Application Phase 2 - 32 Freeland

32 Freeland

AFFORDABLE HOUSING APPLICATION FORM

Fill out this entire form to register for one of the Affordable Rental Units available at 32 Freeland Street, Toronto, ON. “MAIN APPLICANT” to fill out the form, one form per household.

Applications will be reviewed and upon qualifying, one of our representatives will contact the MAIN APPLICANT. Please ensure that all supporting documentations are attached to this Application Form.
The deadline for submission is November 14th, 2022.

INSTRUCTIONS:
1. Have one person (“Main Applicant”) fill out this form for all members of your household.

2. Ensure Status in Canada documents are attached for all household members. See full list of acceptable documents on page 4 – Acceptable Proof of Legal Status in Canada.

3. All members of the household 16 years of age or older must:

Report their income by submitting the most recent Canada Revenue Agency Notice of Assessment (annual tax return);
Sign the Consent and Declaration form on the final page of this document.

This form will allow your housing provider to collect and share the personal information that they will need to verify your income.
Please ensure that you have:
• Listed all members of the household
• Attached required government issued photo ID
• Proof of enrollment in a recognized educational institution, if applicable for student

Name *

First

Last

Date of Birth *

Email *

Contact Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Photo Identification

Click or drag files to this area to upload. You can upload up to 10 files.

How many people will be living in the household *

List all members of your household - including everyone who would live in your unit. Please start with yourself

First Name

Last Name

Relationship

Date of Birth

Single Line Text

Barrier Free Needed *

If yes, Medical Verification must be provided and attached below.

File Upload

Click or drag a file to this area to upload.

Unit Type Applied For *

1 Bedroom
2 Bedroom
3 Bedroom

Income Source and Income Verification

Please List all Applicant Employment information

Are you currently emplyed? *

Employment Information

Main Applicant

Main Applicant Name *

Employer *

Business Address *

Business Phone Number *

Position Held *

Length of Employment *

Annual Income *

Supervisor Name *

Supervisor Contact Number *

Employment Information

Applicant 2

Second Applicant Name

Employer

Business Address

Business Phone Number

Position Held

Length of Empoyment

Supervisor Name

Supervisor Contact Number

Employment Information

Applicant 3

Third Applicant Name

Employer

Business Address

Business Phone Number

Position Held

Length of Employment

Annual Income

Supervisor Name

Supervisor Contact Number

Employment Information

Applicant 4

Fourth Applicant Name

Employer

Business Address

Business Phone Number

Position Held

Length of Employment

Annual Income

Supervisor Name

Supervisor Contact Number

Income Verification from Canada Revenue Agency Notice of Assessment

Each member of the household, 16 years of age or older, must provide their Canada Revenue Agency Notice of Assessment (CRA NOA) from the prior calendar year.

If you are a Newcomer who has been in Canada for less than one year and have not filed an income tax return for the most recent year, attach the applicable documentation to the Eligibility and Household Income Review Form.

• If the CRA NOA information and document are provided, no other income verification documents are required.

Last Name *

First Name *

CRA Tax Year *

Line 236 *

Address (copy)

Name of Landlord and Contact Information (copy)

Name of Landlord and Contact Information (copy) (copy)

Name of Landlord and Contact Information (copy) (copy) (copy)

Last Name (copy)

CRA Tax Year (copy)

CRA Tax Year (copy) (copy)

CRA Tax Year (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy)

CRA Tax Year (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy) (copy)

CRA Notice of Assessment

Click or drag files to this area to upload. You can upload up to 10 files.

Copy of Last Three (3) Pay Stubs

Click or drag files to this area to upload. You can upload up to 10 files.

Address

How Long Have You Lived at Your Current Address *

Please Provide last two (2) places of residence

Current Address

Address *

City *

Province *

Postal Code *

Country *

Number of Years at this Address *

Landlord's Name *

Landlord's Number *

Landlord's Email *

Previous Address

Address *

City *

Provence *

Country *

Number of years at this address *

Landlords Name *

Landlord's Number *

Landlord's Email *

Do you have any unsettled rent or arrears? *

Declaration

Program Requirements

You may be eligible for the affordable housing program if you meet the following requirements

1. Have legal status in Canada, provide proof from list below.
Acceptable Proof of Legal Status in Canada The following documents may be used as proof of status in Canada when applying for affordable rental housing. Canadian Status documentation must be provided for all members of the household included in the application.
• Canadian Passport
• Canadian Citizenship Certificate/ card or documentation from Citizenship and Immigration Canada regarding application for replacement of a Citizenship Card, or acknowledging application for Canadian Citizenship
• Permanent Resident Card/ document or documentation from Citizenship and Immigration Canada acknowledging application for permanent status in Canada, i.e., on-line application confirming application accepted and being processed
• Canadian Birth Certificate or documentation from Office of the Registrar General regarding application for replacement of a Canadian Birth Certificate
• Canadian Notice of Birth Registration Card • A Statement of Live Birth for children age four (4) or under
• A certified copy of Statement of Live Birth • Canadian National Defense Card
• Landed Immigrant Status documents including date of landing
• Immigration documents indicating Convention Refugee, Protected Person Status or Refugee Claimants such as acknowledgement of Convention Refugee Claim, Eligibility Certificate, Notice to Appear, or Notice of Decision
• Quebec and Newfoundland Baptismal Certificate
• Registered Indian Band Status (Native)

If status is pending, a completed and signed form from a representative of a registered ID clinic confirming that the client applied for proof or replacement of the following: • Record of Landing • Birth Certificate • Statement of Live Birth for children under the age of 4

A support letter from a representative of an agency or legal clinic confirming that the client applied for permanent status in Canada must be accompanied by:
• copy of cheque or money order payable to Immigration Canada with proof of receipt by
Immigration Canada (such as cancelled cheque)
• copy of an online application with Immigration Canada (must include confirmation of receipt)
2. Do not have arrears with a social housing provider or do have arrears with an active payment plan in good standing;
3. Do not own a home suitable for year-round occupation; and
4. Have a household income that is below the Maximum Household Income Limits, combined income is not more than 4 times that annualized rent (4 x monthly rent x 12 months).

Do you meet ALL these requirements *

Income Documentation - Extenuating Circumstances

If you have requested and have been approved for an exemption to providing a Canada Revenue Agency Notice of Assessment for yourself or a household member, you must report all income, benefits, and gains of every source, including foreign sources. The following list identifies most sources of income and assets as well as the documents that you will need for proof. However, this is not a complete list. Attach the applicable documentation to the Eligibility and Household Income Review Form.

Consent and Declaration (Please have all members who are 16 years and older sign this form) *

I confirm that all information given about me in this forum is true and complete
I agree to allow Pinnacle International to make inquiries to verify the information given about me in this Household Income Review. I permit any person, corporation, or social agency to release any required information to Pinnacle International.
I understand that the housing provider does not have to notify me before giving information on this form, or in any attached documents, to the City of Toronto or to any government or organization with whom the City of Toronto has an agreement.
I understand that any information on this form or in any attached documents will only be given in accordance with the Municipal Freedom of Information and Protection of Privacy Act and associated regulations.

If you have any questions or concerns about the collecting and sharing of this information, please call name and title at phone number.

Signature of household member 1

Signature of household member 2

Signature of household member 3

Signature of household member 4