Please complete the form below to apply.

Please answer all questions as accurately as posible
All questions marked with (*) must be supplied.

Your Details

(If 'YES' please state what they are)

Current Home Address

DD / MM / YYYY

Correspondence Address (if different from above)

Your Current Employer

Are you, or anyone residing with you:

If 'Other', please specify

Property Requirements

Your Previous Addresses

If different from your current address, please give the most recent address first

Address 1

DD / MM / YYYY

Address 2

DD / MM / YYYY
DD / MM / YYYY

Partner Details

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.

DD / MM / YYYY

Your Partner's Previous Address

Please give their most recent address first

Address 1

DD / MM / YYYY
DD / MM / YYYY

Address 2

DD / MM / YYYY
DD / MM / YYYY

Other Peoples Details

Please answer the following questions for the other people you want to live with you

Person 1

DD / MM / YYYY

If this person is not living with you now but will be moving with you then please enter their current address below


Person 2

DD / MM / YYYY

If this person is not living with you now but will be moving with you then please enter their current address below


Person 3

If this person is not living with you now but will be moving with you then please enter their current address below

Medical Conditions

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 details here

About Where You Currently Live

Other: Please Specify
Other: Please Specify

Equal Opportunities

Income and Savings

                                                                               * First Applicant           * Second 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?

DD / MM / YYYY
DD / MM / YYYY

Do you have any outstanding credit cards?

If yes, how much is the outstanding balance?

( £ )
( £ )

When is your final payment due?

DD / MM / YYYY
DD / MM / YYYY

Dop you have regular monthly financial commitments? (For example, child maintenance)

If yes, specify how much you pay per month and the reason

( £ )
( £ )

 

Reason
Reason

Are you in receipt of any benefits

If yes, specify the type and how much you receive per month

Type
Type

Per month

( £ )
( £ )

Working Tax Credits

( £ )
( £ )

Child Tax Credits

( £ )
( £ )

Child Benefit

( £ )
( £ )

Disability Living Allowance

( £ )
( £ )

Guaranteed Maintenance Income

( £ )
( £ )

Other (please state type and amount)

Type
Type

 

Amount ( £ )
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)?

Other Relevant Information

References

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

Confirmation

I confirm that the information entered in this form is accurate to the best of my knowledge
I confirm thay I've read and agree to the Disclaimer and Privacy policy

IMPORTANT

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.

Human Verification

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