OUR SERVICES
MORTGAGE ENQUIRY FORM
To make a general enquiry please complete the form below.

Details submitted through this form are confidential. Any information collected will be used solely for the purposes of providing background information when contacting you to arrange an appointment / advice.

We offer a full advice & recommendation service in all cases in order that we can make an informed decision with you about your mortgage and protection needs.

Key facts about our services document
Enquiry Form
Would you like advice on
Mortgages
 
Remortgages
 
Protection
 
Other
Basic Information This is the minimum information we require
Title
Name
Address
Post Code
Daytime Telephone No
Evening Telephone No
Mobile No
Email Address
Morning Afternoon Evening Other
Additional Information      
By completing this section your advisor will be better prepared when giving advice.
Name of joint applicant (if applicable)
APPLICANT 1  
Marital Status
Gender Male Female
Date of Birth
Employment
Occupation
Annual Income (Gross)
Do you smoke Yes No
APPLICANT 2  
Marital Status
Gender Male Female
Date of Birth
Employment
Occupation
Annual Income (Gross)
Do you smoke Yes No
Estimated value of property to be
purchased/remortgaged
Preferred product type
Loan required
Term (years)
PURPOSE OF LOAN  
Purchase (to live in)
Buy to let
Re-mortgage
First time buyer? Yes No
Other Information
Your home may be repossessed if you do not keep up repayments on your mortgage.

For mortgages we are usually paid by commission and do not charge a fee for our advice. However, should you prefer to pay us by fee instead, the fee is typically 0.5% of the loan.

For life cover, critical illness and income protection, we normally offer products from a limited number of providers. For Buildings, Contents, Accident, Sickness and Unemployment cover we usually offer products from a single provider.
Mortgages

As independent mortgage advisers we work on your behalf.
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Life Assurance

Providing advice suited to your personal requirements and risk profile.
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Critical Illness Cover

Protect yourself with critical illness cover.
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Buildings & Contents Insurance

Offering products from a single provider, catering for your needs.
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CONTACT US
Phone: 01582 832400
Fax: 01582 832401

Premier Mortgage Advice Ltd is an appointed representative of Sesame Ltd which is authorised and regulated by the Financial Services Authority. Sesame is entered on the FSA register (www.fsa.gov.uk/register/) under reference 150427.
The advice and/or guidance contained within this site is subject to the UK regulatory regime and is therefore targeted at consumers based in the UK.
The FSA do not regulate some forms of Mortgages.
Premier Mortgage Advice is a trading style of Premier Mortgage Advice Ltd: Registered in England: Company No 4868415.