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					FOR OFFICIAL USE ONLY Loan Type: Fee Paid: Date of App: Ref. No: ______________ ______________ ______________ ______________

DONEGAL COUNTY COUNCIL LOAN APPLICATION FORM
(PLEASE USE BLOCK LETTERS)
Applicant(s): Address: _______________________ _______________________ _______________________ _______________________ Tel. No: Mobile no: Email address: Occupation: PPSN: Married  _______________________ _______________________ _______________________ _______________________ _______________________ Single  Separated  __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ Divorced  Co-Habiting 

Date(s) of Birth: _______________________ Marital Status: (Tick as appropriate)

Widowed 

Dependants: Name D.O.B. Sex Relationship Income PPSN

TYPE OF LOAN REQUIRED: Annuity

(Tick as appropriate)



Shared Ownership 

Affordable Housing 

Reconstruction Low Cost Site

 

Tenant Purchase



Traveller Caravan Loan



DETAILS OF PRESENT ACCOMMODATION: Owner Occupied



Local Authority Rented



Private Rented



Voluntary Housing Body



Other



Please state , _______________________

How long have you been at this address: ________________________________

Have you or your spouse, either individually or jointly, previously built or bought another house in Ireland or abroad? YES \ NO

If yes, give details _____________________________________________

_______________________________________________________________________ _______________________________________________________________________

Have you ever applied for housing to a Local Authority? YES \ NO

If yes, please state Reference Number Name of Local Authority Date of application Location where house was sought Any other details
________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ____________________________ ____________________________

DETAILS OF LOANS \ INVESTMENTS: Do you have Bank Accounts? YES \ NO

If yes,
Account no. Sort Code Name of bank

Applicant
_______________________ _______________________ _______________________

Spouse
___________________________ ___________________________ ___________________________ ___________________________ ___________________________

Address of bank _______________________ Savings _______________________

Are you an investor with a Building Society?

YES \ NO

If yes,

Name of Society ___________________________________________ Address Account No. ___________________________________________ ___________________________________________

Level of Investment _________________________________________ Are you a member of a Credit Union? YES \ NO

If yes,

Address Account No. Savings

___________________________________________ ___________________________________________ ___________________________________________ Amount ______________ YES \ NO

Have you any other savings \ investments: Do you have a Bank Loan, Car Loan etc. at present?

If yes,

Name of bank \ company ________________

________________________________ Monthly repayment ___________

Balance outstanding

Please supply documentary evidence giving details of all loans from any other Lending Agency.

FOR COMPLETION BY APPLICANTS FOR ANNUITY LOANS (PURCHASE OR ERECTION), SHARED OWNERSHIP LOANS AND TENANT PURCHASE LOANS

Tick as appropriate:
Annuity



Shared Ownership 

Tenant Purchase



PREVIOUSLY OCCUPIED DWELLINGS ONLY Address of house: _________________________________________________ _________________________________________________ Purchase price _________________________________________________

Amount of deposit _________________________________________________ paid by applicant (if any) Vendor’s name & address _________________________________________________ _________________________________________________ Name & address of vendor’s solicitor or auctioneer Is the house occupied If not where can the keys be obtained Description of house _________________________________________________ _________________________________________________ _________________________________________________

_________________________________________________ Floor area Detached \ Semi No. of bedrooms ______________________ ______________________ ______________________

Has contract been signed

___________________________________________

If yes, give details ______________________________________________________

NEW DWELLINGS ONLY Address of house: _________________________________________________ _________________________________________________ Planning Permission Purchase price

(Please attach a copy of Planning Permission with application)

Ref. Number ____________ Date Approved _____________ _________________________________________________

Amount of deposit _________________________________________________ paid by applicant (if any) Is dwelling being constructed by direct labour or a contractor _______________________________________________________________________ Contractors name & address Contractors Tax Details Name & address of Contractors solicitor _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ __________________________________________

Register number of homebond___________________________________________ Has contract been signed YES \ NO If yes, give details _____________________

Has construction commenced ___________________________________________ Date foundations laid ___________________________________________ ___________________________ ___________________________ ___________________________

Cost of Construction \ Purchase of house Legal Costs Total cost of house

FOR COMPLETION BY APPLICANTS FOR RECONSTRUCTION LOANS Secured



Unsecured



Has any other assistance by way of loan or grant been sought in respect of the dwelling? YES \ NO

If Yes, give details ______________________________________________________
______________________________________________________ ______________________________________________________ Is there a mortgage on the dwelling? YES \ NO

