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AHA Housing Application Form

1 Personal Information 2 About your household 3 Financial Information 4 Declaration 5 Complete

1. Personal information

You must provide the personal information for all applicants.

You must hold local residential qualifications.

Type of Application

Number of Applicants

Applicant 1

Title

Surname

Firstname(s)

Previous names if applicable

(including maiden names)

Date of birth

Month optional

Day optional

Year optional

Relationship to other applicant

Residential status if applicable

Please confirm the number of years you have been permanently resident in Alderney.

Address

Home phone number

Mobile phone number

Email Address

Applicant 2

Title

Surname

Firstname(s)

Previous names if applicable

(including maiden names)

Date of birth

Month optional

Day optional

Year optional

Relationship to other applicant

Residential status if applicable

Please confirm the number of years you have been permanently resident in Alderney.

Address

Home phone number

Mobile phone number

Email Address

1.1 Correspondence address

If you would like the AHA to use a different correspondence address, please give the details below.

Address if applicable

1.2 Your landlord

The AHA will need to contact your landlord to confirm if there have been any breaches of tenancy or rent arrears. Please give their contact details below.

Applicant 1

Landlord's Name if applicable

Landlord's Address if applicable

Landlord's phone number if applicable

Landlord's Email Address if applicable

Applicant 2

Landlord's Name if applicable

Landlord's Address if applicable

Landlord's phone number if applicable

Landlord's Email Address if applicable

1.3 Rent currently paid

The AHA need to know how much rent you pay and details of any arrears or repayment agreements that you have.

Applicant 1

Frequency

Weekly

Monthly

Amout paid

Are you in arrears with your rent?

Yes

If yes, by what amount?

Bed and board paid to household member per month if applicable

Applicant 2

Frequency

Weekly

Monthly

Amout paid

Are you in arrears with your rent?

Yes

If yes, by what amount?

Bed and board paid to household member per month if applicable

1.4 Ownership of property

This section is about whether you own any property or land in Alderney or other jurisdictions.

Applicant 1

Do you own any property or land?

Yes

Are you in the process of buying property or land?

Yes

Please give full details including address, date bought, value

Applicant 2

Do you own any property or land?

Yes

Are you in the process of buying property or land?

Yes

Please give full details including address, date bought, value

1.5 Previously owned property

If you have previously owned property or land which has been sold, please give details and provide proof of any money received.

Applicant 1

Have you previously owned property or land?

Yes

Address of property

Total sale price

How much did you or your partner receive each?

When did the sale(s) take place?

Applicant 2

Have you previously owned property or land?

Yes

Address of property

Total sale price

How much did you or your partner receive each?

When did the sale(s) take place?

1.6 Previous addresses

Please give details of all previous addresses where you have lived for the last 5 years including any outside of Alderney. If necessary, please continue on a separate sheet.

Please declare in section 1.6 if you have ever held a tenancy previously with the AHA.

Applicant 1

How many previous addresses?

Previous address 1

Address

From

Month optional

Day optional

Year optional

Month optional

Day optional

Year optional

Property Type

Reason for leaving

Landlord's name

Landlord's phone number if applicable

Landlord's email if applicable

Previous address 2

Address

From

Month optional

Day optional

Year optional

Month optional

Day optional

Year optional

Property Type

Reason for leaving

Landlord's name

Landlord's phone number if applicable

Landlord's email if applicable

Applicant 2

How many previous addresses?

Previous address 1

Address

From

Month optional

Day optional

Year optional

Month optional

Day optional

Year optional

Property Type

Reason for leaving

Landlord's name

Landlord's phone number if applicable

Landlord's email if applicable

Previous address 2

Address

From

Month optional

Day optional

Year optional

Month optional

Day optional

Year optional

Property Type

Reason for leaving

Landlord's name

Landlord's phone number if applicable

Landlord's email if applicable

1.7 Previous tenancies with AHA

Have you or anyone who will be housed with you, ever been an AHA tenant?

AHA

Name

Address

Tenancy start date

Month optional

Day optional

Year optional

Tenancy end date

Month optional

Day optional

Year optional

Reason for leaving

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AHA Housing Application Form

1. Personal information

Applicant 1

Applicant 2

1.1 Correspondence address

1.2 Your landlord

Applicant 1

Applicant 2

1.3 Rent currently paid

Applicant 1

Applicant 2

1.4 Ownership of property

Applicant 1

Applicant 2

1.5 Previously owned property

Applicant 1

Applicant 2

1.6 Previous addresses

Applicant 1

Applicant 2

1.7 Previous tenancies with AHA