loan amount (£)
period (years)
interest rate (%)
 
as a guide...
repayment (£)
interest only (£)



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If you would like one of our experienced mortgage advisors to give you a call to discuss your requirements, please complete the short form below stating your preferred method and time of contact.

 Applicant One
your title & full name
your date of birth (dd/mm/yyyy)
your employment status
your gross annual income (£)
time in current job (months)

 Applicant Two
your title & full name
your date of birth (dd/mm/yyyy)
your employment status
your gross annual income (£)
time in current job (months)

 Address
house number and street
town
district/county
postcode

 Contact Details
telephone number inc std code
mobile number
email address
best time and method of contact  by  telephone    email

 Basic Mortgage Details
type of mortgage
value of property (£)
mortgage loan required (£)
term required (years)

 Credit History
any credit problems? (CCJs etc)  yes    no
if so provide details...

 Declaration
I authorise an advisor at Premier Mortgage Services to give me a call back at the time stated to discuss my mortgage needs. I understand the information provided will solely be used to discuss my requirements, and will not be used for any other purpose.

Depending on your circumstances a fee between 0-1.5% of the loan amount may be payable.
A typical fee is £250. Click here for our fees policy.

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





10 Derby Road
Stapleford
Nottingham
NG9 7AA

0115 9499988



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63 Market Place
Long Eaton
Nottingham
NG10 1JQ

0115 9733373



 Office Map

21 High Street
Burton-on-Trent
Staffordshire
DE14 1HU

01283 566999



 Office Map