This form may not be sold or bought
APPLICATION FORM
APPLICATION FORM TO PURCHASE A SERVICED
RESIDENTIAL PLOT IN MAKHAZA, KHAYELITSHA
FORMS MUST BE SUBMITTED AT: STOCKS & STOCKS BUILDING,NTLAKHOHLAZA STR, TOWN 2, VILLAGE 1, GROUND
INFORMATION
● Properties are sized between 87m² and 230m² and priced between R16,000 and R43, 700 each
● Applicant/s will be scored according to specified points allocation
● A map of these properties is available at Stocks & Stocks Building, Ntlakhohlaza Street
TO QUALIFY AND APPLY
●
●
●
●
The applicant/s should have a proven joint gross income of between R3,500 and R15,000 per month
Proof of unemployment of a spouse must be submitted in the form of an affidavit
Not own or previously owned property (e.g. a plot or a house) in the Republic of South Africa
Applicant/s MUST be registered on the Housing waiting list and have a reference number
IMMEDIATE DISQUALIFICATION
● Disqualification will take place if: * Any part of this application form is incomplete, including the DECLARATION below.
*
*
*
*
Any documents requested on the check list is not attached
Any documents are not clear and legible
It is at any stage found that information submitted is / was incorrect
If applicant fails to provide a Housing database reference number
PROCESS
The successful applicant/s will be awarded an erf and will be required to sign an agreement of sale, which will require
the applicant to make payment of the full purchase price and costs with 60 days after signing of the agreement.
DECLARATION
Kindly circle the appropriate answer
Are you or your partner already the registered owner(s) of residential property? (e.g. a plot or a house)
YES
NO
Have you or your partner ever been the registered owner(s) of residential property?
YES
NO
Are you currently renting a property from the City of Cape Town
YES
NO
If yes please provide a copy of the first page of the lease agreement.
Housing Database Reference Number
Please give the reference number and date of your
Housing Database application
CHECK LIST OF REQUIRED DOCUMENTS
Please mark annexures clearly for example "A", "B", "C" etc.
Tick box Annexure Document/s
IDENTITY DOCUMENTS
A
MARRIAGE CERTIFICATE
B
LATEST TAX SUBMISSION FORM - SARS "IRP 5"
C
AFFIDAVIT IF SPOUSE UNEMPLOYED
D
PROOF OF CITY OF CAPE TOWN LEASE (If applicable)
E
I declare that all of the above information given is complete and correct to the best of my knowledge,
and I accept that the City of Cape Town has the right to cancel any contract of offer arising from this
document in the event of innocent or fraudulent material mis-statement of fact appearing herein or in
any other document submitted in connection with this application
Applicant/s
Signature
Date of Signature
Page 1 of 4
This form may not be sold or bought
PERSONAL DETAILS
SURNAME
FIRST NAME
IDENTITY NO
DATE OF BIRTH
D
D
M
M
Y
Y
Y
Y
MARITAL STATUS
SINGLE
MARRIED
SEPARATED
LIVING TOGETHER
WIDOWED
DIVORCED
PARTNER'S PERSONAL DETAILS
SURNAME
FIRST NAME
IDENTITY NO
DATE OF BIRTH
D
D
M
M
Y
Y
Y
Y
CONTACT DETAILS
Applicant
TELEPHONE (H)
CELL PHONE
TELEPHONE (W)
EMAIL ADDRESS
Partner
TELEPHONE (H)
CELL PHONE
TELEPHONE (W)
EMAIL ADDRESS
POSTAL ADDRESS
C
O
D
E
I declare that all of the above information given is complete and correct to the best of my knowledge,
and I accept that the City of Cape Town has the right to cancel any contract arising from this document
in the event of innocent or fraudulent material mis-statement of fact appearing herein or in any other
Applicant/s
Signature
Date of Signature
Page 2 of 4
This form my not be sold or bought
REPORT FROM EMPLOYER(S) IN SUPPORT OF THE APPLICATION
CONFIDENTIAL
QUESTION TO EMPLOYER
APPLICANT
SPOUSE / PARTNER
Please attach as annexure to application
Please attach as annexure to application
I certify that the above information is true and correct
I certify that the above information is true and correct
Signature of Employer
Signature of Employer
Date
Date
Name & Contact Details
Name & Contact Details
Employee's name
Physical location of employment
Occupation
Staff Number
Employer's name and address
Telephone Number
Date of commencement of employment
Is employment permanent or temporary?
Gross daily, weekly or monthly wage / salary
Is salary mentioned above weekly, monthly, etc.?
Please explain, in detail, the nature and extent of
any Employers assistance that will be offered in
purchasing and/or development of an erf.
Page 3 of 4
SCORING SHEET
Application Number
SCORING INFORMATION
FOR OFFICIAL USE
CRITERIA
POINTS
CRITERIA
Existing City Tenant
2
Existing City Tenant
2
Employer Assistance:
Formal Assistance - 2
Partial Assistance - 1
Clear financial evidence of
ability to purchase erf of at
least R35,000. Bank
Statements/ Approved Bond /
Substantiated Loan
1
Clear financial evidence of
ability to purchase erf of at
least R35,000. Bank
Statements/ Approved Bond /
Substantiated Loan
TOTAL
5
TOTAL
Employer Assistance:
Formal Assistance - 2
Partial Assistance - 1
NOTES
Page 4 of 4
POINTS