Do you have a local connection to Hillam Parish and are you struggling to get a home there that is suitable and affordable? If so, we want to hear from you. This form will take no more than 5-10 minutes to answer 18 questions and could result in the development of a small number of affordable homes for people with a local connection to Hillam. Name Address Telephone Number Email It is not essential that you provide your contact details, however, it is important if you wish to be kept informed of future progress. The personal data in this survey is confidential to the Rural Housing Enabler and Selby District Council. However anonymised summary of information from this could be made available in the public domain. We will not disclose your personal information to any other organisations or individuals. Local Connection to Hillam Parish Q1 - Do you fulfil AT LEAST ONE of the following four criteria? (tick all that apply) I live in the Parish I want to return to the Parish I have a close family connection with someone who lives in the Parish (family connection must be a parent, adult son, adult daughter, adult brother or adult sister) I work in the Parish Q2 - Reasons for wanting to move - why do you need to move now or in the next 5 years? (tick all that apply) 1 - I can't afford my current accommodation 2 - Poor quality existing accommodation 3 - Need larger accommodation 4 - Need smaller accommodation 5 - Need to be closer to employment 6 - Need to be closer to a carer or dependent 7 - Current accommodation is not permanent 8 - I am a first time buyer 9 - Want to change tenure (e.g. move from a rented property and enter the property market) 10 - Just want a different property 11 - Setting up home with partner 12- I want a place of my own 13 - Need a physically adapted home - please specify below Please tick what adaptation(s) you need: Level access Wheelchair accessible Wet room Q3 - If you selected more than one answer in Q3, what is your main reason for wanting to move home? Please state the option number Where you live now Q4 - Which best describes your household? Adult: Single Adult: Couple Family Adults: Sharing a property Other Q5 - Please select the age groups of people that live in your household Person 1Person 2Person 3Person 4Person 5 10 years and under 10 years and under - Person 1 10 years and under - Person 2 10 years and under - Person 3 10 years and under - Person 4 10 years and under - Person 5 Between 11 and 18 Between 11 and 18 - Person 1 Between 11 and 18 - Person 2 Between 11 and 18 - Person 3 Between 11 and 18 - Person 4 Between 11 and 18 - Person 5 Between 19 and 30 Between 19 and 30 - Person 1 Between 19 and 30 - Person 2 Between 19 and 30 - Person 3 Between 19 and 30 - Person 4 Between 19 and 30 - Person 5 Between 31 and 40 Between 31 and 40 - Person 1 Between 31 and 40 - Person 2 Between 31 and 40 - Person 3 Between 31 and 40 - Person 4 Between 31 and 40 - Person 5 Between 41 and 50 Between 41 and 50 - Person 1 Between 41 and 50 - Person 2 Between 41 and 50 - Person 3 Between 41 and 50 - Person 4 Between 41 and 50 - Person 5 Between 51 and 60 Between 51 and 60 - Person 1 Between 51 and 60 - Person 2 Between 51 and 60 - Person 3 Between 51 and 60 - Person 4 Between 51 and 60 - Person 5 60 years and over 60 years and over - Person 1 60 years and over - Person 2 60 years and over - Person 3 60 years and over - Person 4 60 years and over - Person 5 Q6 - What sort of property do you live in now? * House Bungalow Flat Q7 - How many bedrooms does your current home have? * 1 bedroom 2 bedrooms 3 bedrooms 4 or more bedrooms Q8 - What is the tenure of your current home? * Renting from Council or Housing Association Renting from a private landlord Living/rent with family Shared Ownership/Discount Market Sale Homeowner with mortgage Homeowner without mortgage Property tied to employment Q8.1 - If other tenure type please state Q9 - How much do you currently pay in rent/mortgage per month (excluding bills) per month Please enter amount Future Household Q10 - What type of accommodation would you require in the next 5 years? House Bungalow Adapted or supported housing Flat Q11 - What is the minimum number of bedrooms that meets your needs of your household? * 1 bedroom 2 bedrooms 3 bedrooms 4 or more bedrooms Q12 - Thinking about what your household can afford, which tenures you would consider? (tick all that apply) * 1 - Renting from Council or Housing Association 2 - Renting from a private landlord 3 - Intermediate