Low Cost Home Ownership Application Form

Transcription

1 Low Cost Home Ownership Application Form Please complete and return your application form to the following address before Friday 12 th August 2016: Low Cost Homes Applications, Communities Housing & Infrastructure, Aberdeen City Council, Business Hub 11, Second Floor West, Marischal College, Broad Street, Aberdeen. AB10 1AB If you need help or advice on completing this form please contact: Tel: I / we wish to be considered for Low Cost Home Ownership at Fairley Grove, Kingswells (Dandara Homes) Please ensure you enclose all information requested in Part Three or we will be unable to consider your application Part One The Applicants Please complete the following information in BLOCK CAPITALS. First Applicant Surname: First names: Current Second Applicant Surname: First names: Current Telephone: Date of Birth: Telephone: Date of Birth: Relationship to applicant 2: Relationship to applicant 1: Please tell us about the other people who will be living with you: Surname First Name(s) Date of birth Relationship to applicant(s) - 1 -

2 Part Two Current Accommodation First Applicant 1. How would you describe your current living arrangements? Home Owner Living with parents / relatives Local Authority tenant Lodger Private rented tenant Tied accommodation Registered Social Landlord tenant (usually a Housing Association or Co-operative) Other please state: 2. If you are a tenant, lodger or living in tied accommodation please give the address of your landlord: Postcode: 3. Are you on a Local Authority or Registered Social Landlord waiting list? Yes / No If yes please give details below: Name of Local Authority / Registered Social Landlord Date Registered Reference Number 4. Are you a first time buyer? Yes / No If No please give details of current or previous home ownership, including date sold, profit, reasons for sale. 5. Reasons for applying / current circumstances: What are your reasons for applying. Please tell us about any special circumstances you would like us to consider

3 Second Applicant 1. How would you describe your current living arrangements? Home Owner Living with parents / relatives Local Authority tenant Lodger Private rented tenant Tied accommodation Registered Social Landlord tenant (usually a Housing Association or Co-operative) Other please state: 2. If you are a tenant, lodger or living in tied accommodation please give the address of your landlord: Postcode: 3. Are you on a Local Authority or Registered Social Landlord waiting list? Yes / No If yes please give details below: Name of Local Authority / Registered Social Landlord Date Registered Reference Number 4. Are you a first time buyer? Yes / No If No please give details of current or previous home ownership, including date sold, profit, reasons for sale. 5. Reasons for applying / current circumstances: What are your reasons for applying. Please tell us about any special circumstances you would like us to consider

4 Part Three Income and Financial Information 1. Employment income please give gross annual figure (before tax and NI deductions): First applicant Second applicant Other adults who will live with you Total household income 2. Additional household income (monthly) this should cover all applicants if more than one: e.g. Tax Credits, Child Benefit, maintenance income 3. Please specify total personal savings held: First applicant Second applicant 4. If you do not have savings available please specify how you plan to fund the deposit. 5. Have you had an offer of a mortgage from a bank or building society? Yes No 6. How much have you been offered: 7. Please give us the name and address of your solicitor is you have one: Please include with your application: Proof of income, e.g. copies of last 3 wage slips or P60 If self employed please submit your most recent 12 month profit and loss accounts Proof of savings / capital available for deposit e.g. bank statements Copy of mortgage offer if available Note: Total annual household income should be 40,000 or less Aberdeen City Council will be the sole judge of the eligibility of applicants - 4 -

5 Part Five Signing the application form For joint applications both signatures are required. I / We confirm that I / We would like to be considered for the Low Cost Home Ownership scheme and that I / we have fully considered the requirements of the scheme as laid out in the information accompanying this application form and any other information received in relation to the scheme. I / we understand that the information given on this form will be used by Aberdeen City Council for the purpose of assessing my / our eligibility for the Low Cost Home Ownership scheme. I / we understand that Aberdeen City Council will notify the developer of my / our eligibility for the scheme. I / we acknowledge and explicitly give my / our consent to Aberdeen City Council gathering, processing, disclosing and storing personal information about me / us in accordance with the Data Protection Act 1998, as will be required to process my / our application for the Low Cost Home Ownership scheme. I / we confirm that the information provided in this application form is to the best of my / our knowledge and belief correct and accurate in all respects. I / we understand that giving false or misleading information may result in me / us becoming ineligible for the Low Cost Home Ownership scheme. Signatory 1: PRINT NAME (Including title e.g. Mr/Mrs/Miss/Ms) Signature 1: Date: Signatory 2: PRINT NAME (Including title e.g. Mr/Mrs/Miss/Ms) Signature 2: Date: All applicants must sign this form twice once here and once in the next section. The signature in the next section allows us to request information from your current landlord and also in relation to any waiting lists you are currently listed on

6 Part Six Allowing us to request and share information I / we hereby authorise (enter the name and address of your current landlord) Tenancy No: to release any information about my current tenancy which Aberdeen City Council might need in connection with my / our application to purchase a home under the Low Cost Home Ownership scheme. I / we also authorise (enter the names and addresses of any housing provider whose waiting list you are currently listed on) Ref No: Ref No: Ref No: Ref No: to release any information about my / our application which Aberdeen City council might need in connection with my / our application to purchase a home under the Low Cost Home Ownership scheme. Signatory 1: PRINT NAME (Including title e.g. Mr/Mrs/Miss/Ms) Signature 1: Date: Signatory 2: PRINT NAME (Including title e.g. Mr/Mrs/Miss/Ms) Signature 2: Date: - 6 -

7 Equal Opportunities Monitoring Please indicate your ethnic origin by ticking the relevant box. If you want to provide more details about your ethnicity, or if you feel the ethnic categories are too broad, please give more information in the box provided. App 1 App 2 White Scottish White Other British White Irish White - Other Asian, Asian Scottish or Asian British: Indian Asian, Asian Scottish or Asian British: Pakistani Asian, Asian Scottish or Asian British: Bangladeshi Asian, Asian Scottish or Asian British: Chinese Asian, Asian Scottish or Asian British: Other Black, Black Scottish or Black British: African Black, Black Scottish or Black British: Caribbean Black, Black Scottish or Black British: Other Mixed Gypsy Traveller Other Not known Do not want to answer Additional space for extra information - 7 -

8 DATA PROTECTION The information collected on this form is recorded manually and electronically, stored securely and processed for the purposes of assessing that you qualify for the Low Cost Home Ownership scheme. Aberdeen City Council (ACC) will process your information fairly and lawfully and in accordance with the principles of the Data Protection Act The information you provide may be used to contact you again in the future regarding Low Cost Home Ownership. For the purposes of processing your personal information, ACC is the Data Controller. The nominated representative of the Data Controller is the City Solicitor. You have a right to obtain details of the personal information which ACC holds about you. Such a request should be made in writing to Information Management Liaison Officer, Communities, Housing and Infrastructure, Aberdeen City Council, Business Hub 11, Second Floor West, Marischal College, Broad Street, Aberdeen AB10 1AB