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Full name*
Email address*
Phone number*
Building description
Purchase price
Building age
Building area (sq m)
Walls construction
Floor construction
Roof construction
Journey from
Journey to
Name of transporting carrier
Is there any water borne transport? YesNo
Will there be temporary unloading and re-loading during transport? YesNo
Is the building/s to be moved in parts or sections? YesNo
If so, state number of separate transits involved
Terrain at place of departure LevelSlopingSteepVery steep
Terrain at place of destination LevelSlopingSteepVery steep
Anticipated date(s) of transit (ie Date of loading onto the truck to date of unloading off truck)
Consigned 'Terms of Carriage' Owners riskLimited carriers risk (LCR Terms)Declared value
Market Value being the value of the building(s) in an occupied state prior to transit, inclusive of GST (or purchase price)
Transportation / Lifting costs and the like
Allowance for Architect / Professional fees
Resource management Act costs
Total
Government Valuation prior to transit
Additional notes
