APPLICATION FORM TO PURCHASEWhite Water Meadows Housing Complex St. Catherine PARTICULARS OF APPLICANTPLEASE FILL OUT IN BLOCK LETTERS TYPE OF UNIT: ð Model A TYPE OF FAÇADE ð The River ð Model B ð The Gibraltar ð The Cape Verde APPLICANT A____________________________________________________________________________ SURNAME FIRST NAME MIDDLE NAME NATIONAL INSURANCE NUMBER ____________________________________________________ TAXPAYER REGISTRATION NUMBER _________________________________________________ ADDRESS ___________________________________________________________________________ POSTAL ADDRESS __________________________________________________________________ TELEPHONE NUMBER ________________________________________________________________ SEX ð MALE DATE OF BIRTH _______\______\______ ð FEMALE DD MM YR MARITAL STATUS ð MARRIED ð SINGLE RELATIONSHIP BETWEEN APPLICANTS B ___________________ C ___________________ ARE YOU A NATIONAL HOUSING TRUST CONTRIBUTOR? ð YES ð NO ARE YOU A MEMBER OF A BUILDING SOCIETY? ð YES ð NO PLEASE STATE NAME ______________________________________________________________ ARE YOU A MEMBER OF A CREDIT UNION? ð YES ð NO PLEASE STATE NAME _____________________________________________________________ WILL YOU BE PURCHASING BY CASH OR MORTGAGE? ________________________________ IF MORTGAGE WHERE FROM ________________________________________________________ NAME IN WHICH TITLE IS TO BE ISSUED? _____________________________________________ ___________________________________________________________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: ________________________ NAME OF LOCAL CONTACT (for overseas purchasers): _____________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: _______________________________ HOW DID YOU HEAR ABOUT THIS DEVELOPMENT? ð NEWSPAPER ð SALES AGENT ð BILLBOARD ð PERSONAL FRIEND ð FLYER IF SALES AGENT, PLEASE STATE NAME ______________________________________________ APPLICANT B ____________________________________________________________________________SURNAME FIRST NAME MIDDLE NAME NATIONAL INSURANCE NUMBER ____________________________________________________ TAXPAYER REGISTRATION NUMBER _________________________________________________ ADDRESS ___________________________________________________________________________ POSTAL ADDRESS __________________________________________________________________ TELEPHONE NUMBER ________________________________________________________________ SEX ð MALE DATE OF BIRTH _______\______\______ ð FEMALE DD MM YR MARITAL STATUS ð MARRIED ð SINGLE RELATIONSHIP BETWEEN APPLICANTS A ___________________ C ___________________
ARE YOU A NATIONAL HOUSING CONTRIBUTOR? ð YES ð NO ARE YOU A MEMBER OF A BUILDING SOCIETY? ð YES ð NO PLEASE STATE NAME _____________________________________________________________ ARE YOU A MEMBER OF A CREDIT UNION? ð YES ð NO PLEASE STATE NAME _______________________________________________________________ WILL YOU BE PURCHASING BY CASH OR MORTGAGE? ________________________________ IF MORTGAGE WHERE FROM ________________________________________________________ NAME IN WHICH TITLE IS TO BE ISSUED? ____________________________________________ ____________________________________________________________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: ________________________ NAME OF LOCAL CONTACT (for overseas purchasers): _____________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: _______________________________ HOW DID YOU HEAR ABOUT THIS DEVELOPMENT? ð NEWSPAPER ð SALES AGENT ð BILLBOARD ð PERSONAL FRIEND ð FLYER IF SALES AGENT, PLEASE STATE NAME ______________________________________________ APPLICANT C____________________________________________________________________________ SURNAME FIRST NAME MIDDLE NAME NATIONAL INSURANCE NUMBER ____________________________________________________ TAXPAYER REGISTRATION NUMBER _________________________________________________ ADDRESS ___________________________________________________________________________ POSTAL ADDRESS ___________________________________________________________________ TELEPHONE NUMBER ________________________________________________________________ SEX ð MALE DATE OF BIRTH _______\______\______ ð FEMALE DD MM YR MARITAL STATUS ð MARRIED ð SINGLE RELATIONSHIP BETWEEN APPLICANTS A ___________________ B _________________ ARE YOU A NATIONAL HOUSING TRUST CONTRIBUTOR? ð YES ð NO ARE YOU A MEMBER OF A BUILDING SOCIETY? ð YES ð NO PLEASE STATE NAME _____________________________________________________________ ARE YOU A MEMBER OF A CREDIT UNION? ð YES ð NO PLEASE STATE NAME ______________________________________________________________ WILL YOU BE PURCHASING BY CASH OR MORTGAGE? ________________________________ IF MORTGAGE WHERE FROM ________________________________________________________ NAME IN WHICH TITLE IS TO BE ISSUED? _____________________________________________ _____________________________________________________________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: ________________________ NAME OF LOCAL CONTACT (for overseas purchasers): _____________________________________ ADDRESS: __________________________________________________________________________ TELEPHONE: _______________________________ HOW DID YOU HEAR ABOUT THIS DEVELOPMENT? ð NEWSPAPER ð SALES AGENT ð BILLBOARD ð PERSONAL FRIEND ð FLYER IF SALES AGENT, PLEASE STATE NAME _____________________________________________EMPLOYMENT STATUS APPLICANT A OCCUPATION ______________________________________________________________________ NAME OF EMPLOYER/COMPANY ____________________________________________________ ADDRESS OF EMPLOYER: ___________________________________________________________ ____________________________________________________________________________________ TELEPHONE: _________________________ DURATION OF TIME EMPLOYED: ____________________________________________________ NAME OF FORMER EMPLOYER ______________________________________________________ BANKERS (please state branch) _________________________________________________________ ____________________________________________________________________________________ STATE YOUR GROSS INCOME WEEKLY $ ____________ FORTNIGHTLY $ _______________ MONTHLY $ ________ DO YOU HAVE ANY OTHER SOURCE OF INCOME? ð YES ð NO IF YES, STATE THE AMOUNT AND FREQUENCY AMOUNT $ _____________ or $ ________________ or $ _____________ Weekly Fortnightly Monthly APPLICANT B OCCUPATION ______________________________________________________________________ NAME OF EMPLOYER/COMPANY ____________________________________________________ ADDRESS OF EMPLOYER: ___________________________________________________________ ____________________________________________________________________________________ TELEPHONE: _________________________ DURATION OF TIME EMPLOYED: ____________________________________________________ NAME OF FORMER EMPLOYER ______________________________________________________ BANKERS (please state branch) _______________________________________________________ ____________________________________________________________________________________ STATE YOUR GROSS INCOME WEEKLY $ ____________ FORTNIGHTLY $ _______________ MONTHLY $ ________
DO YOU HAVE ANY OTHER SOURCE OF INCOME? ð YES ð NO IF YES, STATE THE AMOUNT AND FREQUENCY AMOUNT $ _____________ or $ ________________ or $ _____________ Weekly Fortnightly Monthly APPLICANT C OCCUPATION ______________________________________________________________________ NAME OF EMPLOYER/COMPANY ____________________________________________________ ADDRESS OF EMPLOYER: ___________________________________________________________ ____________________________________________________________________________________ TELEPHONE: _________________________ DURATION OF TIME EMPLOYED: ____________________________________________________ NAME OF FORMER EMPLOYER ______________________________________________________
BANKERS (please state branch) _________________________________________________________ ____________________________________________________________________________________ STATE YOUR GROSS INCOME WEEKLY $ ____________ FORTNIGHTLY $ _______________ MONTHLY $ ________ DO YOU HAVE ANY OTHER SOURCE OF INCOME? ð YES ð NO IF YES, STATE THE AMOUNT AND FREQUENCY AMOUNT $ _____________ or $ ________________ or $ _____________ Weekly Fortnightly Monthly DECLARATIONIf my/our application is approved by Can-Cara Development Limited / Magil Construction (Ja.) Limited., I/we agree to enter into a Purchase Agreement with the restrictive covenants governing the Housing Estate and payment of purchase money. I/we also declare that the foregoing information supplied by me/us is correct and I/we understand that it is the basis on which my/our application will be given consideration and the same is made with the knowledge that should any of my/our statements be found to be incorrect Can-Cara Development Limited / Magil Construction (Ja.) Limited shall have the right to refuse to entertain my/our application and/or cancel the sale if it is completed. Signature of Applicant: _______________________ Witness: _________________
Signature of Co-Applicant (s): ___________________ Witness: _________________
____________________ Date: ____________________ Applicants who qualify for a 90% mortgage may make a 10% deposit. All other applicants will be required to make a 15% deposit. Closing cost to be paid within 90 days of the execution of the agreement of sale ______________________________________________________________________ FOR OFFICAL USE ONLYFirst Deposit: $ _____________ Second Deposit: $ ________________Date ______________________ Date: ___________________________ Prepared By: ________________ Checked/Approved by: ____________ Date: ______________________ Date: ___________________________
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