If yes, give details ______________________________________________________
______________________________________________________ Please submit documentary evidence of mortgage i.e. letter from Lending Agency, with application form. Give a brief description of works _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Please submit an estimate from a registered contractor for works with application form. Planning permission number

(if required)

______________________________________

FOR COMPLETION BY APPLICANTS FOR TRAVELLER CARAVAN LOANS

Supplier name and address Supplier Tax Details Purchase Price

______________________________________________________ ______________________________________________________ ______________________________________________________

Please submit quotation from registered caravan supplier

If caravan is provided, please state where it will be sited _______________________________________________________________________ Please confirm that, if provided with a caravan, the existing caravan will be properly disposed of. YES \ NO Signature: ___________________________________________

FOR COMPLETION BY APPLICANTS FOR LOW COST SITE

Address of Site

_________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________

DETAILS OF LOAN REQUIRED: Amount of loan required: Repayment period: How is the balance to be met: Own Savings Other Source ______________________ _______________________ (Please specify) _________________ _________________

Bank or Financial Institution to which the Council may refer for reference _______________________________________________________________________ In the event of your application being successful, would you be prepared to make the repayments by way of a Bank Standing Order YES \ NO

If not, please give reasons, ________________________________________________
_______________________________________________________________________ Shared Ownership Equity

Please tick,

50% 

60%  75%  Other 

I/We hereby apply for a loan under the terms of the Council's loan scheme for the amount stated and declare that the information given on this application form is true and correct. I/We authorise the Council to make such enquiries as they consider necessary in connection with this application. I/We also declare that I/We have been advised to obtain professional advice as to the structural stability and suitability of the dwelling-house for habitation and acknowledge that the Council in issuing a loan to me/us, does not accept any statutory or common law duty of care to/me to ensure that the dwelling-house is properly constructed or free of defects. Signature of Applicant(s) (I) (II) Date: __________________________________________ __________________________________________ __________________________________________

DONEGAL COUNTY COUNCIL

SL 4

TO BE COMPLETED AND RETURNED WITH EVERY HOUSING LOAN APPLICATION FORM. TO BE COMPLETED BY THE APPLICANT 1. YOUR FULL NAME (BLOCK LETTERS) 2. PREVIOUS NAME (IF ANY) 3. PRESENT ADDRESS 4. PREVIOUS ADDRESS (IF ANY) 5. FULL ADDRESS OF NEW HOUSE 6. INCOME TAX NUMBER ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ___________________________________

TO BE COMPLETED BY INSPECTOR OF TAXES I HEREBY CERTIFY, IN ACCORDANCE WITH MY RECORDS AND TO THE BEST OF MY KNOWLEDGE THAT THE ABOVE NAMED PERSON HAS NOT PREVIOUSLY CLAIMED INCOME TAX RELIEF IN RESPECT OF INTEREST PAID ON MONEY BORROWED TO PURCHASE OR BUILD A HOUSE.

SIGNED _______________________ DATE ________________
TO BE COMPLETED BY THE APPLICANT SURNAME OF APPLICANT 1. NAME OF SPOUSE 2. PREVIOUS NAME OF SPOUSE 3. PREVIOUS ADDRESS OF SPOUSE 4. FULL ADDRESS OF NEW HOUSE 5. INCOME TAX NUMBER OF SPOUSE

OFFICIAL STAMP

____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________

TO BE COMPLETED BY INSPECTOR OF TAXES I HEREBY CERTIFY, IN ACCORDANCE WITH MY RECORDS AND TO THE BEST OF MY KNOWLEDGE THAT THE ABOVE NAMED PERSON HAS NOT PREVIOUSLY CLAIMED INCOME TAX RELIEF IN RESPECT OF INTEREST PAID ON MONEY BORROWED TO PURCHASE OR BUILD A HOUSE. SIGNED_________________________ DATE__________________

OFFICIAL STAMP

LANDLORD CERTIFICATE

Tenancy Details
1. 2. Name of Tenant(s) Weekly Rent Payable: ___________________________________________ € ____________________________

3.

Are there or have there been any arrears:

YES \ NO

4. If ‘YES’ please let me have details of amount outstanding at present €______________, or details of periods during which arrears accrued _______________________________________________________________

5.

Have applicants been satisfactory tenants:

YES \ NO

6.

If ‘NO’ please give details ___________________________________________ ________________________________________________________________

7. Length of tenancy ____________________________________________________

Signature of Landlord:

____________________

Dated: _____________


				
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