Test Application

VILLAGE OF INTEREST

*

Please tell us the name of the village where you are applying for housing.

ABOUT YOU

APPLICANT 1

APPLICANT 2

Surname *

Surname

First name(s) *

First name(s)

Date of birth *

(DD/MM/YY)

Date of birth

(DD/MM/YY)

Address *

Address

Post code *

Post code

Home phone number

Work phone number

Mobile phone number

Email address *

Email address

How long have you lived at this address?

If you have lived at this address for less than 5 years, please provide previous address(s)

Relationship to 2nd Applicant

(for joint applicants)

Relationship to 1st Applicant

(for joint applicants)

SUPPORTING DOCUMENTS

In order for us to process your application please ensure that you enclose the following with your completed form:
(If you are unable to enclose any of the documentation at this stage, you will be expected to have them with you if you are selected for an interview)

Copies of your last 3 months’ bank statements

Maximum file size: 6.29MB

Copies of your last 3 months’ or 5 weeks’ payslips

Maximum file size: 6.29MB

Please also include proof of any other income received, such as Working Tax Credit, Child Benefit etc.

If you are renting we would like a copy of your statement/rent book

Maximum file size: 6.29MB

Proof of any savings that you have

Maximum file size: 6.29MB

If you have had a County Court Judgement that has been satisfied, please enclose a copy of the Certificate of Satisfaction

Maximum file size: 6.29MB

Copies of statements relating to bank loans, credit/store cards, finance agreements, detailing instalment figure and remaining balance

Maximum file size: 6.29MB

(e.g. cars, white goods)

A photocopy of your photographic identification, with the original to be viewed at interview as necessary

Maximum file size: 6.29MB

(passport, driving licence etc.)

If you are applying for a shared ownership property you are also asked to provide:

A letter from your employer or a copy of your employment contract confirming that your employment is permanent (unless self-employed)

Maximum file size: 6.29MB

Proof of any savings you have

Maximum file size: 6.29MB

If your purchase is being helped by monies from family a letter from them confirming this and the amount they are contributing

Maximum file size: 6.29MB

If you have a home to sell, confirmation of the selling price from an Estate Agent

Maximum file size: 6.29MB

If you are unable to provide any documents, please explain which ones and why in the space below:

OTHER HOUSEHOLD DETAILS

If applicable please give details of each person, other than applicants 1 and 2, who will be living with you. (Expectant mothers should include anticipated date of birth)

Surname

First name(s)

Relationship to applicant

Date of birth (DD/MM/YY)

Add Remove

HOUSEHOLD PETS

Does your household have any pets?

Yes

No

If yes, please provide details

LOCAL CONNECTION

The majority of our homes are only available to people with a local connection to the parish in which they are built. If we are unable to find a suitable applicant from the parish, we will widen our search to surrounding villages.

APPLICANT 1

APPLICANT 2

Do you live in the village now?

Yes

No

Do you live in the village now?

Yes

No

If yes, for how long?

If you used to live there but moved away, please give dates when you lived there.

If you have close relatives living in the village please give their relationship, names & addresses and dates of how long they have lived in the village.

Do you have any other social involvement with the village? e.g. Parish Council, sports

PREVIOUS HOMES & HOUSEHOLD

APPLICANT 1

APPLICANT 2

Has any action been taken to recover possession of your home, e.g. notice been served or court proceedings issued?

Yes

No

Has any action been taken to recover possession of your home, e.g. notice been served or court proceedings issued?

Yes

No

If yes, please give details and enclose a copy of documentation.

File Upload

Maximum file size: 6.29MB

File Upload

Maximum file size: 6.29MB

Have you ever been served with notice or had a court order for anti-social behaviour or rent arrears?

Yes

No

Have you ever been served with notice or had a court order for anti-social behaviour or rent arrears?

Yes

No

If yes, please give details and enclose a copy of documentation.

File Upload

Maximum file size: 6.29MB

File Upload

Maximum file size: 6.29MB

Do you, or anyone in your intended household have any unspent criminal convictions?

Yes

No

Do you, or anyone in your intended household have any unspent criminal convictions?

Yes

No

If so please give details.

Do you now have, or have you ever had, a financial interest in or owned a property within the UK or abroad?

Yes

No

Do you now have, or have you ever had, a financial interest in or owned a property within the UK or abroad?

Yes

No

What is the current market value?

