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Redemption Statement Request Form
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Are you requesting a statement as a customer, a solicitor, or an adviser?
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Customer
Solicitor
Adviser
Please provide details relating to you and your account below
Request Reason
Vol - 1st life deceased
Vol - 1st life in long term care
Vol - Property sale
Vol - No reason given
Vol - Own funds
Vol - Remortgage
Vol - Separation
Vol - Redemption required by JR
Vol - Solicitor redemption
Invol - Date of death statement
Invol - Last surv/sole life death
Invol - Last surv/sole life LTC
Invol - Ported
Vol - Partial Repayment (no erc)
Invol - Solicitor redemption
Invol - Settlement Approval To waive ERC
Your account number
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Your account number can be found on any of our official documentation including your annual statement.
Your date of birth
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Your postcode
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Please tell us the source of your repayment funds
We ask this as part of routine anti-money laundering checks required of all regulated lenders. It helps us protect your account and process your repayment smoothly.
Inheritance
Sale of Property / Moving home
Savings / Investment
Information Only
Other
If Other, please add the source of repayment funds
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What date are you looking to redeem the account?
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Please note: Cannot produce Statement for over 28 days in advance (no weekend days available). It may not be possible for us to process same day requests submitted after 3pm.
What’s the best way for us to send your statement to you?
What email address would you like us to send your statement to?
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What email address would you like us to send the statement to?
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If you’ve selected by Post, please provide who the redemption should be addressed to
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Solicitor reference
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The name of your firm
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The address of your firm (Address line 1)
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• Address line 2 (optional)
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• Town / City
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• Country
England
Northern Ireland
Scotland
Wales
• Postcode
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Please enter your email address
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FCA number
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Your firm’s name
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Your name
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