ENERGY PERFORMANCE CERTIFICATES
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Your Details
First Name:
Last Name:
Telephone No:
Email Address:
House No or Name:
Address1:
Address2:
Town / City:
Postcode:
Property requiring EPC
Tenant Name:
(if none enter
NONE
)
Tenant Telephone No:
House No or Name:
Address1:
Address2:
Town / City:
Postcode:
Sale or Rental :
Please Select
Sale
Rental
Date property was built:
Please select
Pre 1900
1900-1929
1930-1949
1950-1966
1967-1975
1976-1982
1983-1990
1991-1995
1996-2002
2003-2006
Post 2006
No. bedrooms:
0
1
2
3
4
5
6
7+
No. receptions:
0
1
2
3
4
5
6
7+
Date Double Glazing added (if applicable):
Please select
None
Pre 2002
2002 & After
if none please select None
Date Extension was built (if applicable):
Please select
Not Applicable
Pre 1900
1900-1929
1930-1949
1950-1966
1967-1975
1976-1982
1983-1990
1991-1995
1996-2002
2003-2006
Post 2006
if none please select Not Applicable
Should we bring ladders to access loft?
Please Select
Yes
No
Comments / other information:
I have read the terms and conditions
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:
Select
Yes
No
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