Property you are interested in Plot No(s) if known...

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1 SHARED OWNERSHIP APPLICATION FORM Please complete this application form using BLOCK CAPITALS in black ink. We will be unable to consider your application unless all sections are fully completed. Please note that all persons aged 18 or over (unless a child of the first applicant) must fill in their details as Second Applicant even if they do not earn an income. YOUR FUTURE HOME Development name... Property you are interested in Plot No(s) if known... Section 1 Your Household Title (Mr/Mrs/Ms/Miss/other) Surname First name Middle name(s) Date of birth Current address (if you have lived elsewhere in the last three years, please list all of your previous addresses after your current address here) Postcode What date did you move into your current property? Home telephone number Mobile telephone number Work telephone number address Which local authority area do you live in? Which local authority area do you work in? Which local authority area(s) do you want to live in?

2 Section 1 Your Employment Are you permanently employed? (If no, please advise when your contract is due to end) Contract end date (if applicable) Your National Insurance Number Occupation/job title (if you are not working please indicate; retired, early retirement on health grounds etc.) Employer s name (please specify if self-employed) Employer s address Employer s telephone number What date did you start working with this employer? Have you been employed by this employer for 12 months or more? (If no, please provide details here.) Section 1 MOD PERSONNEL ONLY If you are a serving member of UK s Armed Forces please complete this section Title/Rank Currently in Current location... Army Royal Air Force Royal Navy MOD Civilian UK Overseas... Army Royal Air Force Royal Navy MOD Civilian UK Overseas Section 1 Other members of your intended household Number of people who will be living in your household? Please state: Please include full name, relationship status and state whether in full-time education, working, etc. NAME RELATIONSHIP GENDER DOB EDUCATION/WORKING ANNUAL SALARY

3 Section 1 Other members of your intended household How would you describe your household composition? Are you or anyone living in your household expecting a baby? (If yes, please state who and due date) Do you own a pet? Details of pet Single Couple Sharing Couple with children Single with children Section 2 Your current housing and your housing needs Do you or does anyone living in your household currently own a property in the UK or abroad? (If yes, please provide details) Are you in the process of selling your property? What stage is the sale process at? Offer accepted Solicitors instructed Contracts exchanged Completed What date are you expecting to complete the sale of the property? Has your name been removed from the deeds of the property? If yes, what date was your name removed from the deeds? What is the current full value of the property? Please provide the amount of equity you have/will receive? Are you? (Please tick all that apply) A first time buyer A council tenant A housing association tenant Renting from your employer Living with family or friends Renting privately A previous home owner On a council waiting list Other (please state) Why are you selling/moving home? Financial difficulty Threatened with homelessness Job relocation Relationship breakdown Other (please provide details)

4 Section 2 Your current housing and your housing needs Are you registered on a Local Authority waiting list? (If yes, please specify which Local Authority) Housing list reference number: (If you are a council, housing association or private tenant, please give the name, address, telephone number of your landlord and if applicable the name of your Housing Officer) Are you registered with a Help to Buy Agent? (If yes, please specify which one and your reference number if known) How many bedrooms does your current home have? What type of property is your current home? What is the minimum number of bedrooms you need? What type of property are you looking for? (Tick all that apply) Do you or anyone in your household have any specific housing need? (For example: Require a ground floor apartment due to restricted mobility. If yes, please state what your specific needs are) One [ ] Two Three Four Other Studio [ ] Apartment House Bungalow One [ ] Two Three Four Other Studio [ ] Apartment House Bungalow Please provide us with any other information you think is relevant to your application

