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* 1. Do you (and any other members of your household) work a combined total of at least 30 hours per week?

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* 2. Please tell us whether you or your partner have ever owned your own home?

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* 3. Who is looking to be housed?

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* 4. Are you pregnant?

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* 5. In order for you to be eligible for the Rent to Buy scheme you will need to subscribe (for free) to Credit Karma UK Limited and share your credit report with us, to help verify that you can afford  to run a home and aim to buy the property in the future. Please fill out the boxes below with your score(s) for all applicants who are looking to be on the tenancy. (Please leave the second box empty if applying for a sole tenancy). 

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*Please enter '000' if you do not have any credit history and we will be in contact to discuss this further.

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* 6. Please tell us your title:

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* 7. Your Surname:

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* 8. Your First Name:

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* 9. Any Middle Names:

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* 10. Please tell us any other names you have been known by:

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* 11. Please enter your Date of Birth:

Date

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* 12. What is your nationality?

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* 13. What is your ethnicity?

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* 14. Your National Insurance Number:

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* 15. Please provide your mobile number:

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* 16. Please provide your landline number (if you have one):

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* 17. Please provide an email address:

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