Application 1 Property 2 Contact 3 Estate Agent IMPORTANT POINT: This Application can be submitted by you or by any firm of High Street Estate Agents (you cannot submit during coronavirus). What are Chains? CHAIN FREE® (available through the Home Owners Plan™) and CHAIN MENDER® are currently available in these towns You choose (if you have not already done so) a firm of High Street Estate Agents to sell your house (no point having a guaranteed Fall Back Price® if you are sure you will quickly sell at your Asking Price and will not lose the house you want to buy). We do not buy your house. Our Application Acceptance Email will direct you to a webpage on which you can tell us the contact details of the High Street Estate Agents acting for you (we do not recommend or promote any firm). Albani Limited | Authorised and Regulated by the Financial Conduct Authority | Reference No: 457682 IMPORTANT POINT for Estate Agents: Please confirm you have read Section 3 and about the product you are interested in before proceeding. CHAIN FREE® CHAIN MENDER® CHAIN FREE®: How it Works CHAIN MENDER®: How it Works Property Unfortunately you cannot make an Application because house prices in this area are falling. Please try again after 25 March, 24 June, 29 September, 25 December as appropriate. Postcode House Name or Number Street Name Town Is the house Freehold Yes No Is the house worth more than £500,000 Yes No Is the house in reasonable condition Yes No Is the house in an urban location Yes No Is the house in walking distance of public transport and local shops Yes No Do you think house prices in the area are stable or rising Yes No IMPORTANT POINT: CHAIN FREE® is a chain-avoiding insurance solution and CHAIN MENDER® will mend a chain if it is broken. If the home owners solicitor is holding a current contract for the property the home owner wants to move into we can only provide CHAIN MENDER® (this Application Form is applicable to both CHAIN FREE® and CHAIN MENDER®). Is the home owners solicitor holding a current contract for the property they want to move into Yes No House Type Number of Bedrooms Number of Bathrooms Heating Car Parking Construction Year built Is any part of the house tenanted or used for business purposes Yes No Are you aware of any required building works or repairs that will effect the valuation of the house Yes No Are you aware of any dry rot in the house Yes No Has the house been flooded in the last 10 years Yes No Are there any trees within 20 feet of the house Yes No Are you aware of any subsidence in the house Yes No Is the house vacant Yes No Is the house empty Yes No Has the home owner found another property to buy Yes No Reason for sale What is the ideal price of the property the home owner wants to buy (in £1,000s) £ ,000 Next » Contact Home owners Email Address (If you are the home owner submitting this Application before choosing a High Street Estate Agent to sell your house please also answer the three questions at the bottom of Section 3 and then SUBMIT) « PreviousNext » Estate Agent See: Your Fees Inspection Confirm that you have seen this property. Yes No On-market for Sale Yes No Has this house been on the market for sale at any time during the last 12 months or more Yes No Internal condition External condition Garden condition Demand in Area Falling Static Rising House Prices in Area Falling Static Rising Average time houses on market to offer accepted Falling Static Rising Transaction Volumes in Area Falling Static Rising Sale Prices Achieved in Area as percentage of Asking Prices Falling Static Rising Estate Agent Contact Details Your Firm Name Your Firm Street Address Your Firm Postcode Your Firms Contact Email Your Firm Telephone Your Work Email Address Your Name Your Mobile Number Is the home owner aware of their right not to have data collected Is the home owner aware of our privacy policy Is the home owner selecting CHAIN FREE® aware they can join the Home Owners Pan™ at any time up to 8 weeks from the date of this Application after which a new Application must be made « Previous