Application for Affordable H ous i ng

Transcription

1 Application for Affordable H ous i ng PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS ATTACHED WHEN YOU LODGE YOUR APPLICATION. WE ARE UNABLE TO PROCESS YOUR APPLICATION WITHOUT ALL OF THE FOLLOWING INFORMATION CHECKLIST: Proof of Income All applicants over the age of 18 are required to provide proof of all income sources: Applicant or family members who are in receipt of a Centrelink income, please provide income statements for the last 52 weeks OR sign the attached Multiple Consent Authority Form authorising us to check your Centrelink Income Statement Applicant or family members who are salary/wage earners, please provide a letter form your employer stating your gross income for the last 52 weeks or payslips for last 52 weeks. Applicant or family members who are self-employed, please provide one of the following 1. Letter from your accountant that endorses your gross income and expenses for the previous 52 weeks. OR 2. Your profit and loss statement that has been endorsed by your accountant for the previous 52 weeks. And the lodged Tax return and Notice of assessment. OR 3. Your profit and loss statement that has been lodged with Centrelink for the previous 52 weeks. And the lodged Tax return and Notice of assessment. Current Rent Ledger and a Reference Letter Please provide a detailed recent rent ledger OR detailed receipt with landlord s full name, address and phone number and Rent Reference letter. If you cannot provide this, please provide a personal reference letter. Proof of Permanent Residency For example: Passport/citizenship certificate Proof of Current Assets and/or Debts Please provide proof of any assets and/or debts, for example: bank statements, loan repayment statements for last 6 weeks OFFICE USE ONLY Date received: Applicant No: Proof of Identity Please provide prime proof of identity for all household members, for example: drivers licence, birth certificates or passports (at least 2 forms required per member) Please make sure you sign and date your application and return to: Level 1, 119 the Crescent Fairfield NSW 2165 OR Level 4, 79 George Street, Parramatta NSW 2150, Fax: (02) You may also lodge your application in person at Level 1, 119 the Crescent Fairfield NSW 2165 OR Level 4, 79 George Street, Parramatta NSW 2150 If you need help filling out your application, please contact us on (02) OR (02) affordablehousing@humecha.com.au Page 1

2 Application for Affordable Housing Please ensure that every question is answered clearly and attach as much additional supporting documentation as possible outlining your situation to help us to assess your application fairly. Please write answers in CAPITAL LETTERS and circle or tick answers where appropriate. All information received is confidential. 1. DETAILS ABOUT YOU Title Mr Mrs Miss Ms Other Surname First name(s) Current address Should your address change at any time, please inform us immediately in writing. No. Street Suburb State Postcode Contact phone Mobile Home Work Date of birth DD MM YYYY Gender Male Female Emergency contact (Someone who does not live with you) Mr Mrs Miss Ms Surname Given Names Address Phone number Relationship to you Are you (Select one) A citizen of Australia Permanent Resident of Australia Other Language spoken at home Do you need an interpreter? Do you have a live Pathways Application? Yes Yes No. If YES, what language interpreter do you need? No. If YES, what is your TFile Number? Page 2

3 Application for Affordable Housing 2. OTHER PEOPLE WHO WILL LIVE WITH YOU Surname First name Relationship to you Date of birth Gender Current school/ employer 1 DD MM YYYY M/F 2 DD MM YYYY M/F 3 DD MM YYYY M/F 4 DD MM YYYY M/F 5 DD MM YYYY M/F 6 DD MM YYYY M/F 7 DD MM YYYY M/F Does anyone on your application receive Centrelink Income? Yes No (If yes, please provide either Centrelink income statements for the last one year (52 weeks) OR sign the attached Multiple Authority Consent form for each person earning Centrelink income.) Do you have any pets? If yes, please detail below: 3. WHAT LOCAL GOVERNMENT AR EA ARE YOU APPLYING FOR? Bankstown Ashfield Liverpool Telopea Guildford Northmead Parramatta Other Page 3

