Shared ownership approval form

Development:
N/ABollin GrangeBridge ViewBrook ViewDaltons WayFarington MewsHalf Penny MeadowsLathbury GardensLichfield GrangeLockside WalkWheatfieldsWoodcroft Corner

Plot Number

PURCHASER NAME(S)

Is this a joint application? YesNo

If NOT lead applicant, please complete

Relationship to lead applicant:

FINANCIAL DETAILS

Are you receiving any of the following:
—Please choose an option—Housing benefitUniversal Credit housing elementNeitherDon't know

Is a mortgage required?
YesNo

Are you contributing to mortgage?
YesNo

Is your income being used for the mortgage application?
YesNoN/A

Please provide your gross annual income (i.e. salary before tax) plus annual amount of benefits, universal credits or pensions and income from investments:

Current household savings (including deposit):

ELIGIBLITY

Scheme type: —Please choose an option—Shared ownershipOlder People's Shared Ownership (OPSO)Rent to Buy

Reason for applying: —Please choose an option—First-time buyerRelationship breakdownUnable to buy without assistanceOver 55 and living in unsuitable accommodationOther

If other, please specify:

Is your gross annual household income less than £80,000? YesNo

Have you previously been a homeowner? YesNo

Do you currently have a property to sell? YesNo

If YES, what is the status?

—Please choose an option—Sale agreed and proceedingOn the marketNot on the market

ABOUT YOU

First name

Middle name(s)

Surname

Applicant address

Applicant lived here less than 3 years? YesNo

Date of birth

Age

Tel/mobile number

Your email

National Insurance Number

ORIENTATION

Marital status:
—Please choose an option—MarriedWidowedDivorcedSeparatedSingle

Title:

Gender:
—Please choose an option—MaleFemaleOtherPrefer not to say

Is gender identity the same as sex assigned at birth?
YesNo

Sexual orientation:
—Please choose an option—HeterosexualHomosexualBisexualOther sexual orientationPrefer not to say

Religion:
—Please choose an option—ChristianBuddhistHinduJewishMuslimSikhNo religionOther religionPrefer not to say

EQUAL OPPORTUNITY

Disability
YesNo

Registered disabled
YesNo

Do you require a wheelchair
YesNo

Ethnicity:—Please choose an option—UKRepublic of IrelandEuropean Economic Area, excluding Ireland (EEA includes member states of the EU, plus Iceland, Liechtenstein and Norway).Other

Preferred language:

Other language:

Preferred method of communication:

Other method of communication:

Are you a British citizen?
YesNo

If above is No, please advise: Do you have indefinite leave to remain in the UK?
YesNo

Are you a member of the armed forces?
YesNo

A surviving partner of a member of the armed forces?
YesNo

Bereaved in the last 24 months?
YesNo

Honourably discharged in the last 24 months?
YesNo

Living arrangements:
Please select from below

—Please choose an option—Local authority tenantPrivate registered provider or housing association tenantPrivate tenantOwner occupierTied home or renting with jobLiving with family or friendsTemporary accommodationOtherDon't know

Are you currently a tenant?
YesNo

Are you a local authority tenant?
YesNo

(*If YES, please also complete the Tenancy section)

Are you in rent arrears?
YesNoN/A

Do you have a history of rent arrears?
YesNoN/A

Rent arrears details:

Employment status
Please select from below

—Please choose an option—Full time (30 hours+)Part time (Fewer than 30 hours)In government training into workJobseekerRetiredNot seeking workFull-time studentUnable to work due to long-term sickness or disability

Job title:

Employer details:

Length of employment:

Other employment:

Local authority you live in:

Local authority you work in:

Other occupants

Number of adults:

Number of Children:

Pets? YesNo

*Please provide a description

TENANCY DETAILS

Are you currently a private registered, housing association or local authority tenant?
YesNo

If YES, please complete the following section

What is the property type?
—Please choose an option—Flat or MaisonetteBedsitHouseBungalowOther

How many bedrooms do you have?

Current tenure:
—Please choose an option—Social rentAffordable rentPrivate rentOther

SUPPORTING STATEMENT

Have you been asked to provide a supporting statement? YesNo

If YES, please provide below

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