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10.2a Homeownership Application Form

 

Community Housing                     Effective Date:  
Topic: Investment in Affordable Housing Program Replaces: 
Subject: Homeownership Application Policy No. 10.2.a 

 

INVESTMENT IN AFFORDABLE HOUSING FOR ONTARIO (IAH)

Purchaser Information

Purchaser First Name: *
Purchaser Last Name: *
Purchaser Home Telephone #: *
Purchaser Alternate Telephone #: *
Purchaser Current Address (Street # and Name): *
Town/City: *
Province: *
Postal Code: *
Are you at least 18 years of age?*
Yes
No
Have you signed or will you be signing an offer to purchase a home?*
Yes
No
Do you currently own a home or an interest in a home?*
Yes
No
Does your spouse currently own a home or an interest in a home?*
Yes
No
Are you vacating a residential tenancy?*
Yes
No
What is your total *household annual income? **A household of an individual includes: (i) the individual, (ii) any person with whom the individual is living in a spousal relationship (including a same-sex spousal relationship) and (iii) any person over the age of 17 expected to be normally resident with the individual at the time of first occupancy of the home.
What is your *total household asset value? **Total household financial asset value is the gross asset value of chequing, savings and GIC accounts confirmed through current banking documentation of all household members.

Information pertaining to the home to be acquired

Location of Home to be acquired (Street # and Name): *
Town/City: *
Province: *
Postal Code: *
New home not previously occupied?*
Yes
No
Non-residential conversation project not previously occupied?*
Yes
No
Resale home where purchaser has undertaken or will undertake a home inspection at his or her expense? *
Yes
No
Scheduled closing date: *
Building Type:*
Semi-detached 
Detached
Townhouse
Duplex
Triplex
Condo
Rowhouse
What is the selling price of the home? *

Declaration

Declaration Acceptance: *

I/We declare that all information given in the application is correct and is complete to the best of my/our knowledge and have read, understood and accept, the terms and conditions below.

Property Owner's Name: *
Date: *Date signed (d/m/y)
Spouse/Partner's Name: *
Date: *Date signed (d/m/y)

Declaration Terms and Conditions:

 

The application and supporting documents become the property of the Manitoulin-Sudbury District Services Board. Personal information contained on this form or in attachments is collected by the Manitoulin-Sudbury District Services Board pursuant to the Municipal Freedom of Information and Protection of Privacy Act, (R.S.O. 1990, c.M.56).

 

This information will be used to determine eligibility for the Ontario Renovates Component. Personal information will be disclosed to the Manitoulin-Sudbury District Services Board, the Ministry of Municipal Affairs and Housing, and other municipal/provincial and federal departments and agencies that assist in the provision of affordable housing and to social agencies providing financial assistance to the applicant. Information provided by the household may be shared for the purposes of making decisions, verifying eligibility for assistance or reporting under the investment in Affordable Housing for Ontario program.

 

The applicant consents to the verification, disclosure, and transfer or information given on this form and attachments by or to any of the above entities and will provide any required supporting material.
 

Pursuant to the Municipal Freedom of information and Protection of Privacy Act; I give my consent and authorization to the Manitoulin-Sudbury District Services Board to:

  1. Make inquiries to verify the information given in this application and I authorize any person, corporation, or any social agency having knowledge of required information to release such information to the Manitoulin-Sudbury District Services Board. I agree to provide any supporting material required for my application.
     
  2. Disclose the information given on this form to the Manitoulin-Sudbury District Services Board, the Ministry of Municipal Affairs and Housing and other municipal, provincial, and federal departments and agencies that assist in the provision of affordable housing and social services providing financial assistance to me and persons on this application. I understand that it is my responsibility to inform Manitoulin-Sudbury District Services Board of any changes in information within fifteen (15) days of the change (i.e, change of address, telephone number, family composition, type or amount of income) I agree to provide any supporting material or documents as required by the Manitoulin-Sudbury District Services Board, the Ministry of Municipal Affairs and Housing and other municipal, provincial, and federal departments and agencies.
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