SHARED OWNERSHIP REGISTRATION FORM

Transcription

1 Office Use Only: Date Received SHARED OWNERSHIP REGISTRATION FORM The information on this form is important therefore if you require any help in completing it please contact our Glenrothes office for assistance SECTION 1: PERSONAL DETAILS (Please complete as fully as possible) First Applicant Joint Applicant Surname First Names Title Date of Birth Children s Names Sex & Dates of Birth (only if they live with you) Current Address (only tell us joint applicant address if it differs from yours) Home Telephone N o Mobile Telephone N o Address (Please note that if you provide us with an address we will normally use this method to correspond with you ) Your Current Landlord/Mortgage Provider Address Phone No (Tenancy References will always be sought)

2 First Applicant Joint Applicant Work Status Employed Employed Self Employed Self Employed Unemployed Unemployed Student Student Other (Please give details) Other (Please give details) Occupation Employers Name & Address Length of Time with Employer (or Self Employed) )Business) SECTION 2: PLEASE PROVIDE DETAILS OF YOUR INCOME Annual Gross Income (before deductions) Other Income Total Annual Gross Income (First & Joint Applicant) Total Savings SECTION 3: HOME OWNERSHIP STATUS (Please tick the box that applies to your current circumstances) First Time Buyer Not Presently a Homeowner (previously owned a home but not at the moment) Currently Living in a Mobile Home Owner Occupier (if you have ticked this box please complete the following information) If you are currently a home owner, is the property for sale? Yes No If your property is for sale, do you have a confirmed date of sale? Date (Please note, we will not be in a position to assess your application until we have a confirmed date of sale)

3 SECTION 4: PRESENT RESIDENCY STATUS (Please tick the box that applies to your current circumstances) Local Authority or Housing Association Tenant Living in Temporary or Insecure Accommodation Renting Privately Living in a Property that you Own Living with Parents, Family or Friends Other (Please provide us with details) SECTION 5: OTHER REASONS FOR APPLYING (Please tick all boxes that apply to your current circumstances) Relationship Breakdown Current Accommodation Unsuitable Medical Reasons Incoming Worker Educational Needs Local Authority/Housing Association Applicant Needing to move to Provide Support to a Family Member Domestic Abuse Threatened with Violence or Harassment Other (Please provide us with details) SECTION 6: ACCOMODATION REQUIREMENTS Choice of Area Type of Housing Required Size of Property Required Kingdom Housing also provide Shared Equity as another form of Low Cost Home Ownership. We will therefore use the information provided on this form to determine whether any of our Shared Equity projects fall within your requirements and advise you accordingly. If you do not wish to be considered for Shared Equity, please tick here Initial Share Requested 25% 50% 75% Have you or the Joint Applicant ever been a Tenant or Sharing Owner with Kingdom Housing Association in the past? Yes No If you have answered yes to the previous question, please supply us with further information below Dates From To Address

4 Do you or the Joint Applicant require ground floor accommodation? Yes No (If yes, please provide details of your requirements on an additional sheet) Do you own a pet? Yes No (If yes, please give details below, please note that dogs are not permitted where you live in a building with a shared entrance) Please tell us any further details about your situation that you feel we should consider: Please continue on an additional sheet if necessary. Where did you find out about Shared Ownership? Local Authority Word of Mouth Newspaper Advertising Website Site Sign Board Other (Please give details) Facebook

5 Relationship to Staff or Committee Members Special permission is needed for the Association to offer accommodation to employees, committee members or their close relatives. Are you, or anyone in your household a member or related to a member of staff or committee of the Association? (If yes, Please give details) Yes No DECLARATION: I declare that to the best of my knowledge and belief, all the information given by me on this application is true. I understand that should I give false or misleading information, my application may be cancelled and any offer for accommodation already made may be withdrawn. I have no objection to this information being verified and I undertake to notify you of any changes which may affect particulars supplied. Data Protection Statement We will use the information you give in this form, and in any supporting evidence you send to us, to process your application of Shared Ownership. We may pass the information to other agencies or organisations as allowed by the law and in accordance with our Registration with the Information Commissioner. Kingdom is registered under the Data Protection Act with the office of the Information Commissioner. Kingdom Housing Association Limited is the Data Controller for the purposes of the Data Protection Act. As the Data Subject, you have the right to access the information we hold on you. If you wish to access this right, please contact our office and ask for a Data Subject Access Request Form. Data Subject Express Consent In accordance with the Data Protection Act, information which is provided by you, which is defined as sensitive e.g. racial, or ethnic origin, political opinions, religious, or similar beliefs, trade union membership, mental or physical health, sex life, criminal records or allegations of criminal conduct, required your express consent to enable us to process this information. It is therefore essential that you sign the form where indicated to confirm you are aware of this need for us to collect this information and to confirm your permission for this. Signature: Signature: Date: Date: Please return to: Kingdom Housing Association Ltd, Saltire Centre, Pentland Court GLENROTHES, Fife, KY6 2DA sharedownership@kingdomhousing.org.uk

6 If you need this publication in larger print, audio form, Braille, or in another language, please contact our office and we will try to help you. The Scottish Housing Regulator Reg. No. HEP 142 Financial Services Authority Reg. No RS Scottish Charity No: SC000874