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Applicant 1 Details
Name
Date of Birth
Telephone
e-Mail
   
Applicant 2 Details
Name
Date of Birth
Telephone
e-Mail
   
Property Details
Property Type
Number of Bedrooms
Year Built
House Name/Number
Full Postcode
   
Cover Details
Cover Required
Accidental Damage Cover Required?
Home Emergency Cover Required? Yes No
Legal Expenses Cover Required? Yes No
Personal Possessions Cover Required? Yes No
Are you a First Time Buyer? Yes No
Number of claim free years
   
Eligibility Questions
Is the property built in brick or stone with a slate or tiled roof? Yes No
Will the property be permanently occupied by you and/or your family? Yes No
Does the property have key operated locks fitted to all ground floor windows and 5 lever mortice deadlocks on all exit doors (including patio doors)? Yes No
Have you or any residents at the property had any incident involving loss, damage or liability during the past 5 years, whether insured or not? Yes No
Will the property be let unoccupied for any reason for more than 30 days? Yes No
Is your property used for business or professional purposes? Yes No
   
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Authorised & regulated by the Financial Services Authority, registration no. 304167. Consumer Credit Licence No. 625805, Data Protection Z8365202. Will Writing and conveyancing are not regulated by the Financial Services Authority.

Mortgages:
Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on your mortgage. This information does not contain all the details you need to choose a mortgage. Make sure that you read the separate Key Facts Illustration before you make a decision. There will be a fee for mortgage advice. For example, the fee will normally be 0.35% of the mortgage advance, with a minimum fee of £195. 

Secured Loans:
Think carefully before securing other debts against your home. By consolidating your existing financial commitments, you should be aware that whilst this may mean you will make short term savings, over the long term, you may end up paying more. This is because you may be extending the period of the loan. You are also transferring previously unsecured debts to a mortgage which is secured on your home.

Your home may be repossessed if you do not keep up repayments on your Mortgage or any other debt secured on it.

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