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PERSONAL DETAILS |
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| First Name: |
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Last Name:
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Residential / Correspondence Address |
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House Number/Name:
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Street Name:
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City/Town:
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County:
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Country:
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Country of Domicile is indicated by the passport you hold i.e. if you hold a UK passport, your country of domicile is the UK even if you live in spain 52 weeks of the year |
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Country of Domicile:
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| Post Code: |
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Please use international dialing code Format [+44 1260 299 700] |
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Contact Number: |
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Mobile Number: |
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Skype Name: |
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Do you have NIE number? |
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CASE DETAILS |
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If you do not have an introducer/promotion code please leave blank |
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Introducer / Promotion / Agent Code: |
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Property Location:
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Town/Region in the Country:
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Property Address:
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Estimate Value should not include € sign. Format (000,000) |
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Estimated Value of Property (Euros €):
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No of Owners:
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Beneficiary Section Example: "I leave everything to my spouse (Primary beneficiary)
but should they die before me, I leave everything to my child (Contingent beneficiary)"
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Primary Beneficiaries:
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Contingent Beneficiaries:
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Estimated Value of your Estate in the UK (£):
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| Do you have a mortgage? |
[Click for Yes] |
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If you have mortgage, please specify the balance in Euros(€) |
| Outstanding Mortgage (€)?
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Format(000,000) |
| Would you like information on our staged payment option? |
[Click for Yes] |
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SIGN IN DETAIL |
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How did you hear about us? |
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Email address to be used for signing in and contact purposes. |
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Login Email:
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Confirm Login Email:
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Please provide a memorable password of minimum
six characters. |
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Password: |
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Confirm Password: |
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The following details will be used to retrieve a forgotten password. |
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Secret Question: |
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Secret Answer: |
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Do you require more literature:
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