2. What is the minimum number of bedrooms you require?
1
2
3
4
5
3. Any further requirements?
Garage
Garden
Other
4. Details of those who need to be housed - including applicant
Surname
Christian Names
Relationship to Applicant
Date of Birth
5. Type of property now occupied:
Occupied as:
Owner
Tenant
Sub-Tenant
Lodger
Do you share your present accommodation? (Give full details below)
6. Have you ever been in arrears in your Rental/Mortgage Payments?*
Yes
No
If yes, give full details below
7. Have you ever had any County Court Judgements against you?*
Yes
No
If yes, give full details below and if necessary continue on seperate email
8. Have you ever been refused credit?*
Yes
No
9. How long have you lived at your present address?
Years Months
10. Name and address of Employer(If none, state "none")
How long have you been employed there?
Years Months
11. Are you on the EDDC/TDC Housing List?
Yes
No
12. Please indicate any special circumstances which you consider affect your need for accommodation
13. Maximum affordable rent per month? £
14. Please give names & addresses of two people who may be approachable for a reference - One should be personal and one should be from your current landlord or employer
(No contact will be made without the Applicant's consent)
15. Please give details of your property requirements*
DECLARATION*
I CERTIFY THAT THE PARTICULARS GIVEN ON THIS FORM ARE TRUE AND CORRECT.
YES
DATED:
IF ANY SUITABLE PROPERTIES BECOME AVAILABLE YOU WILL BE CONTACTED.
YOU WILL REMAIN ON THE LIST FOR A PERIOD OF 12 MONTHS. IF YOU WOULD LIKE TO BE ON THE LIST AFTER THIS TIME, PLEASE REAPPLY SO THAT OUR RECORDS ARE KEPT UP TO DATE.
PLEASE LET US KNOW IF YOU WOULD LIKE TO BE REMOVED FROM THIS LIST.
