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Please use this form to register an interest in applying to become a resident in an Abbeyfield house. It may be completed by the applicant, a family member or personal advocate.

Resident’s Preliminary Enquiry Form

The prospective resident

Address *
Address
City
Region
Postcode
Country

Application Details

To apply for more than one house please submit the form again.
Why have you chosen this house? *
When do you want to move to Abbeyfield? *
Have you owned a house in the last 5 years?
Is National Superannuation your main income?
Do you have assets worth less than $273,000 (including cash, investments, property and other assets held in family trusts or owned jointly)?
Note: As a charity, one of our aims is to provide housing for older people with modest assets, who may not be able to afford other rental housing alternatives. Our assessment process looks at many factors, such as your housing need, social need and financial need. The information you provide in this form will not necessarily rule you in or out, but helps us begin that assessment process.
Are you completing this form on behalf of the applicant? *

If so, please give your details:

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