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    Application For Membership

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    api-675087957
    The document is an application for membership at the Larry Sefton Housing Co-operative. It requests information such as names, addresses, phone numbers, social insurance numbers, dates of birth, household income, current housing details, vehicle information, pet information, and areas of interest for committee participation from applicants. It notes the required $20 application fee and that providing monthly housing charges for units ranging from $963-1,113 plus utilities. Signatures are required to confirm the accuracy of the information and to allow for credit and background checks.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application For Membership

    Uploaded by

    api-675087957
    80 views4 pages
    The document is an application for membership at the Larry Sefton Housing Co-operative. It requests information such as names, addresses, phone numbers, social insurance numbers, dates of birth, household income, current housing details, vehicle information, pet information, and areas of interest for committee participation from applicants. It notes the required $20 application fee and that providing monthly housing charges for units ranging from $963-1,113 plus utilities. Signatures are required to confirm the accuracy of the information and to allow for credit and background checks.

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    The document is an application for membership at the Larry Sefton Housing Co-operative. It requests information such as names, addresses, phone numbers, social insurance numbers, dates of birth, household income, current housing details, vehicle information, pet information, and areas of interest for committee participation from applicants. It notes the required $20 application fee and that providing monthly housing charges for units ranging from $963-1,113 plus utilities. Signatures are required to confirm the accuracy of the information and to allow for credit and background checks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    80 views4 pages

    Application For Membership

    Uploaded by

    api-675087957
    The document is an application for membership at the Larry Sefton Housing Co-operative. It requests information such as names, addresses, phone numbers, social insurance numbers, dates of birth, household income, current housing details, vehicle information, pet information, and areas of interest for committee participation from applicants. It notes the required $20 application fee and that providing monthly housing charges for units ranging from $963-1,113 plus utilities. Signatures are required to confirm the accuracy of the information and to allow for credit and background checks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    LARRY SEFTON HOUSING CO-OPERATIVE INC.

    APPLICATION FOR MEMBERSHIP


    Each household member aged 16 years or older must apply for co-op membership.
    (Please attach extra sheets if more space is needed)
    a $20.00 application fee is required when application is submitted
    Applicant A Please print clearly and fill out all information
    First Name: Last Name:
    Address:
    City: Prov. Postal:
    Daytime Phone: Evening Phone:
    *Social Ins. # Date of Birth:

    Applicant B
    First Name: Last Name:
    Address:
    City: Prov. Postal:
    Daytime Phone: Evening Phone:
    *Social Ins. # Date of Birth:

    Applicant C
    First Name: Last Name:
    Address:
    City: Prov. Postal:
    Daytime Phone: Evening Phone:
    *Social Ins. # Date of Birth:
    *Providing your social insurance number is optional. It is used as an identifier with the credit bureau.

    List All Other Members of Household:


    Male/Female

    First Name Last Name (M/F) Date of Birth


    1
    2
    3
    4
    5
    6

    Only the people named in this application form will live in the unit. If other people want to occupy
    the unit, they must apply separately and be accepted as members before they can move in.
    What size of unit are you applying for?
    2 bedroom ( ) 3 bedroom ( ) 4 bedroom ( )

    HOUSEHOLD INCOME
    Please provid the annual before-tax (gross) income of each household member.

    Name of Name of Employer or Other Source of Income Gross


    Household Member (For example, Social Assistance, CPP, OAS) Annual Income
    $
    $
    $
    $
    $
    $
    Please confirm that ALL household income is reported above and written proof of income is submitted
    with this application. Yes ( )

    HOUSING BACKGROUND
    Current Landlord: Phone:
    Current Rent $ Utilities $
    Length of Stay at Current Address:
    Previous Address if less than 2 years:
    Length of Stay at Previous Address:
    Approval of this application includes obtaining a landlord reference. You may submit a current written
    landlord reference with this application.

    PARKING
    Each unit comes with two (2) parking spaces, a garage and a driveway. There is no provision for additional
    resident parking. List all transportation vehicles belonging to the household:
    Make/Model Colour Licence No.

    PETS
    The co-op's pet policy allows a maximum of two (2) four-legged animals. What pets do you have?
    PARTICIPATION
    The Larry Sefton Co-op was formed for the purpose of providing housing at cost to its members.
    Membership includes the responsibility to participate in the management and maintenance of the Co-op.
    Please check your potential area(s) of committee interest:
    Membership ( ) Maintenance ( ) Landscaping ( )
    Newsletter ( ) Social ( ) Finance ( )
    Other ( ) please
    pleasespecify:
    specify:

    SIGNATURE(S) OF APPLICANT(S)

    I DECLARE THE INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I GIVE THE LARRY SEFTON
    HOUSING CO-OP PERMISSION TO VERIFY ANY OR ALL OF THIS INFORMATION AND TO DO A CREDIT AND
    CRIMINAL BACKGROUND CHECK. VERIFICATION MAY INCLUDE CONTACTING MY EMPLOYER AND LANDLORD.

    PERSONAL INFORMATION PROTECTION STATEMENT


    I agree that The Larry Sefton Housing Co-op may keep on file the personal information obtained from this application.
    I agree that this information may be made available to Co-op staff, Board and Membership Committee members,
    the Co-op's auditor, and employees of CMHC for the following purposes: to contact me about this application;
    to determine my eligibility for housing and membership in the Co-op; to decide if I qualify for subsidy; and to decide on
    any request for an internal move. I understand that the Co-op will destroy personal information that it no longer needs.

    I HAVE READ AND AGREE WITH THE ABOVE STATEMENT.


    Signatures of all household members 16 years of age and older:

    Signature: Date:
    Signature: Date:
    Signature: Date:
    Signature: Date:

    HOUSING CHARGES - EFFECTIVE JUNE 1, 2019 TO MAY 31, 2020


    The current monthly housing charges (rents) are as follows. These rates do NOT include utilities (Toronto Hydro and
    Enbridge) and are subject to change.

    Current Monthly
    Size of Unit Housing Charge
    2 bedroom $963.00 + Utilities
    3 bedroom $1,044.00 + Utilities
    4 bedroom $1,113.00 + Utilities
    For Office Use Only
    Date Appl. Rec'd: Fee Rec'd: Appl . #:
    Credit Info:
    Comments:
    Membership Committee Recommendation: Accept ( ) Reject ( )
    Membership Comments:
    Board Decision: Accept ( ) Reject ( )
    Date Unit Allocated: Membership Fee(s) Rec'd:

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