Affordable Housing Application Form

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First found мая 3, 2016

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Affordable Housing Application Form
Your application will be assessed on the basis of the information you provide on this form. It is important that you read and answer all
the questions carefully and include as much detail as possible.
Property you are applying for:
Applicant Details
1.Title:
Mr
Mrs
Ms
2. First Name/s:
3.Surname:
4. Date of Birth:
5.Address:
6. Contact numbers:
Home:Mobile:
Work:
7. Email address:
8. Are you an Australian Citizen or
Permanent Resident?
Yes
No
Permanent Resident
Other (please specify)
9. Household Details (please list the names of ALL other household members that will be living with you)
Full Name
Date of birth
M/F
Relationship
Tenancy History
10.How long have you lived at your current address?
11. How much rent do you pay per week?
12.Name of current landlord/Agent:
13.Landlord's contact number:
Page 1 of 3
14.Tenancy History - Please provide details of your last three tenancies:
Address
Start of Tenancy End of Tenancy
1.
2.
3.
15. Are you or any member of your family related to an employee or
Director of Bridge Housing?
Yes
16. How did you find out about this affordable housing program?
No
Online
Newspaper Article
Website
Other
Word of Mouth
Direct Marketing
Income and Assets
1. Are you currently employed?
Yes
No
2. Please provide details of your employment over the past 2 years:
Employer
Gross weekly income
Length of employment
3. Please provide information below on the total gross household income (i.e. before tax). List all members of your household over the age
of 18 who receives income from any source (e.g. full time/part time/casual work, Centrelink income, investments, private pensions).
Name of household member
Source of income
Gross weekly income
Total gross weekly income $
4. Do you own or part own any property (e.g. housing or land)
Yes
No
Please provide details:
5. If yes what is the reason you are unable to live in this property?
Page 2 of 3
Affordable Housing Evidence Requirements Checklist
In order for Bridge Housing to consider your application for affordable housing you must provide the following evidence to support your
application along with this signed completed checklist.
Have you provided:
1. Proof of Identity (You must provide
TWO from the list below for each
person over the age of 18 years listed
on your application)
a)
Birth Certificate
b)
Marriage Certificate
c)
Current Passport
d)
Medicare Card
f)
Motor Vehicle Driver’s Licence
a)
Birth Certificate
b)
Current Australian Passport
c)
Current Passport from relevant country of not an Australian Citizen but a
Permanent Resident
d)
Australian Citizenship Certificate
3. Proof of New South Wales (NSW)
Residency Status (You must provide at
least ONE form the list below for each
person over the age of 18 years listed
on your application)
a)
Current Motor Vehicle Driver’s Licence
b)
Current Utility Bill in your name (water, gas electricity)
c)
Current lease agreement
4. Proof of Income (You must provide ALL
from the list below that is relevant for
each person over the age of 18 years
listed on your application)
a)
6 weeks most current consecutive payslips
b)
Current Centrelink Income Statement or signed Centrelink Authorisation Form
(If receiving an income from centrelink)
c)
Income tax return outlining total gross income for the previous 12 months
d)
Profit and Loss statement outlining total gross income for the previous 12
months (If self employed)
a)
Current bank statement (or bank passbook) for all accounts showing
transactions for the last 6 weeks
b)
Records of any cash, shares or term deposits
c)
Proof of assets (e.g. share certificates, market valuation of any property owned)
a)
Letter or contact number from your current landlord or real estate agent
confirming satisfactory tenancy
b)
Rental ledger from current landlord or real estate agent
2. Proof of Citizenship/Residency (you
must provide at least ONE from the
list below for each person over the age
of 18 years listed on your application).
Note: You MUST be an Australian
Citizen or Permanent Resident for this
program
5. Proof of Current Assets (You must
provide ALL from the list below that is
relevant for each person over the age of
18 years listed on your application)
6. Proof of satisfactory tenancy (You must
provide ALL from the list below)
Level 9, Tower 1, 1 Lawson Square, Redfern NSW 2016
PO Box 1835, Strawberry Hills, NSW 2012
T 02 8324 0800 F 02 9699 7055
E [email protected]
W bridgehousing.org.au
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