Merthyr Tydfil



Personal DetailsAPPLICANT 1Name: ………………………………………………………… D.O.B …………………………………Address (including postcode):……………………………………………………………………………………………………………………………………………………………………………………….………………………………………………………………………………………………………………….Telephone Number: …………………………………………………………………………………Mobile: …………………………………………………………………………………………………….Email: ………………………………………………………………………………………………………Are you a British Passport Holder? Yes/NoIf no do you have indefinite leave to remain in the UK? Yes/NoAre you a first time buyer? Yes/NoJOINT APPLICANT (IF APPLICABLE)Name: ………………………………………………………… D.O.B …………………………………Address (including postcode):……………………………………………………………………………………………………………………………………………………………………………………….………………………………………………………………………………………………………………….Telephone Number: …………………………………………………………………………………Mobile: …………………………………………………………………………………………………….Email: ………………………………………………………………………………………………………Are you a British Passport Holder? Yes/NoIf no do you have indefinite leave to remain in the UK? Yes/NoAre you a first time buyer? Yes/NoWHO WILL BE LIVING WITH YOU?NameD.O.BSexRelationship to ApplicantEmployment DetailsAPPLICANT 1Are you employed? Yes/NoOccupation: …………………………………………………………………………………………………..Employer: ……………………………………………………………………………………………………..Employer’s Address: ……………………………………………………………………………………….………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………Gross Annual Salary (before tax and deductions): …………………………………………..Net Monthly Salary (after tax and deductions): ………………………………………………APPLICANT 2Are you employed? Yes/NoOccupation: …………………………………………………………………………………………………..Employer: ……………………………………………………………………………………………………..Employer’s Address: ……………………………………………………………………………………….………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………Gross Annual Salary (before tax and deductions): …………………………………………..Net Monthly Salary (after tax and deductions): ………………………………………………Income DetailsPlease give details of any other monthly income you receive apart from your salary (e.g. Benefits, Tax Credits etc.)Details of incomeAmountDetails of loans and debtsMonthly repaymentDo you have and County Court Judgements registered against you? Yes/NoDo you have any savings? If yes how much: ……………………………………………………..Housing CircumstancesDo you currently rent your accommodation? If yes who is your landlord: …………………….……………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………….If you do not rent what type of housing do you reside in? ……………………………………………..………………………………………………………………………………………………………………………………………..Do you owe any rent? If yes how much? ………………………………………………………………………..Are you currently registered on Living Merthyr Tydfil (Common Housing Register)? …………………………………………………..What areas will you consider? ………………………………………………………………………………………..What type of property are you looking for? …………………………………………………………………..How many bedrooms do you require?Which scheme do you wish to be considered for?Rent to OwnShared OwnershipBothYou can submit this form to us in one of the following ways:Email: housing@.ukPost: Housing Team Civic Centre Castle Street Merthyr Tydfil CF47 8TNIn person: One Stop shop at the Civic Centre. Please mark it for the attention of Housing. ................
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