Full Application

Please fill in the form below making sure you fill in all the details then click 'Submit'.

WE CANNOT CONSIDER YOUR APPLICATION UNLESS ALL SECTIONS OF THIS FORM ARE FULLY COMPLETED.

Once you do this you'll be presented with the full application form that you can then print out, sign and return to the address at the bottom of the form.

SECTION 1 - SCHEME DETAIL
Please indicate your choice of scheme:
New build HomeBuy (part rent, part buy)     Resale's     Outright Purchase
Open Market HomeBuy (equity loan) Private Homebuy Intermediate Rent (private)
Have you previously applied for affordable housing? Yes    Please state Ref No:    No  
Please state the area(s) you wish to consider in priority order :
If you are interested in a particular development or property please state which one:
If you wish to purchase a home in a specific town or village, please state the local authority:
If you know the name of the housing association/ developer building the development please also state:

Include details of Applicant 2 if they are to be included on the mortgage. If they are not to be included please enter their details on page 2. If there are more than 2 applicants wishing to jointly purchase please complete an additional form.

SECTION 2 - PERSONAL DETAILS
Applicant 1 Applicant 2
Title (Ms/Mr/Mrs/Other)
Marital Status
First name
Last name
Date of birth  /   /   /   / 
Address
Postcode
How long have you lived there?
If you have lived elsewhere in the last 3 years please list all your previous addresses.
Are you a British or EU/EAA citizen?    
If not, is your passport stamped with 'Indefinite leave to remain'?    
Home telephone number
Mobile telephone number
Email address
Which local authority do you
live in?
Which local authority do you
work in?
Where would you like to live?
How many bedrooms do you require?         
Please describe the
composition of the family to
be housed.		            
Who else will be living with you?
Please include full name and relationship status. If they are 16 and over please indicate whether the person will be on the mortgage and contributing to mortgage payments.
Name Relationship Full time education/working Gender Date of birth Will s/he be living at new address
Full time education Working Male Female Yes No
Full time education Working Male Female Yes No
Full time education Working Male Female Yes No
Full time education Working Male Female Yes No
Do you consider you or any member of your household to be disabled?
Are you or is a member of your household a wheelchair user?

 

SECTION 3 - PRESENT CIRCUMSTANCES
Are You: Applicant 1 Applicant 2
A council tenant
A housing association tenant
Tied home/renting with job
Living with family or friends
Renting privately
On a council waiting list
A first time buyer
A current home owner
A previous home owner
Temporary accommodation provided by Local
Authority
Registered homeless
Other
If you are on a council, Housing Association waiting list, or if you are approved and applying under Choice Based Lettings please say where and provide your reference number:
Local Authority/RSL 
............................................
Reference Number 
No. of bedrooms in current home?                        
Is it a maisonette, flat, bungalow or house?            
If other please state: 		           
If other please state:
If you are a private tenant, council or housing association tenant, please give the name, address and telephone number of your landlord

 

SECTION 4 - EMPLOYMENT DETAILS
  Applicant 1 Applicant 2
Please indicate your occupation and job title
If self employed can you provide at least 3 year accounts Yes  No Yes  No
Are you: Full time  Part time Full time  Part time

Employer's name and address (including postcode)
Employer's telephone number

If less than 6 months please give the name and address of your previous employer
Place of work
Are you permanently employed?
Are you a fixed term contract?
Contract start date(dd/mm/yyyy) / / / /
Contract end date(dd/mm/yyyy) / / / /

 

SECTION 5 - INCOME/SAVINGS
  Applicant 1 Applicant 2
Total gross annual income before deductions (excluding overtime & bonuses)
Regular gross monthly bonuses or overtime
Total monthly take home pay (after deductions)
Please provide details of any other benefits received e.g. Working/Child Tax Credit, Pension, DLA etc…
Frequency Weekly  4 weekly 
Monthly  Annual  		Weekly  4 weekly 
Monthly  Annual 
Total savings

 

SECTION 6 - Please give details of current expenditure /outgoings
Applicant 1 Monthly Payment Total Outstanding / Final Payment Date Applicant 2 Monthly Payment Total Outstanding / Final Payment Date
Hire Purchase £ Hire Purchase £
Loans £ Loans £
Credit Cards £ Credit Cards £
Other Expenditure £ Other Expenditure £
If other please state If other please state
Total Outgoings £ Total Outgoings £

 

SECTION 7 - FOR CURRENT AND PREVIOUS HOME OWNERS AND APPLICANTS WITH MORTGAGES
  Applicant 1 Applicant 2

Have you (or Applicant 2) ever owned or partly owned a property in the UK or abroad?

(If yes, please continue answering the questions below, if no please go directly to section 8)

 Yes    No  Yes    No 
Provide details of the date the property was/is to be sold // (dd/mm/yyyy)
Are you currently a shared owner? Yes    No  Yes    No 
If Yes, what percentage equity do you own? % %
How much mortgage do you have outstanding (as either a
shared owner or full owner)		 £ £
What is the approximate current full value of the property? £ £
Please specify why are you selling your property and why you wish to purchase under affordable housing?

 

Section 8 - Do any of these statements apply to you? (Tick box if any of these apply)
  Applicant 1 Applicant 2
Do you have access to at least £3,000 to cover the cost of buying a property Yes Yes
Has a County Court Judgement ever been registered against you? Yes Yes
Have you ever been bankrupt, insolvent, or made any arrangement with your creditors? Yes Yes
Are you currently up to date on your rent account?
 Yes Yes

 

MONITORING – Equal Opportunities
It is against the law and our equal opportunities policy to discriminate against anyone because of their sex, colour, race, religion, disability or sexual orientation. In order to ensure that we do not discriminate, we need to keep records. If you do not answer this question it will not affect your application in any way. Sensitive personal data such as ethnic origin and physical or mental disabilities are required under the Equal Opportunities Monitoring statute. Under section 29(3) of the Data Protection Act 1998 the information may be disclosed for purposes of crime prevention and detection.
How would you describe your ethnic origin?
First
App. 		Second
App.
White
    British
    Irish
    Other
Mixed
    White & Black Caribbean
    White & Black African
    White & Asian
    Other
First
App. 		Second
App.
Asian or Asian British
    Indian
    Pakistani
    Bangladeshi
    Other
Black or Black British
    Caribbean
    African
    Other
First
App. 		Second
App.
Chinese
Other ethnic group
Question refused

 

INFORMATION
Where did you hear about this service? Please supply details, e.g. Which newspaper, magazine? Which radio station?

 

Once you have entered all your details please submit the information by clicking on the button to the right so that you can create your application for you to print out, sign and return to us.