Annuities

Welcome to the Servatus  Annuities Quick Quote Application

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Quick Quote Application
Annuitant Details
First Nametrue
Surnametrue
Date of Birthtrue
Gendertrue
Add a Spouse / Civil Partner
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First Name
Surname
Date of Birth
Spouse / Civil Partner %
Gender
Overlap
Annuity
Purchase Amounttrue
Escalation Rate %
Payment Frequency
Enhanced Annuity
Enhanced Annunity
Principal Annuitant
Heighttrue
Weighttrue
Have You
Smoked more than 10 cigarettes per day or 3oz (85g) of rolling tobacco per week on a regular basis for the last 10 years or more?
High blood pressure which requires prescribed daily medication?
Been diagnosed with diabetes which is controlled by tablets and/or insulin?
Had a heart attack, coronary artery bypass graft or coronary angioplasty?
Been diagnosed with angina which requires prescribed daily medication?
Been diagnosed with multiple sclerosis?
Had a stroke (CVA) or brain haemorrhage?
Ha a mini stroke (TIA) within the last 5 years that requires prescribed medication?
Been diagnosed in the last 5 years with any of the following that required chemotherapy or radiotherapy; cancer, leukaemia, Hodgkin's disease, lymphoma, any malignant growth or tumour?
Been diagnosed with Parkinson's disease?
Had or currently have any of the following :
Chronic kidney failure?
Heart, kidney, liver or lung transplant?
Cirrhosis of the liver?
Motor neurone disease?
Heart valve replacement?
Peripheral vascular disease (including intermittent claudication)?
Hepatitis C?
HIV?
Data Protection
Please tick the box to confirm that you agree to the use by Servatus of your personal data.true
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