KFI Request Form

Please fill in all details below and click the Submit button.

Client's Name(s):

Client's Address:

Town/City:

Post Code:

Client's Email Address:

Is this a purchase or re-mortgage?

Purchase price or current valuation:

�

Loan amount:

�

Product code:

Term of Loan:

Years

If all or part of the loan is to be on interest only, please state the amount:

�

Please indicate the level of service provided by you:

Procurement fee recipient(s):

Please provide details of any fees your client will have to pay for you to arrange this mortgage:

Company name:

Advisor name:

FSA number:

Email address:

Any other comments?

Links
Mortgages Insurance

Barnsley Building Society is authorised and regulated by the Financial Services Authority