Section 1 Buyer Details:
One application per buyer
is required. Shared income (e.g. Family Allowance) should only appear
once.
Please complete ALL sections, inserting 'n/a' if the field is not
relevant to your specific situation. |
| In what area you would like to buy a house: |
|
| Short
description of what type of house you would like if you had a choice (land
size, bedrooms, distance from what town, shed etc): |
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|
First Name: |
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| Middle
Name: |
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| Last
Name: |
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| Email
Address: |
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| Phone
Number: |
|
| Fax: |
|
| Date
of Birth: |
|
| Drivers
License #: |
|
| Car
Registration: |
|
| Mobile
Phone: |
|
| Relative
To Contact In An Emergency: |
name
phone |
|
|
| Current
Employer or source of income: |
|
| Employer's
Phone: |
|
| Employed
Since: |
|
| Gross
Weekly Pay $: |
|
|
|
| Current
Living Address: |
|
| Rented/Owned:
|
Rented
Owned |
| Length
of Tenancy: |
|
| Landlord
/ Real Estate Name: |
|
| Contact
Number: |
|
| Current
Weekly Rent $: |
|
| What
portion of the above (if any) is Rent Assistance? |
|
|
|
| Previous
Living Address: |
|
| Rented/Owned:
|
Rented
Owned |
| Length
of Tenancy: |
|
| Landlord
/ Real Estate Name: |
|
| Contact
Number: |
|
| Previous
Weekly Rent $: |
|
|
|
Section
2 Other Income:
Include here details of any weekly income that you receive or are
entitled to (rent assistance, second jobs, pension etc):
|
|
|
| Item:
|
|
| Amount
per week $: |
|
|
|
| Item:
|
|
| Amount
per week $: |
|
|
|
| Item:
|
|
| Amount
per week $: |
|
|
|
| Section
3 Other Disclosures: |
|
|
| How
much deposit can you put down to own your own home? |
|
|
(We are not able to sell homes to people without a deposit) |
|
Do you understand that you will also need solicitor's fees and depending
on your situation, possibly Sales Tax? |
Yes
No |
| |
|
| How much
weekly do you feel you can comfortably afford? |
|
| Have
you ever purchased a house before? |
Yes
No |
| Do you
qualify for the First Home Owners Grant scheme? |
Yes
No |
| (The
FHOG will not count as a deposit, but will certainly mean you own your
own home a lot faster) |
|
|
| Have you
been evicted from a rental property or had a home repossessed for non
payment within the last five years? |
Yes
No
|
| If yes,
were there mitigating circumstances? Explain |
|
| |
|
Other things you'd like to tell us about your financial history:
(Write as much as you like... the more information
we have, the more likely we can assess your situation accurately)
|
|
| I
hereby state the above to be true to the best of my ability to know.
I understand that false and misleading statements will make this application
and any subsequent agreements with Fair Go Homes invalid.
I give permission to authorised representatives of Fair Go Homes
to verify any of the above information, in harmony with the Privacy Act,
and in accordance with industry "best practices" on the storage
of private information. |
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