PHOENIX MORTGAGE SERVICES

For your tailored quotation, send us this quick, easy-to-complete form and we’ll be in contact with you shortly:

1. Your Personal Details

First Name
Surname
Daytime phone number
Evening phone number
Email address
Best time to contact		We will call you to discuss your details further. Please tick here if you don’t want to be contacted by phone
Are you a homeowner?		Yes No

2. The Products
Which product/s are you interested in?

	Mortgage
	Re-mortgage
	Council right to buy
	Homeowner loan
Insurances:
	Accident, sickness & unemployment
	Life assurance
	Critical illness
	Income protection
	Buildings & contents

3. Your Finances
It doesn’t matter if you have had problems in the past, as our lenders consider your ability to meet future repayments far more important than any difficulties that you may have previously had. Please tick all that apply.

	Mortgage arrears
	County court judgments
	Payment defaults
	IVA (individual voluntary arrangement with your lender)
	Previously bankrupt
	Difficulty in proving your income
	Repossession order

4. Your Property

What is the estimated value of your property?
What is the outstanding mortgage on your property?
Do you have any secured loans?		Yes No
Secured loans value

5. How did you hear about us?

Where did you find us?
Other (please specify)

This information does not contain all of the details you need to choose a mortgage. Make sure that you read the separate key facts illustration before you make a decision.

In so far as it is possible by applicable law, Phoenix Mortgage Services expressly excludes liability for any claims, loss, demands or damages of any kind whatsoever, with respect to use of this website or any misleading information or omissions it may contain, including without limitation, direct, indirect, incidental or consequential loss or damage, whether arising from loss of revenue, loss of data, loss of profits or otherwise. If you are a consumer your statutory rights, if any, are not affected.

Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on your mortgage. The overall cost for comparison is 9.0% APR. The actual rate available will depend upon your circumstances. Ask for a personalised illustration. There will be a fee for mortgage advice. The precise amount will depend upon your circumstances but our average fee is 2.28% of the loan value. We are authorised and regulated by the Financial Services Authority for regulated mortgage and non-investment insurance contracts.

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