THE SHARED OWNERSHIP REGISTER APPLICATION FORM

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To apply to the Shared Ownership Register you need to be able to get a mortgage THE SHARED OWNERSHIP REGISTER APPLICATION FORM Please ensure ALL the sections are complete with as much detail as possible and in block capitals. Incomplete forms will be returned to you and this will result in a delay in registering your application. If there is anything you do not understand, please ask! For Office Use Only Name of Applicant Application Number Date Entered & Initials Please circle relevant category Out Of Area Owner Occupier S/O Owner Occupier Council/HA Tenant Tenancy with Job Private Tenant Living with Family Lodger Housing Options, Bracknell Forest Borough Council, Time Square, Market Street, Bracknell, Berkshire RG12 1JD T: 01344 352000 F:01344 351274 DX: 33611 Minicom: 01344 352045

1. YOUR PERSONAL/FAMILY DETAILS AND YOUR PRESENT ADDRESS Please list all those people who are to be housed with you, begin with yourself TITLE RELATIONSHIP TO e.g. SURNAME FIRST NAMES YOU Mr/Mrs Applicant Partner/Husband/Wife DATE OF BIRTH Is anyone in your family, listed above, an expectant mother: If, please give the name of the expectant mother: And the date the baby is due: Have you ever been known by any other names? If, Please list the names you have been known as: YOUR ADDRESS: POSTCODE: Date you moved to your present address: CONTACT DETAILS Please tick your preferred contact HOME TEL: WORK TEL: MOBILE TEL: E-MAIL: Correspondence Address, if different from above: YOUR STATUS: Please tick as appropriate Married Single Divorced Widowed Separated Cohabiting complete as appropriate Date of Marriage: Date of Divorce: NB If you have previously been married you will be required to provide proof of your divorce, legal separation or single status 2. YOUR CURRENT HOUSING CIRCUMSTANCES Are You: please tick as appropriate A Bracknell Forest Homes tenant The Owner-Occupier/buying the property A tenant of housing provided with your job In HM Forces quarters A shared ownership lessee A Housing Association tenant A private tenant Living with family/friends/other A lodger If you are a Bracknell Forest Homes tenant/housing Association tenant within the Borough, do you have rent arrears?

If you are renting the property either from a Housing Association or an Agent, please give Name and Address of your Landlord/Agent: Amount of rent paid: weekly/monthly Do you receive Housing Benefit: Do you or your partner own or have you ever owned a property: If, please give: the Address of the Property/Properties: Do you have an interest financial or otherwise in any of the above properties? If yes, please give the: approximate value of the property amount of outstanding mortgage Name and address of your mortgage company 3. FINANCIAL INFORMATION Are you working: Is your partner working: What is your Occupation? Name & Address of Employer Date Employment Started Amount of Annual Gross Income Overtime, Bonus, etc What is your Partner s Occupation? Name & Address of Employer Date Employment Started Amount of Annual Gross Income Overtime, Bonus, etc If you are sharing a mortgage and more than one of you has income you want taken into account, you have to decide who to nominate as the person with the principal income. Person with the principal income is: Do you have any savings? If, please give the amount of capital/savings you have available for expenses? Do you save with a Building Society If, which one: Have you ever had a County Court judgement against you? Have you ever been declared bankrupt?

4. GENERAL INFORMATION Are you currently registered on Bracknell Forest Council s Housing Register? If, please give your registration number: 5. COMMITTMENTS Please complete this information, if you are liable to make any of the following payments and those payments are likely to continue for more than 18 months Monthly Amounts Currently Payable Date Agreement Ends Maintenance payments to a dependant Maintenance payments to your partner/former partner Payments under a loan agreement Payments under a hire purchase agreement Payments under any other credit agreement Payments under a Court order 6. AREAS OF PREFERENCE & TYPE OF PROPERTY PREFERRED You will be informed about schemes becoming available in the areas you indicate you would prefer to live in. If you will consider any area in the Borough, please indicate this and you will be sent information on all schemes. North Bracknell South Bracknell Binfield North Ascot Warfield/Winkfield Crowthorne Sandhurst Any Area in the Borough Please indicate the size and type of the property, you would prefer to be offered. Size of Property Which floors would you Type of Property please tick as desired consider, if applying for a flat 1 Bedroom Flat Ground 2 Bedrooms House First 3 or More Bedrooms House or Flat Second Third and above 7. DECLARATION I/We declare that the information contained in this form is true and I/We understand that any false or misleading statements or withholding of relevant information now or at any subsequent date, may result in any tenancy granted to me/us being terminated. I/We undertake to notify the Housing Options Manager in writing of any change in my/our circumstances affecting this application. Applicant s Signature: Date: Joint Applicant s Signature: Date: If you do not receive an acknowledgement within 28 days, please enquire at the Housing Office Remember: Your home is at risk if you do not keep up mortgage repayments or other loans secured on it. Information contained in this form is personal data which may be held in a computer and is therefore subject to the Data Protection Act 1998

Ethnicity Monitoring Bracknell Forest Council is concerned that it gives all applicants equal access to services. To make sure that we do treat everyone fairly please answer the question below. This information will be treated as strictly confidential. Name of applicant Address White British Irish Mixed White and Black Caribbean White and Black African White and Asian Asian or Asian British Indian Pakistani Bangladeshi Black or Black British Caribbean African Other ethnic groups Chinese You Your partner I do not want to answer this question