Single Ownership Initial Assessment Form

You must fill out all sections of the assessment unless stated otherwise. Please enter N/A for fields that do not apply. Our aim is to confirm the outcome within 48 hours (excluding weekends)..

If you are making a joint application, click here.

Name Of Housing Association:

Type of scheme

Full Name:

Date of birth:

Number of Dependants:

Age of each dependant:

Current Address:

Postcode:

Best contact number:

Email:

Have you lived in the UK for the last 2 years? Yes No

Do you have permanent UK residency? Yes No

Were you born outside of the UK? Yes No

Please state how long you have lived in the UK?

If you do not have permanent residency, please provide details of your visa/ work permit here:

I am: Employed Self-Employed Limited Company Owner

Occupation:

Start date with current employer?

Permanent contract? Yes No

Are you currently in a probation period Yes No

Details of any outstanding probation (if applicable):

Are you on a fixed contract? Yes No

If you are on a fixed contract, please give details of the start & end dates:

Start Date:

End Date:

Basic Salary before tax per annum: Guaranteed Allowances (please state e.g. London Weighting or Car Allowance) per annum:

TOTAL (basic & g’teed Allowances) per annum:

Overtime / commission per annum:

Bonus per annum:

What is your average take home pay per month after deductions? (taken from latest 3 x payslips):

Self-Employed Applicant Only

How many years' accounts or self-assessed tax returns are available?

Type of Business?

Date business established?

Last year’s net profit:

Previous year’s net profit:

Year before net profit:

Limited Company only:

Director’s salary for last year?

Director’s salary for previous year?

Dividend income for last year?

Dividend income for previous year?

Details of any other additional income

Child Benefit (per annum):

Child Tax Credit (per annum):

Working Tax Credit (per annum):

Maintenance income (by court order or CSA only):

Investment or Private Pension income:

Do you have a 2nd Job? Yes No

2nd job (please provide full details):

Are you able to provide proof of the above stated additional income?

Yes No N/A

Credit/Other Regular Commitments

How many credit/store cards do you have?

Total amount outstanding on all your cards? ( include 0% balance transfer cards in above total)

Do you clear the whole balance each month?

Yes No N/A

Do you have any unsecured loans or Hire Purchase agreements?

Yes No

What are the monthly payments on each loan?

How long left to run on each loan?

List any other loans along with time left on each loan

Car Finance / Lease?

Yes No

How long left to run?

Monthly Car Payment:

Are you making child maintenance payments?

Yes No

If so, state the amount per month & until when?

Are you making payments for Child care? Yes No

If so state the amount per month:

Do you have any regular deductions from salary for a Company Pension or Student loan? Yes No

If so state the amount per month:

Have you ever had a mortgage or loan application refused?

Yes No

Have you ever been in arrears, incurred County Court Judgements, Defaults, missed/late payments or been declared bankrupt?

FAILURE TO ANSWER THIS QUESTION ACCURATELY WILL AFFECT YOUR CHANCES OF OBTAINING A MORTGAGE.

Yes No

If ‘Yes’ please provide full details:

Savings / Deposit

PLEASE NOTE: You will need up to £3,000 - £4,000 to cover your legal and mortgage set-up costs. This will be in addition to any deposit that you intend to put towards the purchase.

Please state your own current savings here:

If you are in receipt of a monetary ‘gift’ from a family member please provide details here:

Is the ‘gift’ money held in the UK?

Yes No

Property Details

Address:

Postcode:

Full purchase price:

What percentage share are you buying and the price of the share?

How much deposit do you intend to put down?

Mortgage required:

Monthly rent (if applicable):

Monthly Service Charge (if applicable):

Type of property: House or Flat?

House Flat

If you have any other information that you feel may be relevant to your enquiry please provide it here:

Your Mortgage Arrangements

Censeo Ltd. combines the skills of award-winning financial services professionals with a deep understanding of the affordable housing sector.

It is most important that you take specialist advice since not all lenders will consider these schemes. Selecting the wrong lender or using a mortgage advisor not familiar with these schemes could delay your purchase.

We believe that a great business only exists if it delivers great service. The cornerstones to great service are truth, transparency and trust. Censeo following the initial assessment can guide you through the whole process until you move into your chosen property.

Please confirm whether you have already taken mortgage advice: Yes No

If yes, please provide the name of the company or bank that gave you the advice

Are they arranging your mortgage for you? Yes No

Would you like to discuss your options with one of our mortgage advisors? Yes No

I have read, understood and agree to the Data Protection Declaration: Yes No

I agree to further contact as described in Our Future Relationship: Yes No