HIP ORDER FORM

Part 1: Property Details

Part 2: Seller / Payment Details

Part 3: Seller Correspondence Address
(if different from Property Address)

Part 4: Access Information

Enter any additional information necessary for the Energy Assessor to arrange access.

Part 5: Information For Sale Statement

Seller Title: Mr Ms Miss Mrs Dr       Initials:        Surname: 

The title to the interest in the property being sold is:
The whole of a registered estate Part of a registered estate The whole of an unregistered estate Part of an unregistered estate

If it is a flat, what type of building is it in?
Purpose built block Converted house Conversion of commercial premises

Seller Capacity:
The owner or owners A representative for an owner who has died A representative for a living owner (for example with a power of attorney) Other (Please give details):

Being Sold:
With vacant possession Part not being sold with vacant possession (explanation of circumstances):

Details of Management Company:

Prefered Payment Type: Cash Cheque Bank Transfer Debit Card Credit Card Paypal

Any Additional Information: