Print to PDF, fill it in, then upload it in your application.

Mafori Housing

First Home Finance Programme · www.mafori.co.za

Mafori Housing (Pty) Ltd

Authorised Financial Services Provider

FSP No. 12345 · VAT 4567890123

First Home Finance Application Form

Department of Human Settlements · Subsidy Application

Please complete this form in black ink and use block letters. Attach certified copies of all required documents.

Section A — Applicant / Purchaser Details

Primary applicant. If married / cohabiting, complete Section B for spouse.

Title (Mr / Mrs / Ms / Dr)

Date of Application

Full Names & Surname

SA ID Number

Date of Birth

Marital Status (Single / Married / Cohabiting / Divorced / Widowed)

If married, married in / out of community of property

Residential Address

Postal Address

Postal Code

Cellphone Number

Email Address

Employer Name & Address

Section B — Spouse / Cohabiting Partner Details

Complete only if married or cohabiting.

Full Names & Surname of Spouse / Partner

SA ID Number

Date of Birth

Employer Name & Address

Spouse / Partner Gross Monthly Income (R)

Section C — Household Income & Employment

First Home Finance subsidy: combined gross household income between R3,501 and R22,000.

Applicant Gross Monthly Income (R)

Combined Household Income (R)

Occupation

Employment Status (Permanent / Contract / Self-employed)

Number of Financial Dependants

Section D — Property Details

Select the property scenario and complete the relevant details.

Buying an existing house (Urban)Buying a serviced stand (Urban)Building (Urban)Building (Rural)

Property / Stand Description & Address

Purchase Price / Building Cost (R)

Stand / Erf Number

Township / Registration Division

Province

Section E — Required Documents Checklist

Attach certified copies. ID copies must not be older than 3 months.

Certified copy of ID (both sides)3 months' bank statementsLatest payslipsCertified copy of spouse's IDSpouse proof of income / unemployment affidavitMarriage certificate / cohabitation affidavitAffidavit (dependants with different surnames)FHF form — Commissioner of Oath (pp. 5 & 6)Offer to Purchase (OTP)Municipality approved building plansSigned building contractNHBRC certificate / Enrolment certificateGeotechnical reportCivil engineer's reportMaterial supplier bank confirmation letterTribal office approved plans (Rural)

Section F — Declaration by Applicant

By signing you declare that the information is true and correct.

I, the undersigned, hereby apply for the First Home Finance subsidy and declare that the information provided in this form is true and correct. I understand that providing false information is a criminal offence and may result in the cancellation of my application.

Signature of Applicant

Date

Signature of Spouse / Partner

Date

Section G — Commissioner of Oaths (Pages 5 & 6)

To be completed by a Commissioner of Oaths.

Sworn before me at ________________________ on this _____ day of ______________ 20____, the deponent having acknowledged that he/she knows and understands the contents of this declaration, which he/she signed and swore to before me.

Commissioner Full Name

Commissioner Designation

Commissioner Practice Address

Commissioner Signature & Stamp

Date

Mafori Housing — First Home Finance Application FormPage 1 of 1 · Ref: FHF-FORM-v1