
Legionella disease risk assessment
Please select
Yes
No
Legionella disease risk assessment - assessment date
DD slash MM slash YYYY
Lead water test (Scotland)
Please select
Yes
No
Lead water test (Scotland) - assessment date
DD slash MM slash YYYY
Landlord's Oil Safety Certificate
Please select
Yes
No
Not required
Landlord's Oil Safety Certificate - expiry date
DD slash MM slash YYYY
Chimney sweeping certificate
Please select
Yes
No
Not required
Chimney sweeping certificate - certificate date
DD slash MM slash YYYY
Safety certificates - further information
Please include details of any remedial work required or recommendations made in any of the certificates.
Physical characteristics of the property
Type of property
Please select
Bungalow
Caravan
Cottage
Detached
Duplex
Flat / apartment
Penthouse
Semi detached
Studio
Terraced / End of terrace
Other
Year built
Type of property - further information
The property type will affect whether further consideration needs to be given to things such as leasehold costs on flats compared to houses etc. Where the property is a non-standard type then additional information should be given in free text format.
Floor level (where flat/apartment)
Please select
Lower basement
Basement
Ground floor
Main door
1st floor
2nd floor
3rd floor
4th floor
5th floor
6th floor
7th floor
8th floor
9th floor
10th floor
11th - 20th floor
21st - 30th floor
31st floor or above
N/A
New build
Please select
Yes
No
Furnished
Please select
Yes
No
Part
Is the property located over or part of commercial premises?
If yes, provide further information.
Please select
Yes
No
Property location - further information
Construction
Please select
Block
Brick
Brick and block
Concrete
Insulated concrete framework (ICF)
Steel frame
Stone
Structural insulated panels (SIPS)
Timber frame
Other
Construction - further information
Is there anything in connection with the property that may impact the cost of tenant insurance?
For example, timber-framed windows or a thatched roof.
Please select
Yes
No
Tenant insurance - further information
Rooms, floor area and inclusions/exclusions
Bedrooms
Please select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Bathrooms
Please select
1
2
3
4
5
6
7
8
9
10
Reception rooms
Please select
1
2
3
4
5
6
7
8
9
10
Fixtures or fittings that you will be removing from the property prior to renting it
Are there any areas of the property that the tenant will not have access to?
Please select
Yes
No
Areas of the property that the tenant will not have access to - further information
Are there any restrictions on children?
Please select
Yes
No
Restrictions on children - further information
Are there any restrictions on smokers?
Please select
Yes
No
Restrictions on smokers - further information
Are there any restrictions on pet owners?
Please select
Yes
No
Restrictions on pets - further information
Any warranties or guarantees on appliances remaining in the property
Please include any guarantees or warranties, including expiry dates, for items such as gas boilers or washing machines etc.
Utilities
Electricity supply
Please select
Mains
Private
Solar PV panels
Wind turbine
Generator
Other/multiple
Electricity meter location
Electricity supplier
Electricity supply - further information
Please provide the electricity provider.
Gas supply
Please select
Mains
Private
None
Gas meter location
Gas supplier
Gas supply - further information
Please provide the electricity provider.
Smart meter
Please select
Yes
No
Storage batteries
Please select
Yes
No
Storage batteries - further information
Please provide details of the installation and whether they are on a lease arrangement with a third party.
Water supply
Please select
Mains
Private well
Private spring
Private borehole
Private stream
Public well
Public spring
Public borehole
Public stream
Other
Metered
Please select
Yes
No
Stopcock location
Water supplier
Water supply - further information
If the property has any element of a private supply of water for domestic purposes, the nature of that supply should be clearly and accurately described. If the property is located in Wales and has a private water supply connected to the public water supply then Welsh Water will need to provide regular inspections. Please provide the details of the expiry date of the last inspection.
Sewerage supply
Please select
Mains
Septic tank (private)
Domestic small sewerage treatment plants (private)
Cesspit (private)
Cesspool (private)
Septic tank (shared)
Domestic small sewerage treatment plants (shared)
Cesspit (shared)
Cesspool (shared)
Is it located on somebody else's land?
