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APPLICATION FORM Reference number: Remember, you can save time by applying online at www.HomeBuyOptions.co.uk PLEASE READ THE ACCOMPANYING INFORMATION CAREFULLY BEFORE COMPLETING THIS APPLICATION FORM. Please fill in this form in BLOCK CAPITALS, then send it back to the address supplied on the last page. Please make sure that you sign and date the form, we can only consider your application if all appropriate sections are fully completed. Incomplete application forms will be returned. Which HomeBuy options are you applying for? (Please tick all that apply) Shared ownership (part buy, part rent) Rent to Buy / Discounted Rent (rent first, buy later) HOLD (Home Ownership for people with Long-term Disabilities) OPSO (Older Persons Shared Ownership) If you are interested in a particular development or property, please state which one: Please state name of housing association selling development/property: FirstBuy (Equity loan – available on specific new build developments) If you are applying for a specific new build development, please state which one: Please state name of developer selling the development: Have you previously applied for low cost home ownership with Moat? Yes No If yes, what was your reference number? If you are already registered with another HomeBuy Agent, please state which one: Please answer the following questions Applicant 1 Applicant 2 1. Do you have a gross household income of less than £60,000 per annum? Yes No Yes No 2. Do you have access to the required savings to cover the cost of buying? Yes No Yes No 3. Do you have personal debts e.g. car loan, credit card? Yes No Yes No 4. If you are self employed, can you provide a minimum of three years of accounts or evidence of income? Yes No Yes No 5. Have you ever been refused a mortgage? Yes No Yes No 6. Have you ever had a home repossessed? Yes No Yes No 7. Have you ever been declared bankrupt? Yes No Yes No If yes, has this been discharged? Date of discharge Yes No Yes No 8. Have you ever had any County Court Judgements (CCJs)? Yes No Yes No If yes, have these been satisfied? Date CCJ was satisfied Yes No Yes No 9. Are you currently entered into an IVA (individual voluntary arrangement)? Yes No Yes No 10. Have you ever failed to keep up payments on a loan or any form of credit agreement? Yes No Yes No 11. Have you been in mortgage or rent arrears or in breach of your tenancy agreement within the last twelve months? Yes No Yes No 12. I am aware that I am likely to need a deposit to obtain a mortgage to purchase a property. Yes No Yes No 13. If accepted for Rent to Buy, I agree to save the discount from my rent towards a deposit. Yes No Yes No