4 Application for Affordable Housing 4. CONNECTION TO THE AREA What is your connection with the area in which you are applying for housing? Employment Family Education Long term resident Other None Please provide details and proof of any connection noted above: 5. FAMILY INCOME Are you currently: Self employed Full time employed Casually Employed Unemployed Part time employed Full time student Part time student Attach copies of all income documents as mentioned on the checklist for all household members. Name Relationship Wages per fortnight Pension / Benefit/ Other Centrelink Income Self $ $ $ $ $ $ $ $ If employed, please provide the following details: Employer name and full address Employer phone number Date employed commenced Position Date employment ceased (if applicable) Page 4

5 Application for Affordable Housing 6. STUDENT DETAILS Institution Course name Course length Years of study Hours per week 7. YOUR CURRENT HOUSING CIRCUMSTANCES What sort of accommodation do you have now? (Please tick one only) Renting a private house or flat Temporarily staying with friends or family Other Specify Please state the total fortnightly rental for this housing Please state how much of the total rent you pay (excluding contribution to utilities) Please provide contact details for your landlord 8. ASSETS PLEASE ATTACH COPIES Please include in this section the total assets of the household Does any person included on this application have any of the following: Cash/savings Yes No Car Yes No Property/share in property Yes No Business/share in business Yes No Other assets Yes No Value $ $ $ $ $ 9. DEBTS PLEASE ATTACH COPIES Please include in this section the total debts of the household Who I owe Amount owing in total Repayment amount per fortnight Page 5

6 Application for Affordable Housing How did you hear about Hume? Did you know any staff and/or director of Hume prior to this application? Yes No If yes, please provide details (i.e. relative, friend) Relationship Name Position 10. PREVIOUS TENANCIES Have you participated in an Affordable Housing program in the past? Yes No Please provide details if you have answered yes. Where When 11. APPLICATION DECLARATION I declare to the best of knowledge that: The information given in this application is true and correct I have no objection to Hume verifying information provided I will advise Hu m e of any changes in circumstances that may affect my application as soon as possible I may be requested to provide further documents to Hume at any time At the end of the tenancy term in Affordable Housing, Hume is not obliged to house or provide alternative accommodation to me or any other household members I understand that the accommodation made available through the Affordable Housing Program is not social housing I understand that the Affordable Housing Program is not long term and that my eligibility will be assessed on annual basis Signature: Signature: Date: Date: Page 6

7 GENERAL INFORMATION: This first page sheet summarizes the eligibility criteria used in assessing applicants for affordable housing with Hume. Eligibility does not guarantee that an offer of housing will be made. Those eligible will be prioritized according to the Company s eligibility selection and allocation policy. The criteria aims to establish fair and nondiscriminatory access to housing. Hume offers properties for rent up to a maximum of 80% of market rent. ELIGIBILITY CRITERIA In order to be considered for housing with Hume ALL the criteria listed MUST BE met.. 1. Income Types Your gross annual household income must fall within the following types (see table below). NOTE: Housing is generally Considered affordable if the rent payable is no more than 30% of gross household income. Household composition Initial household income limit ($) Existing tenant income limit ($)* One adult 48,527 60,659 Two adults 67,089 83,862 Three adults 85, ,065 Four adults 104, ,268 Sole parent with one child Sole parent with two children Sole parent with three children Couple with one child Couple with two children Couple with three children 67,136 83,920 83, ,040 99, ,159 83, ,982 99, , , ,220

8 2. Housing Allocation Hume allocated properties based on the following guidelines: Allocation Bedroom allocation 1 BR 2 BR 3 BR 4 BR Single, no children 1 Single and one (1) Child 2 Couple, no Children 1 2 Couple and one (1) Child 2 3 Single and two (2) Children 2 3 Couple and two (2) Children 3 Single and three (3) Children 3 4 Couple and three (3) Children 3 4 Single and four (4) Children Residency You must be a Citizen or Permanent Resident of Australia 4. Home ownership You must not own a residence/property. If you have met the criteria above, then you are eligible to make an Application. All applicants over the age of 18 must complete an application form and provide documentation. Please continue to the Application. Website: Phone: (02) Fax: (02)