5 SECTION 3 INCOME AND SAVINGS Do you have access to at least 1,500 to cover the cost of moving and legal fees? Stamp Duty (if applicable) is not included in this amount What is your total annual income before deductions? (Exclude overtime and bonuses but include pensions) How much overtime, bonuses and commission do you normally earn (in total) a year? What are your savings? Have you been in rent arrears in the last 12 months? Do you have any outstanding loans? If yes, what is your total monthly payment? What are the repayments for? (e.g. car loan, etc) When is your final repayment due? Do you have any outstanding credit cards? If yes, how much is the outstanding balance? (Please provide details of final payment dates) Do you have regular monthly financial commitments? (For example: child maintenance) If yes, specify how much you pay per month and the reason Monthly Amount Monthly Amount Are you in receipt of any benefits? If yes, specify the type and how much you receive per month Working Tax Credits Child Tax Credits Child Benefit Disability Living Allowance Guaranteed Maintenance Income Other (please state) Have you ever had a home repossessed? Monthly Amount Monthly Amount Have you ever been declared bankrupt? If yes, has this been discharged? Have you ever had any County Court Judgements? (CCJs) If yes, have they been satisfied? Have you ever defaulted on a loan? Have you ever been refused a mortgage? Are you currently in an IVA (Individual Voluntary Arrangement)

6 SECTION 4 DECLARATION Are you related to a current or former committee member, board member or officer of a Registered Provider (housing association)? If yes, please specify: Name of the person Position Relationship Name of the Registered Provider Orbit Homes (2020) will only use your personal data for the purpose of processing your application for housing and will hold your information in accordance with the Data Protection Act All information you give to us on this application form (and information resulting from contact with your landlord and/or employer) may be shared with the same only in relationship to this application. Data will be treated in the strictest confidence. We reserve the right to take up any references relating to applicants as we consider it necessary and may search the files of any credit reference agency, which will keep a record of any such request. We must protect 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 the purpose 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 and handle public funds. The information may be used for statistical surveys, which means we may pass this information in confidence to the Homes and Communities Agency and agencies working on our and their behalf. Declaration: 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 home ownership. 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 and the Registered and/or Local Authority may seek possession of any leasehold tenancy granted. (Translation service is available if required.) I/we understand that as a council, housing association or other public sector tenant, I/we will be required to give up my/our rented home on the day of completion if I/we buy a home through this application. I/we authorise my/our landlord(s) to supply a rent and/or tenancy reference to Orbit Homes in support of my application. I/we authorise my/our employer(s) to disclose to Orbit Homes any information relevant to this application. If you are enclosing supporting documentation, please only send photocopies as originals cannot be returned. Please check you have filled in all sections of this application form. Signed Date Please your completed application form to: homes@orbit.co.uk To clear this form and start afresh, click below: clear form Alternatively you can print and post your completed application to: Orbit Homes Sales & Marketing Team 2nd Floor Horizon House Eclipse Park Sittingbourne Road Maidstone ME14 3EN

7 SECTION 5 EQUAL OPPORTUNITIES In order to ensure all applicants are treated fairly, could you please provide the following information about the first and second applicant. If you do not wish to provide the information, please tick prefer not to say. What is your gender? Male Female Prefer not to say [ ] [ ] What is your nationality? Are you a British or EU citizen? British [ ] EU citizen British [ ] EU citizen If other, do you have indefinite leave to remain? What is your ethnic origin? White British White Irish White Black African Black Caribbean Black Mixed White and Black African Mixed White and Black Caribbean Mixed White and Asian Mixed Asian Indian Asian Pakistani Asian Bangladeshi Asian Chinese Other Traveller/Gypsy Prefer not to say What is your preferred language? English What is your faith? Buddhist Christian (Church of England, Catholic, Protestant and all other Christian denominations) Hindu Jewish Muslim Sikh No religion Prefer not to say

8 SECTION 5 EQUAL OPPORTUNITIES Do you consider yourself to have a disability? (Please tick all that are relevant) Restricted mobility? Learning difficulties? continued Visual impairment (not corrected by wearing spectacles/ lenses)? Speech impairment? Severe facial disfiguration? Wheelchair user? Hidden disability?? Prefer not to say Are you in receipt of Disability Living Allowance? SECTION 6 WHERE DID YOU HEAR ABOUT ORBIT HOMES? Press advertisement Radio advertisement Online Leaflet/flyer Sign board/drove past site Friends/family Financial Advisor Help to Buy Agent Rightmove Zoopla Primelocation... Registered office: Orbit Homes, Garden Court, Harry Weston Road, Binley Business Park, Coventry CV3 2SU Orbit Homes (2020) Limited is a member of Orbit Group Limited, which is an exempt charity, registered under the Industrial and Provident Societies Act Details correct at time of going to print in April OH/SO/APP/0414