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Apply to rent a home

Apply to rent a home directly from us (market rent or intermediate market rent)

Apply

Application form

If you are interested in applying for an intermediate market rent or market rental home you can go ahead and fill out the form below.

We’ll be in touch when we’ve found a match.

I'm interested in... (please select at least one option)

2 bedroom flat

1 bedroom house

2 bedroom house

3 bedroom house

If you're interested in a particular property or area please let us know

About you - this will be the first person on the tenancy

Title

Full name *

Address *

Date of birth *

❋ dd/mm/yy

National Insurance number *

Phone number *

Email address *

Your money coming in

Salary before tax *

Employer name *

How long have you worked there? *

Job title *

Average monthly take home pay (without any overtime / bonus etc) *

Other income

Regular overtime

Working tax credits

Investment income

Pension

Other income

Are you self employed? *

Yes

If yes, do you have 3 years accounts?

Yes

Your outgoing money

CSA payments or maintenance payments

❋ £ per month

Loans

Total balance outstanding *

❋ if you don't have an outstanding balance, please fill in with a 0

Monthly payment

Final payment date

❋ dd/mm/yy

Credit cards

Total balance outstanding *

❋ if you don't have an outstanding balance, please fill in with a 0

Monthly payment

Your savings

Personal savings *

❋ if you don't have any savings, please fill in with a 0

Have you

been contacted about anti-social behaviour by your landlord or another agency on the last 2 years? *

Yes

been in rent arrears in the last 12 months? *

Yes

If yes, how much is outstanding?

defaulted on a loan or credit card payment in the last 6 years? *

Yes

If yes, when was the last default?

had a County Court Judgement, Individual Voluntary Arrangement, been bankrupt, or had a debt management plan in the last 6 years? *

Yes

If yes, when and what was it?

had a payday loan in the last 6 months? *

Yes

If yes, when was it?

Your circumstances

Are you on a temporary contract at work? *

Yes

Are you on a probation period at work? *

Yes

If yes, when does your probation period end?

Are you currently or have you ever rented privately? *

Yes

Date to/from

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord name

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord email address

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord phone number

❋ Please answer if you currently rent privately, or have rented privately in the past

Why are you moving?

❋ Please answer if you currently rent privately, or have rented privately in the past

If you’re not currently privately renting, please confirm your current housing situation

Equal opportunities - we treat all applicants equally, so to help us check that this is done please complete the following. It's not compulsory, but any information given will help us monitor our equal opportunities policy.

Is English your first language?

Yes

If not, please tell us what is

Do you need any help with translating any information?

Yes

Do you or anyone you'll be living with have a disability?

Yes

If yes, please give details

Does anyone in your household use a mobility scooter? *

Yes

❋ Please tick yes or no

Your connection

Have you, or anyone who's going to live with you, worked for VIVID in the past two months, or are a relative of any serving staff, officers of boardmembers? *

Yes

About the person who'll be second on the tenancy (this is for joint tenancies only)

Title

Full name

Address

Date of birth

❋ dd/mm/yy

National Insurance number

Phone number

Email address

Tenant 2's money coming in

Salary before tax

Employer name

How long have you worked there?

Job title

Average monthly take home pay (without any overtime / bonus etc)

Other income

Regular overtime

Working tax credits

Investment income

Pension

Other income

Are you self employed?

Yes

If yes, do you have 3 years accounts?

Yes

Tenant 2's outgoing money

CSA payments or maintenance payments

Tenant 2's loans

Total balance outstanding

Monthly payment

Final payment date

❋ dd/mm/yy

Tenant 2's credit cards

Total balance outstanding

Monthly payment

Tenant 2's savings

Personal savings

❋ if you don't have any savings, please fill in with a 0

Has tenant 2

been contacted about anti-social behaviour by your landlord or another agency on the last 2 years?

Yes

been in rent arrears in the last 12 months?

Yes

If yes, how much is outstanding?

defaulted on a loan or credit card payment in the last 6 years?

Yes

If yes, when was the last default?

had a County Court Judgement, Individual Voluntary Arrangement, been bankrupt, or had a debt management plan in the last 6 years?

Yes

If yes, when and what was it?

had a payday loan in the last 6 months?

Yes

If yes, when was it?

Tenant 2's circumstances

Are you on a temporary contract at work?

Yes

Are you on a probation period at work?

Yes

If yes, when does your probation period end?

Are you currently or have you ever rented privately?

Yes

Date to/from

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord name

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord email address

❋ Please answer if you currently rent privately, or have rented privately in the past

Landlord email address

❋ Please answer if you currently rent privately, or have rented privately in the past

Why are you moving?

❋ Please answer if you currently rent privately, or have rented privately in the past

If you’re not currently privately renting, please confirm your current housing situation

Who else is going to live with you, that won't be on the tenancy? (make sure you add every person, even children)

Title

Full name

Date of birth

❋ dd/mm/yy

Relationship to you

Declaration

I/We declare that the information given is true and I/we agree to tell VIVID of any changes that may occur, as this may affect the priority of the application. I/We understand that any incorrect statement could cancel my/our application.

I/We agree that if I/we are a housing association, council or other public sector tenant, I/we will give up our existing rented home on the day of completion if I/we buy or rent a home through VIVID

I/We authorise VIVID to approach my/our landlord, employer, existing mortgage lender or other agency (including credit reference agency) for any information they need relating to my/our application

I/We understand that I/we may be liable to prosecution, if I/we have given false information on this form.

I/We accept that you may share the information provided by me with other near by local authorities and registered providers.

Main applicant sign *

❋ please print your full name

Joint applicant sign

More homes, bright futures

Peninsular House, Wharf Road, Portsmouth, PO2 8HB.

VIVID Housing Limited is registered in England and Wales as a registered society under the Co-operative and Community Benefit Societies Act 2014 under number 7544 with exempt charitable status and as a registered provider of social housing with the Regulator of Social Housing under number: 4850. We’re authorised by the Financial Conduct Authority, number 776452. Our registered office is at Peninsular House, Wharf Road, Portsmouth, Hampshire, PO2 8HB.

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