9 Centrelink Deduction and Confirmation Services As a customer of Hume Community Housing Association (Hume) we need to know and confirm some of your details held by the Australian Government Department of Human Services (the department). Centrelink Confirmation eservices is an electronic system that lets you to choose to have your Centrelink details provided or confirmed between Hume and the department. We have been assessed and approved by the department to provide these services. We must comply with strict guidelines around who accesses the information and how the information is collected and stored. Who is eligible to use these services? Customers who are receiving Rent Assistance or paying rent using Centrepay can authorise the exchange of information. What services are available? 1. Electronic Verification of Rent (EVoR) EVoR is a secure, automated process which lets us send your rent details to the department electronically. You will not have to complete a Rent Certificate or tell the department every time your rent changes. How does it work? When there is a change in rent, the new rent amount will be updated electronically with the department. What details will we send to the department? the address of the property you are renting the date you moved in the amount of rent you pay, and the date you started paying the rental amount. How will the information be used? The information will be used by the department to assess your eligibility for Commonwealth Rent Assistance. 2. Income Confirmation Income Confirmation (IC) is a service where you can authorise the department to provide your details directly to us. How does it work? If you wish to use IC, the department will send your income details electronically to us so we can assess your eligibility for services quickly and conveniently. What if some household members choose not to participate in IC, or don t receive Centrelink payments? Household members who don t or can t participate in IC will be required to provide proof of their income. If they receive a Centrelink payment they will have to contact the department and request an income statement to be sent to us. If they do not receive Centrelink payments, they will need to provide other details of their income, for example, wage slips. It remains the applicant or tenant s responsibility to make sure income details of all household members are available when required. Page 1 of 4

10 Centrelink Deduction and Confirmation Services What details will the department send to us through IC? Only information that we need will be provided by the department ie. the type of pension or payment, the amount and date paid amounts being deducted from your Centrelink payments (for example Child Support, Easypay or Centrepay), and details of other income you have told the department about. Details of other income you receive can be provided to us separately. How will the information be used? The information will be used by us to assess your entitlement to reduced rent and ongoing eligibility for housing assistance 3. Centrepay Centrepay is a free direct bill-paying service. You can choose to have your rent amount deducted from your Centrelink payments and paid directly to us. The balance of your Centrelink payments are made into your nominated bank account How does it work? You, as the customer, will need to complete a Centrepay Deduction Form and send it to the department. If your rent amount changes, we will contact the department and tell them of the new rent amount payable. What details are exchanged? We will tell the department: to change your existing Centrepay deduction, target amount or suspend the nominated deduction from time to time to ensure your housing payments are met, and of your correct account or billing number if required. They will provide us information to reconcile your payment deduction details. How will the information be used? The information will be used to ensure the correct amount of rent is being deducted. If you nominate to pay extra, the amount will be deducted for the period nominated by you. Why use these services? They are free. You will save time by not having to phone or pick up an income statement or Rent Certificate. It is easy and convenient because we will contact the department on your behalf. What do I do if I want to stop one or all of the services? You can cancel one or all at any time by contacting us or the department. If you stop using any of the services you will be required to provide proof of the requested information as required by either us or the department. If you would like more information visit humanservices.gov.au/business or book a time to meet with a Hume team member who can assist you further on Page 2 of 4

