Initial Expression of Interest Form | FCC

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Initial Expression of Interest Form

1Your Details 2Enquiry Details

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Your Details

Forename

Surname

Phone Number

Email Address

Address

Recently Used Address

Address

If you are using a screen reader, do not fill in this field If you are using a screen reader, do not fill in this field

Enquiry Details

Address of Property to be Renovated

Postcode

Name of First Applicant

Name of Second Applicant (if applicable)

Applicants Address (if different to property above)

Applicants Postcode(if different to property above)

Email Address

Telephone Number(s)

Amount you would wish to borrow (up to maximum of £25,000)

Please tick the boxes and sign below to confirm your agreement to the following:

My title to this property is registered at HM Land Registry and I provide consent for this to be verified by Flintshire County Council

I Agree

The property is / is not held in Trust

Yes it is held in Trust No it isn't held in Trust

I accept there is an administration fee of up to £500 incurred with the loan

I Agree

Works will be completed within 12 months of the loan approval

I Agree

I claim a Means Tested Benefit – If so, state which benefit

I Agree

I will provide details of my income and expenditure for application purposes

I Agree

I have finance arranged for any additional expenditure required to renovate the property

I Agree

I have provided consent for my mortage provider to be contacted

I Agree

I intend to do the following with the property

Occupy Rent Sell

Two original documents must be provided. One from List A and one from List B.

List A - Passport, Driving Licence

Attachments

Files Uploaded

List B - Council Tax Bill, Current Utility Bill (not less than 3 months), Current Bank Statement / Credit Card Statement.

Attachments

Files Uploaded

Description of Works

Warning: If you knowingly make a false statement the loan may be cancelled, you may be required to pay back the loan and you may be liable to prosecution.

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Privacy Policy

Privacy Policy

Flintshire County Council will use the information you provide, requested in this form, and any supporting evidence you provide to assess your eligibility for an Owner Occupier Loan or Repayable Financial Assistance. This is required under the Housing Grants, Construction and Regeneration Act 1996. This information will be held securely on Flintshire County Council’s system for a period of 3 months. If you are not eligible, or do not wish, to submit a full application this form will be destroyed after the 3 months. If the full application is progressed, this information will be held securely on Flintshire County Council’s system. For applications that are not approved, this will be for a duration of 12 months, For applications that are approved for a loan this will be for a minimum of 5 years following the repayment of the loan in full, as stated within any terms and conditions that form part of a loan agreement with Flintshire County Council. Flintshire County Council may check or share the information you or someone else has provided, with other organisations such as: HM Land Registry, your bank and credit lender , This is required under contract under the Housing Grants, Construction and Regeneration Act 1996. If you feel that Flintshire County Council have mishandled your personal data at any time you can make a complaint to the Information Commissioners Office by visiting their website or by calling their helpline on 0303 123 1113. For further information about how Flintshire County Council processes personal data and your rights please see our privacy notice on our website – http://www.flintshire.gov.uk/en/Resident/Contact-Us/Privacy-Notice.aspx