Housing e.g Shared Ownership, Rent to Buy 4 - Buying on the open market * Intermediate Housing is a type of home ownership, intended to help households on to the property ladder who could not otherwise afford to buy a suitable property on the open market. Examples of Intermediate Housing are ‘Shared Ownership’, ‘Starter Homes’, ‘Rent to Buy’ and ‘Discount Sale’. With ‘Shared Ownership’ properties, you are able to buy a share of the property which meets a level you can afford and you pay a discounted rent on the rest. This can be as little as a 25% share and often you are able to increase your share as your circumstances change. ‘Starter Homes’ are only for first-time buyers under the age of 40 which are sold at around 80% of market value. Homes cannot be resold or rented at their open market value for five years after the initial sale. ‘Rent to Buy’ is where you can rent your home for up to five years at 80% of market rent, allowing you to save for your deposit to buy it. ‘Discount Sale’ properties are where you purchase a share of the property and the rest is typically owned by a housing association. If you have some funds to buy a share but not all of a property or if your combined household earnings are under £80,000 per year, intermediate housing could be an option for you. For more information go to www.new-homes.co.uk/ Your Financial Situation Providing details about your financial circumstances is optional. The information you provide is confidential and used to assess your suitability for specific housing tenures. Q13 - Please indicate the total monthly gross COMBINED income of your household (i.e. before deductions)? Under £20,000 household income per year (under £1,665 per month) Between £20,000 and £29,999 household income per year (£1,666 - 2,499 per month) Between £30,000 and £39,999 household income per year (£2,500 - £3,331 per month) Between £40,000 and £49,999 household income per year (£3,333 - £4,166 per month) Between £50,000 and £59,999 household income per year (£4,167 - £4,999 per month) Between £60,000 and £69,999 household income per year (£5,000 - £5,750 per month) Between £70,000 and £80,000 household income per year (£5,835 - £6,668 per month) Over £80,001 household income per year (Over £6,669 per month) Q14.1 - What is the maximum amount of your monthly income which would be available to spend on rent? Please state per month for rent Q14.2 - What is the maximum amount of your monthly income which would be available to spend on an mortgage? Please state per month for an mortgage Q14.3 - If you want to buy a property do/will you have a deposit (including proceeds from a house sale)? Yes No Please tick your choice Q14.3.2 - If you selected yes, please state the approximate amount Additional Information Q15 - Are you on the North Yorkshire HomeChoice register (the councils housing register)? (Please tick) Yes No Don't know This is the new way of allocating Council and partner Housing Associations’ rented properties and intermediate housing. Please visit www.northyorkshirehomechoice.org.uk to review properties and register. It is important to be registered on North Yorkshire HomeChoice as if a new housing development is built for local people this register will be considered at part of the allocation process. Q16 - Use the you space below if you would like to express any comments relating to possible delivery of affordable housing for people with a local connection to Hillam Parish mean for you and your circumstances? Thank you very much for taking the time to complete this survey. So… what happens now? An anonymised housing needs report will be produced (no personal information is included in this). The report will state the number of homes needed (if any), sizes and tenure types The results of this survey may be used as evidence to support planning applications for small affordable housing schemes to meet local housing need. In the event that a new development of affordable homes is built on a rural exception site, priority will be given to applicants with the greatest local connection when they are allocated. Your personal information is kept on file by the Rural Housing Enabler who, in the event that a scheme is developed, will keep you informed of progress, invite you to any meetings or events and help you through the allocations process. All personal information supplied by you on this form will be processed by the Rural Housing Enabler in accordance with the Data Protection Act 1998.