11 Authorisation Form Multiple Consent and Authority Family Name Given Names Customer Code Date of Birth Customer Reference Number Address You must clearly indicate each service you wish for this customer consent to be applied. Please mark the appropriate box with a cross. 1. Electronic Verification of Rent (EVoR) 2. Income Confirmation I authorise: Hume Community Housing Association to collect and use my current and future accommodation information and to provide it to the department for reassessment of my eligibility for Commonwealth Rent Assistance. I understand that: the information collected and used by Hume Community Housing Association and provided to the department may include my Customer Reference Number, family name, given name, date of birth, address, household rent, individual rent, and relationship status. every time Hume Community Housing Association provides information to the department, I will be advised in writing. I authorise: Hume Community Housing Association to use Centrelink Confirmation eservices to perform a Centrelink/DVA enquiry of my Centrelink income, asset and payment details to enable the organisation to determine if I qualify for housing assistance / rent subsidy. the department to provide the results of that enquiry to Hume Community Housing Association. I understand that: the department will use information I have provided to the Hume Community Housing Association to confirm my eligibility for housing assistance / rent subsidy and will disclose to the Hume Community Housing Association personal information including my name, address, concession card status, payment type, payment status, income, assets, one-off payment, deduction and shared care arrangements. I can obtain proof of my circumstances/details from the department and provide it to Hume Community Housing Association so that my eligibility for housing assistance / rent subsidy can be determined. if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for housing assistance / rent subsidy provided by Hume Community Housing Association. 3. Centrepay I authorise Hume Community Housing Association to advise the department: to change my existing Centrepay deduction, target amount or suspend the nominated deduction from time to time to ensure my housing payments are met, and of my correct account or billing number if required. I authorise the department to: provide information for the purpose of reconciling my payment deduction details. X Yes No Yes No Yes No Page 3 of 4

12 Authorisation Form Multiple Consent and Authority In understand that: this consent, once signed, is effective for the service/s indicated, and only for the period that I am a customer of Hume Community Housing Association. this consent which is ongoing, may be withdrawn by me, at any time, by giving notice in writing to Hume Community Housing Association. I can withdraw my consent for all indicated service/s by contacting Hume Community Housing Association. every time that Hume Community Housing Association provides information to the department for EVoR and/or Centrepay, I will be advised. Hume Community Housing Association will maintain a record of my consent for 5 years. if I withdraw part or all of this consent in relation to Electronic Verification of Rent that I will be responsible for notifying the department of all future changes to my accommodation circumstances. I will be able to obtain a written copy of the income statements the department provides to my housing organisation at any time from either the department or Hume Community Housing Association. For more information visit humanservices.gov.au Signature: Date: / / Page 4 of 4

13 HUME Community Housing Association Company Ltd. FORM: AFFORDABLE PERSONAL REFERENCE PERSONAL REFERENCE How long have you known the applicant? Years months In what capacity do you know the applicant? Friend ( ) Relative ( ) Colleague ( ) Other ( ) please specify:_ Please provide comments regarding the applicants character: Signed by referee: Signed on behalf of referee: Date: Date: Date reference provided: Reference collated by: phone ( ) ( ) Letter ( ) other ( ) specify Officer collating information: Document Name: F Affordable tenancy reference Version: T.V Consultation Required No Effective Date: 20/10/14 Requires Board Approval No Approved Date: Approved by: COO Review Date: 20/10/16 3

14 1/119 The Crescent, Fairfield NSW Landlord Reference Letter Applicant Name: Applicant Current/Former Address: I hereby authorize my current/former landlord(s) to release the information requested below: Applicant Signature: To the agent/landlord, The above applicant has applied to rent our premises and has named you as a former/current landlord. Please kindly complete the information below and return it to us as soon as possible. Your assistance in this matter is greatly appreciated. Duration of Applicant's Lease: From to. Does the applicant still owe you any rent or fees? [ ] Yes [ ] No Did the applicant pay you rent on time? [ ] Always on time [ ] Sometimes late [ ] Always late Did the applicant give you proper notice before vacating your premises? [ ] Yes [ ] No Was the premises left in good condition when the applicant vacated? [ ] Yes [ ] No

15 1/119 The Crescent, Fairfield NSW Did the applicant cause property damage beyond normal wear and tear? [ ] Yes [ ] No If yes, please explain: Were there any complaints about the applicant from neighbours or co-tenants? [ ] Yes [ ] No If yes, please explain: Would you rent to this applicant again? [ ] Yes [ ] No If no, please explain: Additional Comments: Real Estate Agency/ Landlord Name Property Manager Contact Number