Full Name *

Phone *

Email *

What is your mortgage balance (an estimate is fine)

£

What is your current mortgage term?

What is your mortgage payment?

£

What is your property value?

£

Do you have any other properties or mortgages?

Yes

No

Can you confirm the current occupation and income for all people on the policies?

Do you or any of the applicants have any employer benefits (sick pay and death in service)?

Yes

No

Please can you confirm the names and date of birth of your dependents?

Do you have any other protection cover outside that organised by Insurance First or First Group

Yes

No

Have you or anyone on the policy smoked or used any nicotine products in the last 5 years?

Yes

No

Can you let me know the current height & weight of anyone on the policy?

Do you or anyone on the policy have any existing medical conditions?

Yes

No

Do you or anyone on the policy regularly take any medication?

Yes

No

Are you or anyone on the policy currently waiting for any investigations or results?

Yes

No

RSC New Homes Ltd, Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX
Telephone: 0161 486 6278

RSC New Homes Ltd Registered Address: Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX

Registered in England and Wales. Company number 8415945

RSC is a trading name of RSC New Homes Ltd who are an Appointed Representative of PRIMIS Mortgage Network, a trading name of First Complete Limited. First Complete Limited is authorised and regulated by the Financial Conduct Authority.

The guidance and/or advice contained within this website is subject to the UK regulatory regime and is therefore primarily targeted at consumers based in the UK.

RSC New Homes Ltd, Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX
Telephone: 0161 486 6278

RSC New Homes Ltd Registered Address: Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX

Registered in England and Wales. Company number 8415945

RSC is a trading name of RSC New Homes Ltd who are an Appointed Representative of PRIMIS Mortgage Network, a trading name of First Complete Limited. First Complete Limited is authorised and regulated by the Financial Conduct Authority.

The guidance and/or advice contained within this website is subject to the UK regulatory regime and is therefore primarily targeted at consumers based in the UK.

The Financial Conduct Authority does not regulate all Buy to Let mortgages.

© 2003 – 2023 RSC New Homes. All Rights Reserved.

RSC New Homes Ltd, Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UXTelephone: 0161 486 6278

RSC New Homes Ltd Registered Address: Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX

Registered in England and Wales. Company number 8415945

RSC is a trading name of RSC New Homes Ltd who are an Appointed Representative of PRIMIS Mortgage Network, a trading name of First Complete Limited. First Complete Limited is authorised and regulated by the Financial Conduct Authority.

The guidance and/or advice contained within this website is subject to the UK regulatory regime and is therefore primarily targeted at consumers based in the UK.

The Financial Conduct Authority does not regulate all Buy to Let mortgages.

© 2003 – 2023 RSC New Homes. All Rights Reserved.

RSC New Homes Ltd, Unit D, Hercules Business Park, Bird Hall Lane, Cheadle, England, SK3 0UX
Telephone: 0161 486 6278