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When we receive your application one of our Customer Service Team will send you a FREE NO OBLIGATION quote and call to ensure that you fully understand the details.
It is then your choice to continue with us or keep the quote for comparison.

How did you find us ?

Vesta Reference / How you found us :

Who is the quote for? Myself Myself and my partner

Title

Forename

Surname

Your Partners Forename

Your Partners Surname

Address
(First line)

Address
(Town)

Address
(County)

Postcode

Daytime Phone

And/or Evening Phone

And/or Mobile Phone

Your E-mail Address

Are you? Male Female

Is your partner?

Male Female

Have you smoked any tobacco products in the last twelve months?

Yes No

Has your partner smoked any tobacco products in the last twelve months?

Yes No

Date of Birth (dd/mm/yyyy)

Partner's Date of Birth (dd/mm/yyyy)

How long do you want to be covered? years

How much cover do you require? £

How would you like to pay?

Monthly Annually

If the cover is to protect a mortgage debt, is the mortgage a "repayment" version?

Yes No

If so, do you need cover that reduces as the debt reduces?

Yes No

Would you like a quotation for critical illness cover?
(Critical illness cover pays out on diagnosis of a serious illness) Yes No

Do you require payment protection cover for your policy? Yes No

What is your occupation?

What is your partner's occupation?

If you would like any additional quotations, please enter your requirements in this box.

Information

Please read your rights under the Data Protection Act
before supplying your information

If you state a financial association with another person, you declare that you are entitled to provide information about your joint applicant and anyone else you mention. You also declare that they authorise us to search, link and/or record information about them at credit reference agencies . You agree to your application being discussed with either applicant.

Your home may be repossessed if you do not keep up repayments on your mortgage.
Written quotations upon request.

Name

Contact Number

Date Of Birth

Best Time To Call You

By ticking this box you are accepting our privacy policy

No Credit Check at this stage
A member of our team will call you for a free consultation

The overall cost for comparison is 6.5% APR. The actual rate available will depend upon your circumstances. Ask for a personalised illustration. Our fee is 3.2% of the advance (£1,450.00 Min and £6,000.00 maximum). The fee can be raised from within the new advance and is only payable by you, should your new mortgage reach legal completion. A typical mortgage of £92,156 would require a fee of £2,949.00 - No Completion - No Fee. Paying off expensive short-term debt with a remortgage may increase your overall cost of credit.

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT.

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