Please select
Yes
No
Does it comply with current regulations?
Please select
Yes
No
Is a licence required?
Please select
Yes
No
Licence - further information
Date last emptied
DD slash MM slash YYYY
Is there a service contract in place?
Please select
Yes
No
Service contract - further information
Please include provider's contact details.
Reponsibility for the property's drains
Please select
Property owner
Other
Property's drains - further information
Sewerage supply - further information
Broadband supply
Please select
Asymmetric digital subscriber line (ADSL)
Cable
Fixed wireless
Fibre to the cabinet (FTTC)
Fibre to the premises (FTTP)
Mobile
None
Satellite
Can the broadband provider be changed?
Where a property has an exclusive or dedicated broadband supplier (e.g., on a new build property estate), a property listing should include whether the tenant has the ability to change provider on the open market.
Please select
Yes
No
Broadband supplier
Broadband - further information
Please include any known issues with the broadband.
Mobile signal information
Please provide an accurate statement as to the nature of the mobile signal and coverage available at the property, including any known issues or restrictions (for example, a specific room with limited reception).
Heating
Heating type
Please select
Air source heat pump
Biomass
Communal
District heating
Do not know
Electric central heating
Electric heaters
Gas central heating
Gas fired heating
Ground source heat pump
Night storage heating
None
Oil fired heating
Panel heating
Solar heating
Solid fuel heating
Underfloor heating
Warm air central heating
White meter heating
Central heating
Please select
Yes
No
Partial
Installation date
DD slash MM slash YYYY
Is there an installation completion certificate?
Please select
Yes
No
Most recent service date
DD slash MM slash YYYY
Will a boiler service contract be in place for tenancy?
Please select
Yes
No
Don't know
Boiler service contract - further information
Please include the providers' contact details and when the contract expires.
Can the heating in the property be turned on/off?
Please select
Yes
No
Can the temperature in the property be controlled?
Please select
Yes
No
How is heating charged?
How the cost of the heating supply is to be charged (e.g., will the prospective tenant be charged based on usage; through a general apportionment; or through a service charge?
Please select
Personal usage
Service charge
Apportionment
Will the prospective tenant will have any control over the energy provider?
Please select
Yes
No
Smart meter
Please select
Yes
No
Details of pricing
Is the heating system owned by the property owner or freeholder?
Please select
Yes
No
Partly
Is any of the heating equipment not owned outright?
Please advise if any of the heating equipment is leased and not owned outright (e.g., if the solar panels are leased from a third party or company).
Please select
Yes
No
Heating system owner - further information
Is the heating system in good working order?
Please select
Yes
No
Heating system condition - further information
Garden and parking
Garden
Please select
Private
Shared
None
To your knowledge, has Japanese Knotweed ever grown within the property boundary or close vicinity?
Please select
Yes
No
Japanese Knotweed - further information
Parking type
Disabled
Zone/permit (including allocated)
Street
Street (metered)
Private
Driveway
Electric vehicle charging private
Electric vehicle charging shared
Garage
None
N/A
Not specified
Parking spaces
Please select
0
1
2
3
4
5
6
7
8
9
10
Parking area
Unit
Please select
ft2
m2
Parking details
If car parking forms part of any service charge, it should be included in the service charges details and if it is a separate payment, this should also be included. Details of where allocated parking is in relation to the property should be included, along with the presence of any designated disabled parking spaces (e.g., on-street dropped-kerb disabled bays) where known. Please include information relating to existing or potential electric vehicle (EV) charging at the property. Where a property can obtain a parking permit (e.g., in a local authority Residents’ Parking Zone) the tenant should be made aware where there is a cost or limitation in obtaining one (for example, size of vehicle). Please add whether the parking space is included in the title deed or whether there is a separate deed/contract for the parking space. Some properties may have access to other car parks; however, this is not considered the same as a communal residential car park. It is important for consumers to be made aware that this may bring additional insurance costs and should therefore be disclosed.