What is the outstanding mortgage?

If you have approached a Bank/Building Society for a mortgage, how much have they indicated they would be prepared to lend?

HOUSING REQUIREMENTS

Please indicate your preference
Complete this section only if you are applying as a first resident of a new scheme

Do you wish to:

Buy (Shared Ownership)

Rent

Either

If you prefer shared ownership, please explain below how the purchase will be funded? i.e. sale of property, family assistance, mortgage, savings etc.

YOUR PRESENT HOUSING CIRCUMSTANCES

TELL US ABOUT YOUR CURRENT HOME:

APPLICANT 1

APPLICANT 2

Is it owned by you, rented, tied, lodgings, shared (e.g. with parents), other?

(please specify)

Is it owned by you, rented, tied, lodgings, shared (e.g. with parents), other?

(please specify)

Is it a house, bungalow, flat, caravan, mobile home, rooms, bed-sit, other?

(please specify)

Is it a house, bungalow, flat, caravan, mobile home, rooms, bed-sit, other?

(please specify)

If it is a flat, what floor?

How many bedrooms are there altogether?

How many adults live there?

(please indicate gender and age)

How many adults live there?

(please indicate gender and age)

How many children live there?

(please indicate gender and age)

How many children live there?

(please indicate gender and age)

Do you have...

A bathroom?

Yes

No

A bathroom?

Yes

No

A kitchen?

Yes

No

A kitchen?

Yes

No

An inside WC?

Yes

No

An inside WC?

Yes

No

Own garden?

Yes

No

Own garden?

Yes

No

Shared garden?

Yes

No

Shared garden?

Yes

No

Access to garden?

Yes

No

Access to garden?

Yes

No

Are you under any obligation to leave, or threat of eviction

Yes

No

Are you under any obligation to leave, or threat of eviction

Yes

No

EMPLOYMENT & FINANCIAL INFORMATION

APPLICANT 1

APPLICANT 2

Occupation

Name of employer

Address of employer

Annual salary

(before deductions)

Annual salary

(before deductions)

OR weekly earnings

National Insurance Number

Additional income e.g. Income Support, Pension, Child Allowance, Tax Credits

Investment income, e.g. Savings etc.

(please specify)

Investment income, e.g. Savings etc.

(please specify)

Please list existing financial commitments

e.g. Loans, Credit/Store Cards, Finance agreements, Rent/Mortgage, Child Maintenance.

Please list existing financial commitments

e.g. Loans, Credit/Store Cards, Finance agreements, Rent/Mortgage, Child Maintenance.

Do you have any rent/mortgage arrears?

Yes

No

Do you have any rent/mortgage arrears?

Yes

No

If yes, how much?

What savings do you have?

If there are any other earners in the household?

Yes

No

If there are any other earners in the household?

Yes

No

If yes, what is their weekly pay?

OTHER APPLICATIONS FOR HOUSING

APPLICANT 1

APPLICANT 2

Are you on any local authority waiting list?

Yes

No

Are you on any local authority waiting list?

Yes

No

If yes, which ones and how long have you been on their list?

Are you on any other Housing Association’s waiting list?

Yes

No

Are you on any other Housing Association’s waiting list?

Yes

No

Have you ever been offered housing by a Council or Housing Association?

Yes

No

Have you ever been offered housing by a Council or Housing Association?

Yes

No

If you have been offered accommodation and have turned it down, please give details of why.

CITIZENSHIP STATUS

APPLICANT 1

APPLICANT 2

Are you subject to any immigration rules?

Yes

No

Are you subject to any immigration rules?

Yes

No

If yes, please explain

Have you been granted refugee status by the Home Office?

Yes

No

Have you been granted refugee status by the Home Office?

Yes

No

If you are not a British Citizen, please state your current immigration status and provide a copy of your current visa.

File Upload

Maximum file size: 6.29MB

File Upload

Maximum file size: 6.29MB

HEALTH & MOBILITY

Please answer all of the questions for yourself and anyone else who will be living with you.

APPLICANT 1

APPLICANT 2

Does your present home aggravate any medical condition?

Yes

No

Does your present home aggravate any medical condition?

Yes

No

Are stairs a problem?

Yes

No

Are stairs a problem?

Yes

No

Is a wheelchair or walking aid used?

Yes

No

Is a wheelchair or walking aid used?

Yes

No

Could your housing need be resolved by adapting your existing accommodation?

