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Get Canada Trinity Place Foundation Application For Accommodation 2021-2024

APPLICATION FOR ACCOMMODATION GLENWAY GATE CONFIDENTIAL PLEASE READ CAREFULLY I understand that this application does not constitute an agreement on the part of TRINITY PLACE FOUNDATION OF ALBERTA or its agents to provide me with rental accommodation. I further acknowledge the right of Trinity Place Foundation of Alberta or its agents at any time prior to the execution and delivery to me of a lease hereby applied for to withdraw revoke or cancel without penalty or liability for damages or otherwise any acceptance or approval of this application previously made or given. I hereby authorize Trinity Place Foundation of Alberta or its agents to investigate any or all of the statements made herein being fully aware that discovery of any false statements shall revoke further consideration of my application. I further agree that I am obliged to advise Trinity Place Foundation of Alberta or its agents in writing of any changes in family composition employment or change of address should these occur. I also agree that the information provided by me pertains to all persons named within this application* Signature of Witness DOMINION OF CANADA PROVINCE OF ALBERTA Signature of Applicant IN THE MATTER OF THIS APPLICATION FOR DWELLING ACCOMMODATION IN THE HOUSING PROJECT. as follows 1. That I am the applicant named in this application 2. That the statements made by me in this application are to the best of my knowledge information and belief full and true in all respects 3. That I have resided in Canada for years of my life and in Alberta for years. And I make this solemn Declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath by virtue of the Canada Evidence Act. Declared before me at the City of Calgary in the Province of Alberta This day of 20 A Commissioner of Oaths in and for the PLEASE PRINT NOTE ALL APPLICANTS MUST ANSWER QUESTIONS 1 5 AND QUESTIONS 8-20. 1. Applicant Name SIN Last Name First Name Date of Birth Alberta Heath Care Month Day Year please provide copies of both birth certificate and Health Care card Marital Status Single / Married / Divorced / Separated / Widowed* 2. Co-Applicant s Name Month Day 3. Citizenship Status Canadian Citizen / Landed Immigrant OR Sponsored Immigrant circle one Are you a member of a Registered Indian Band Name of Band Band Non-Status or M tis or Other 4. First Language Ethnicity 5. Present Address Phone Street Address City Postal Code Alternate Contact Person Name Telephone No* 6. MONTHLY INCOME ALL income reported below must be verified if applying for an Affordable Unit. Please attach a copy of the Revenue Canada Notice of Assessment for the most recent full year. Old Age Security and G*I. S* Canada Pension Alberta Seniors Benefit Company Pension Disability Pension War Veterans Allowance War Disability Pension Employment Income Social Assistance AISH Other Income Specify TOTAL Employer Telephone Address Co-Applicant Employer Telephone 8. Do you currently circle one Rent / Own / Live with Family / Other explain Present rent or house payment is per month plus for heat and for light water and sewer.

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