Pollution, pests, damp and mold
Noise pollution
Please select
Yes
No
Noise pollution - further information
Air pollution
Please select
Yes
No
Air pollution - further information
Radon gas
Please select
Yes
No
Radon gas - further information
Pest infestations
This may include, for example, rodents or mites.
Please select
Yes
No
Pest infestations - further information
Any known damp issues?
Please select
Yes
No
Damp - further information
Any known wet/dry rot issues?
Please select
Yes
No
Wet/dry rot - further information
Fire and building safety
Does the property suffer from subsidence?
Please select
Yes
No
Subsidence - further information
Does the property have any potentially unsafe cladding?
Please select
Yes
No
Don't know
EWS1 form completed? Please provide a copy.
Please select
Yes
No
Cladding - further details
Please provide details of the type of cladding, defects, any remedial or planned works and costs due for any past, current or future cladding related works.
Is the property's building greater than or equal to 18 metres in height or at least 7 storeys?
Please select
Yes
No
Don't know
Contact details of the principal accountable person (England)
Do you have up-to-date details of the key building information/documents? Please provide a copy.
Please select
Yes
No
Key building information/documents - further information
What are the building owner's responsibilities for fire and building safety?
Does the property have any timber framed balconies?
Please select
Yes
No
Don't know
Does the property have any foam insultation?
Please select
Yes
No
Don't know
Does the property contain any asbestos?
Please select
Yes
No
Don't know
Does the property have a smoke alarm(s)?
Please select
Mains powered
Battery powered
Long life battery powered
No
Don't know
Location(s) of smoke alarm(s)
Does the property have a carbon monoxide alarm(s)?
Please select
Mains powered
Battery powered
Long life battery powered
No
Don't know
Location(s) of carbon monoxide alarm(s)
Are there any other known fire safety risks?
Please select
Yes
No
Other known fire risks - further information
Provide details of the risk, work required and any work that has been completed to date. Also include details of any potential costs to the tenant or risk to the habitability of the property.
Are there any other known building safety issues or any planned or required works?
Please advise of any building safety issues that may impact the tenant; or the tenant's peace, privacy, or enjoyment of the property. Where multiple issues are found to be present, all should be listed. These issues can be complex so should be explained in simple terminology that is easy to understand and the scale of any remediation or development work made clear. This may include, for example, a damaged roof, at-risk wood decking, lack of emergency lighting where required, or insufficient fire/smoke alarms. Please also include any notices requiring work to the property.
Has any work been completed to date in order to ensure compliance with new and existing building safety legislation?
Rights and restrictions
Listed building
Please select
No
Grade I
Grade II*
Grade II
Preservation order
Grade A
Grade B
Grade C
Listed building - further information
Private rights of way across the property or its boundaries
Please select
Yes
No
Private rights of way - further information
Rights associated with the property
Change of use
Chancel repair liability
Customary rights
Rights of support from adjoining properties
Rights to light
Rights to mines and minerals
Rights to take things from the land
Servitudes (Scotland)
Other rights
Rights - further information.
Public rights of way across the property or its boundaries
Please select
Yes
No
Public rights of way - further information
Restrictions associated with the property
Conservation area
Lease restrictions
Real burdens
Holiday home rental
Restrictive covenant
Business from property
Property subletting
Tree preservation order
Permitted development
Restrictions associated with the property - further information
Permitted development - further information
Easements, servitudes or wayleaves
Registered easements HMLR
Servitudes
Shared driveway
Loft access
Drain access
Easements, servitudes or wayleaves - further information
Does the property have a head lease?
Please select
Yes
No
Not applicable
Have you been granted permission to rent the property?
Please select
Yes
No
Rights and restrictions - further information
Please include, for example, any other known issues regarding access to your property or your right to access another property.
Flooding, coastal erosion and coalfield/mining area associated risks
Has there been any flooding at the property in the last five years?
Please select
Yes
No
Don't know
Date of last flooding
DD slash MM slash YYYY
Source of flooding
Please select
River
Sea
Groundwater
Lake
Gas mains
Reservoir
Other
Is the property still at risk of flooding?
Please select
Yes
No
Don't know
Are there any flood defenses?
