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Rent Application Form

Note: Please have a file ready containing a copy of the last eight consecutive week's income from all sources for this will be a requirement in this form.

Applicant

Name:*
Gender:*
SIN#:*
Date of Birth:*
 / 
 / 
Present Address:*
Phone (home):*
-
Phone (work):*
-
E-mail:*

Co-applicant

Co-applicant Name :
Co-applicant Gender :
Co-applicant SIN#:
Co-applicant Date of Birth:
 / 
 / 
Co-applicant present address:
Co-applicant phone (home):
-
Co-applicant phone (work):
-
Co-applicant E-mail:

Other Household Members

Member 2

Member 2 - Name:
Member 2 - Gender:
Member 2 Date of Birth:
 / 
 / 

Member 3

Member 3 - Name:
Member 3 - Gender:
Member 3 Date of Birth:
 / 
 / 

Member 4

Member 4 - Name:
Member 4 - Gender:
Member 4 Date of Birth:
 / 
 / 

Unit & Housing Background

Unit

What size of unit do you require?*
Do you require an accessible unit?*

Housing Background

How long have you lived at your current address?*
If you have lived there less than 2 years, please give previous address:*
How much do you pay in rent each month?*
If you pay in utilities, how much do you pay each month?*
What is your landlords name?
Landlords Phone:
-

Housing Background Cont.

Are any/all applicants legal residents of Canada:*
Have any/all applicants previously lived in any rent-geared-to-income and/or social housing developments and left with arrears?*
If yes, what was the amount of arrears:
Please give an explanation of what you have done to pay them:
How did you find out about the Co-op?
Do you have any pets?*

Parking

List all vehicles belonging to the household

Vehicle 1

Vehicle 1 Make:
Vehicle 1 color:
Vehicle 1 License Plate Number:

Vehicle 2

Vehicle 2 Make:
Vehicle 2 License Plate Number:
Vehicle 2 color:

Vehicle 3

Vehicle 3 Make:
Vehicle 3 color:
Vehicle 3 License Plate Number:

Household Income

Please give us the monthly tax gross income for each household member.

Member 1

Name of household member 1:*
Member 1s Employer or other source of income:*
Member 1s Gross Monthly Income:*

Member 2

Name of household member 2:
Member 2s Employer or other source of income:
Member 2s Gross Monthly Income:

Member 3

Name of household member 3:
Member 3s Employer or other source of income:
Member 3s Gross Monthly Income:

Member 4

Name of household member 4:
Member 4s Employer or other source of income:
Member 4s Gross Monthly Income:

A copy of the last eight consecutive week's income (all sources) must be attached.

Please provide a PDF containing the last eight consecutive week's income*
List of Asset:
Savings $:
Shares $:
Chequing $:
Stocks $:
Bond $:
Other $:

Emergency Contact

(In case of an emergency, please list two contacts)

Emergency Contact 1:*
Emergency Contact 1's Phone:*
-
Emergency Contact 2:
Emergency Contact 2's Phone:
-

Signatures

  • We understand that only members of a Co-operative may live in a Co-op and we apply for membership and occupancy rights in the Co-op.
    Therefore, a home is being provided only to those named on this application and have been approved. Additions to any household at the Co-op is not allowed before the person applies and has been accepted. 
  • We understand that Co-operative Housing Developments provide housing at cost to its members.
  • We understand that Co-op's expect members to share responsibility in the running the Co-op community and we agree to take part in this responsibility.
  • We understand that we must attend an Information Exchange Meeting with the Co-op's New Member Committee and can become members only if the Co-op accepts us.
  • We understand that Co-op's are governed by the Co-operative Corporations Act of Ontario and their specific By-Laws and not the Landlord & Tenant Act.
  • I understand that I must pay my rent on the first of every month by cheque or money order that must be into the office on the 25th of the previous month. Cheques should be dated for the first.
  • I understand that it is important to attend General Membership Meetings

We declare that all the information in this application is correct. We give the Co-operative permission to verify any or all of this information, and to do a landlord and credit check.

Signatures of all household members 16 years of age and older

TERMS OF ACCEPTANCE and SIGNATURES

I, the applicant for this registration form, warrant the truthfulness of the information provided in this application.

Member 1 Electronic Signature:*
Member 1 Signature Date:*
 / 
 / 
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.*

member 2 (if applicable)

I, the applicant for this registration form, warrant the truthfulness of the information provided in this application.

Member 2 Electronic Signature:
Member 2 Signature Date:
 / 
 / 
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.(2)*

member 3 (if applicable)

I, the applicant for this registration form, warrant the truthfulness of the information provided in this application.

Member 3 Electronic Signature:
Member 3 Signature Date:
 / 
 / 
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.(3)*

member 4 (if applicable)

I, the applicant for this registration form, warrant the truthfulness of the information provided in this application.

Member 4 Electronic Signature:
Member 4 Signature Date:
 / 
 / 
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.(4)*
Recaptcha Word Verification:

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