• Kingsley Low Rental Housing Society

    Non-Subsidized Tenancy Application Form
  • Forty Niner Manor - 280 Moilliet St, Parksville, BC  V9P 2P2

    IMPORTANT: THIS IS A NON-SMOKING FACILITY
    IMPORTANT: NO PETS ARE ALLOWED. Guide and service animals may be exempt from this restriction with proper documentation.

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    • Occupant Information  
    • List All Occupants Other Than Applicant

    • Employment and Income Sources  
    • Employer Information

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    • Rental History  
    •  -  - Pick a Date
    •  -  - Pick a Date
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    •  -  - Pick a Date
    •  -  - Pick a Date
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    • Note that the following documentation will be required if chosen for an interview.

      Proof of Current Address and Rent

       Copy of current rent Receipt or recent rent increase notice; or
       Copy of lease or tenancy agreement showing current rent amount.

    • Financial Information  
    • Note that the following documentation will be required if chosen for an interview.

      Proof of income and Assets

       If receiving income assistance from the Ministry of Social Development and Social
      Innovation (SDSI): copy of cheque stub or confirmation of monthly assistance from your
      worker at SDSI.
       If employed: proof of current gross monthly income (last three consecutive cheque
      stubs or letter from employer).
       Copies of cheque stubs, bank statements showing direct deposit of pensions, or other
      confirmation of income for any other income source.
       Copies of bank statements or letter from financial institution stating total value of
      asset(s).
       Property tax assessments for value of property owned and proof of outstanding
      mortgage(s) if you own property.
       Income Tax Notice of Assessment for the tax return for the calendar year if filed or
      previous calendar year if this calendar year has not yet been filed

    • Personal References  
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    •  -
    • Other Information  
    • Final Submit  
    • Terms

    •  -  - Pick a Date
    • ALL INFORMATION HEREIN IS DEEMED CONFIDENTIAL

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    • Should be Empty:
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