Request for Disclosure Statement

Date: Required

Request for: Required

Property description: Required

Lot number: Required

Request from: Required

Company: Required

Email address: Required

Telephone number: Required

Date required by: Required

DECLARATION

Required

I / we agree to pay the fee associated with this request prior to the Disclosure Statement being supplied. Once this request is received an email will be sent with the relevant bank account details for the EFT payment to be made in to.

STRATA INFLUENCE

DECLARATION

STRATA
INFLUENCE