CLIENT INFORMATION FORM

Transcription

1 Ref: SAMPLE REF NUMBER CLIENT INFORMATION FORM of the property 3 SAMPLE ADDRESS, SAMPLE ROAD, POST CODE IMPORTANT NOTE Although you may have already provided some of the information requested in this form, either in person or via your estate agent, it is important that we are absolutely clear that the information we have is correct. Please therefore complete this form accurately as the information provided forms part of your confirmation of your instructions to us. 1. First client Title Mr Mrs Miss Ms Dr Surname Forenames (including all middle names) Date of birth Marital Status National Insurance number Occupation Daytime contact number address Please note that this address will be used to carry out identity checks so it must be the address where you are registered as an occupier If you have lived at the above address for less than three years, please provide details of previous addresses going back three years in total Do you have dependent children? No Page 1

2 If you have answered yes, please give details their ages in the box below: Do you have elderly parent(s) over 70? No Do you have elderly parent(s) over 70? No 2. Second client Title Mr Mrs Miss Ms Dr Surname Forenames (including all middle names) Date of birth Marital Status National Insurance number Occupation Daytime contact number address Please note that this address will be used to carry out identity checks so it must be the address where you are registered as an occupier If you have lived at the above address for less than three years, please provide details of previous addresses going back three years in total Do you have dependent children? No If you have answered yes, please give details their ages in the box below: Do you have elderly parent(s) over 70? No Please use a separate sheet to provide details of third, fourth or further clients 3. Additional Properties & Businesses Page 2

3 Do you own or run your own business? No Do you already own a property? If you do, please provide the address(s). Please include properties outside the UK Are any of the properties rented out? No 4. Property to be sold Sale price Separate price agreed for any items of furniture In whose name is the property registered? First client Second client Joint names Do you intend to purchase a property No which is linked to this sale? Name and address of estate agent you are selling through 5. Mortgages and loans Does the property have a mortgage No or loan registered against it? If you have answered yes, please give details in the boxes below: First lenders name and account number What is the approximate amount outstanding on the mortgage or loan? Second lenders name and account number Page 3

4 What is the approximate amount outstanding on the mortgage or loan? Name and contact details of your broker or financial advisor Note to question 4 By signing this form, you give authority to discuss details of your transaction with your lenders and to obtain deeds, documents and other information from your lenders PLEASE BE AWARE THAT YOUR TRANSACTION MAY BE DELAYED IF THIS INFORMATION IS NOT PROVIDED 6. Bank payment details If we need to send a payment to you, to First client Second client Joint names whom should the payment be made? Note to question 5 For reasons of ensuring the security of any payment, we will make payment of any sums due to you by CHAP s electronic bank transfer to your nominated account. We will charge a fee (see your T&C) for this service. Please provide us with details of the account you wish us to use, below: Account holder s name Bank name Account number Sort code Please also provide a copy of a bank statement for the above account. We require this as part of our checks to verify the account and to protect you and your money. If we do not receive these details and a copy bank statement from you, we will not be able to send a payment to you. Copy Bank Statement Enclosed Please note that if you wish to change the details of your nominated account you MUST do so in writing and also provide a new copy bank statement. We will not accept s changing the bank details to be used due to the unsecure nature of s generally and the risk of fraud. All the steps above are designed to protect you so please do comply with our requirements from the outset. The risk of fraud is very real (see the link below) and we want to do all we can to protect you. Page 4

5 7. Related services Do you currently have a valid Will which deals with all your assets? No If yes, please state who looks after your original Will If no, we will contact you about our Will offering Do you currently have a valid Lasting Power of Attorney in place? No If no, we will contact you about our Lasting Power of Attorney offering We are required to ensure that you have not been cold called by us or anyone else when deciding to use RG Solicitors. Please tick this box ONLY if you feel you HAVE been cold called. By signing this form you confirm that the information is correct. Please notify of any changes to the information contained in this form Names: Name of 1 st client Signatures: Signature of 1 st client Date of Signatures: Name of 2 nd client Signature of 2 nd client Name of 3 rd client Signature of 3 rd client Name of 4 th client Signature of 4 th client Each client MUST completion and sign this section Page 5