Please complete the form below to apply.
Please answer all questions as accurately as posible
All questions marked with (*) must be supplied.
If different from your current address, please give the most recent address
Please answer the following questions for your partner or the other person
applying with you (unless the person is under 18). You will need to provice
proof of the identity of the people listed here.
Please give their most recent address first
Please answer the following questions for the other people you want to
live with you
If this person is not living with you now but will be moving with you
then please enter their current address below
If you, or someone moving with you, has a disability or health condition
that affects the location or type of housing you need please give their
First Applicant *
Do you have access to at least £1,500 to cover the cost of moving
and legal fees? Stamp duty (if applicable) is not included in this amount
What is your total annual income before deductions? (Excluse overtime
and bonuses but include pensions)
How much overtime, bonuses and commission do you normally earn (in total)
in a year?
What are your savings?
Have you been in rent arrears in the last 12 months?
Do you have any outstanding loans?
If yes, what is your total monthly payment?
What are the repayments for? (e.g. Car loan, etc.)
When is your final payment due?
Do you have any outstanding credit cards?
If yes, how much is the outstanding balance?
Dop you have regular monthly financial commitments? (For example, child
If yes, specify how much you pay per month and the reason
Are you in receipt of any benefits
If yes, specify the type and how much you receive per month
Working Tax Credits
Child Tax Credits
Disability Living Allowance
Guaranteed Maintenance Income
Other (please state type and amount)
Have you ever had a home repossesed?
Have you ever been declared bankrupt?
If yes, has this been discharged?
Have you ever had any county court judgements? (CCJs)
If yes, have they been satisfied?
Have you ever defaulted on a loan?
Have you ever been refused a mortgage?
Are you currently in an IVA (Individual Voluntary Arrangement)?
If you have any references in electronic format please use the areas below
to upload them (please only supply .pdf or .jpg formats)
Please ensure the files are no larger than 1Mb per file
Your application and answers supplied will not be checked or validated
before submission. It is your responsibility to ensure the information
provided is correct and accurate. Submitting an application with incorrect
or inaccurate answers may have a detrimental affect on your application.