Please select
Yes
No
Flood defenses - further information
Has there been any historic flooding at the property prior to the last five years?
Please select
Yes
No
Don't know
Historic flooding - further information
This should cover all flood events. The frequency of flooding events, the flooding source (e.g., whether a river burst its bank, ground water, sea or other). What adaptations have been made to the property to help mitigate or prevent future flooding events. This should include any type of flood or sea defences created and any measures that have been taken to reduce impact in the future. Whether there are known issues with obtaining insurance products due to flood risk.
Are there any coastal erosion risks which affect the property?
Property which is at risk of coastal erosion may affect the availability of relevant insurance products.
Please select
Yes
No
Coastal erosion - further information
Please provide further details including cost of mitigation measures.
Is the property on a coalfield or in a mining area?
A property’s presence on a coalfield or mining area may affect availability of relevant insurance products. To find out if the property is impacted by the effects of coal mining, visit Coal Authority's Coal
Mining Report Area
for more information.
Please select
Yes
No
Coalfield/mining - further information
Please provide a copy of any mining reports.
Are there any other activities/issues which may affect this property?
For example, sinkholes, quarrying or fracking.
Please select
Yes
No
Other activites/issues - further information
Building works
Have there been any changes to the property that required permission or consent?
For example, an extension, loft conversion or removal of internal wall(s).
Please select
Yes
No
Description of the work carried out
Is the work complete?
Please select
Yes
No
Will be finished before tenancy starts
Year completed
Was permission or consent obtained?
Please select
Yes
No
Was the required certification obtained?
Please select
Yes
No
Any other details
Have there been any other changes to the property that required permission or consent?
Please select
Yes
No
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Description of the work carried out (two)
Is the work complete (two)
Please select
Yes
No
Will be finished before tenancy starts
Year completed (two)
Was permission or consent obtained? (two)
Please select
Yes
No
Was the required certification obtained? (two)
Please select
Yes
No
Any other details (two)
Are there any known or in progress building works, planning permissions (or requirements) both at or in the local vicinity of the property?
For example, buildings being constructed adjacent to the property or in the local vicinity such as flats, a shopping centre or wind turbines.
Please select
Yes
No
Don't know
Known or in progress building works, planning permissions (or requirements) both at or in the local vicinity of the property - further information
Please include, for example, buildings being constructed adjacent to the property or in the local vicinity such as flats, a shopping centre or wind turbines. Include the impact this may have on the property, for example, the loss of natural light or added traffic congestion.
Are there any known planning permission or building regulation issues or breaches?
Please select
Yes
No
Planning permission or building regulation - further information.
Has the property required building works due to fire or storm damage?
Please select
Yes
No
Don't know
Fire/storm damage - further information
Please include any outstanding claims.
Guarantees/warranties
Please include any guarantees or warranties, including expiry dates, for items such as roofing works, double glazing installation or rot treatment etc.
Accessibility
Accessibility
Not suitable for wheelchair users
Level access
Lift access
Ramped access
Wet room
Wide doorways
Step free access
Level access shower
Lateral living
Wheelchair accessible
Disabled features
Stair lift
Variable height kitchen surfaces
Accessibility - further information
House in multiple occupation (HMO) license
Does the property have an HMO license?
Please select
Yes
No
Maximum occupants
Please select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
HMO status
Please select
Unknown
Not applicable
Granted
New application
Renewal application
Pending submission
Other
Does the property have any financed home improvements scheme?
Please select
Yes
No
Financed home improvements scheme - further information
For example, energy efficiency grants. Provide further details including any outstanding payments or agreed feed in tariffs.
Any other material information that the tenant should be made aware of?
Are there any potential conflicts of interest?
Do you have any personal circumstances which could compromise the judgement decisions or actions of the agency? For example, you are friends with, you are related to, or having a relationship with, someone who works for the agency.
Please select
Yes
No
Conflicts of interest - further information
Consent
I confirm that I am authorised to complete this form on behalf of all of the owners, I am the owner of the email address listed in the first section and the information provided is correct to the best of my knowledge.
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