HOME > ANNUITIES REQUEST FORM >Please Complete the Free No-Obligation Enquiry form

 
Value of pension fund after tax free cash (mimimum £30,000)
Pension company
Pension type
Annuity type required
At what rate would you like the annuity to escalate?
Do you require a single or joint annuity?
Retirement date

Your Personal Details

Title:
First Name: *
Surname: *
Address:
Postcode:

Please note it is not always possible to process enquiries based solely on the information contained in this form. Each case is unique and it may be necessary to speak to you to be able to assess your own particular circumstances to help find the most appropriate course of action. Please supply at least one phone number.
Home phone:
Work phone:
Mobile:
When can you be contacted? Daytime
Evening
Weekend
Email address:
Your date of birth (dd/mm/yyyy)
Gender (first applicant)
Do you smoke?
Number per day
Any health or medical conditions? (Existing medical conditions may qualify you for a higher annuity rate)

Spouse or Partner (Joint enquiries)

Date of birth (dd/mm/yyyy)
Gender
Do you smoke?
Number per day
Any health or medical conditions? (Existing medical conditions may qualify you for a higher annuity rate)
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