Yes

No

Could your housing need be resolved by adapting your existing accommodation?

Yes

No

Should this application be successful, would the new property require any adaptations?

Yes

No

Should this application be successful, would the new property require any adaptations?

Yes

No

Please give details where you have answered YES to any of the above questions

GP’s name and address

ADDITIONAL INFORMATION

In order to process your application we will also need a selection of additional information and would therefore be grateful if you could enter details below where applicable:

Additional information

Please add any further information that will help explain why you need the housing for which you are applying:

Income from State Subsidies or Benefits

Job Seekers Allowance pw

Occupational Pension pw

Tax Credits pw

State Pension pw

Income Support pw

Pension Credit pw

Child Benefit pw

Incapacity Benefit pw

Housing Benefit pw

Other Benefits pw

pw = per week

References

If you are currently renting a property we may seek reference from your current landlord as part of the application process, please therefore provide these details below:

Name of Landlord

Landlord’s Address

Assessing Current Affordability

When moving home it is important that you know your financial capabilities. The table below will help you understand what is affordable for you. If you are unsure of what costs might be, estimate on what you are currently paying. Don’t forget, if you’re looking to rent and come from a low income household you may be entitled to housing benefit; please contact your Local Council to find out more.

Please indicate if your calculations are based on weekly or monthly assumptions:

Weekly

Monthly

Rent/Mortgage

Council Tax

Contents Insurance

Electricity

Gas

Water

Telephone

Total Outgoings

Total income (salary/wages)

Other income (benefits/savings)

Total outgoings (household)

Total after deductions

SHARING INFORMATION:

English Rural Housing Association (ERHA) will only process your personal data for the purpose of processing your application for housing and will hold your information in accordance with the Data Protection Act 1998.
All information you give on this form (and information resulting from contact with your landlord and/or employer) may be shared with the same only in relation to this application.
All information will be treated in the strictest confidence. We reserve the right to take up any references relating to the application as we consider necessary and may search the files of any credit reference agency which will keep a record of any such request. We may also disclose the local connection highlighted in the application to the relevant Parish Council.
We must protect the public the public funds we handle and so may use the information you have provided on this form to prevent and detect fraud. Under section 29(3) of the Data Protection Act 1998 the information may be disclosed for purposes of crime prevention and detection. Sensitive personal data such as racial or ethnic origin, offences (including alleged offences) and physical and mental disabilities are required under the Equal Opportunities Monitoring statute.

We may also share this information for the same purposes with other organisations that handle public funds. The information may be used for statistical surveys, which means we may pass this information to government departments and agencies working on our or their behalf.

DECLARATION

Housing Associations are not allowed by law to grant benefit to their employees, committee members or their close relations. To assist us in complying with this law, please answer the following:

Are you, or any other applicant on this form, an employee, a Member, related to an employee or related to a Member of English Rural Housing Association?

Yes

No

If you have answered YES to the above, please give details:

It is a criminal offence to knowingly or recklessly make a false declaration or withhold information reasonably required in connection with your application. I/we have read the above and confirm that I/we have provided accurate and up-to-date information relating to my/our application for rented or shared ownership accommodation. I/we understand that if it is found that false information has been given to obtain housing either knowingly or recklessly, appropriate legal action may be taken by ERHA to seek possession of any tenancy or leasehold granted. (Translation service available if required)

I/we understand that as a tenant or owner occupier, I will be required to give up my tenancy/sell my current home on the day of completion if I buy or rent a home through ERHA.

APPLICANT 1

APPLICANT 2

Signature *

Please type your full name

Signature

Please type your full name

Date *

Date

Any documents you wish to send via post please send to:

Applications Department
The Granary
Greenways Studios
Lower Eashing
Godalming
Surrey
GU7 2QF

Tel: 020 7820 7930
Email us

WHAT HAPPENS NEXT?

On receipt, your application will be considered and your local connection, severity of housing need and financial abilities will be assessed. When these details are confirmed, you may be interviewed by a representative of English Rural Housing Association and your case will be considered by a panel before a final decision is made. You will be notified as soon as possible of the outcome of the selection procedure.

We will endeavour to return all original documentation enclosed as part of the application to both successful and unsuccessful applicants at the earliest opportunity. However, we would advise applicants to send copies only with their application and have originals ready for inspection by the Housing Manager should you be selected for an interview.

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