Expression of Interest
Click here for our printable version
Online Form
Agents:
Buyer(s)
*Name(s):
Address:
Suburb:
Postcode:
State:
QLD
NSW
VIC
SA
TAS
WA
NT
ACT
*Email:
Phone:
*Home -
Work -
Mob -
Property
Proposed lot:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
Purchase Price:
Total Price $
(Including any GST)
Deposit
Total Deposit:
$1000.00
I/we will pay the Deposit:
By Cash or Cheque
Buyers solicitor:
Name -
Ph -
Fax -
Finance
The contract will be subject to the buyer obtaining finance approval within 21 days after signing the standard REIQ contract
(Finance Date)
Vendor
Keith Phillips
PO Box 828
INGHAM QLD 4850
Telephone: 0429 885 547
Email: ktphillips6@bigpond.com
Other Comments or Requests:
For security reasons you will need to enter the code that you see to the left for this form to submit.
* Required fields