Hamilton Place Application

Hamilton Place Application
Rental Information
2019 MARKET RENT

SMALL ONE BEDROOM - $946.00

LARGE ONE BEDROOM - $994.00

SMALL TWO BEDROOM - $ 1112.00

LARGE TWO BEDROOM - $1199.00

IF YOU NEED SUBSIDY, YOU MUST APPLY TO YORK REGION HOUSING.

WE ARE IDEALLY LOCATED ON THE NORTH SIDE OF DAVIS DRIVE WITH TOWN, GO, AND HANDICAP BUS STOPS AT THE FRONT DOOR. WE ARE WITHIN WALKING IDSTANCE OF THE 404 PLAZA WITH BANKS, GROVERY STORE, DRUG STORE, RESTAURANTS, ETC. WE ARE LOCATED CLOSE TO THE HOSPITAL, DOCTORS, DENTISTA ND THE SENIORS CENTRE.

YOU PAY – HYDRO, TELEPHONE AND CABLE TV

- PARKING - $25.00 OUTISDE

- PARKING - $45.00 INSIDE

HEAT IS INCLUDED AND YOU CONTROL YOUR OWN HEAT

THERE ARE TWO FLOORS OF COMMON AREA WITH CHAIRS, CHESTERFIELDS, AIR CONDITIONING, AND A PIANO; LAUNDRY ROOMS LOCATED ON THE SECOND AND THIRD FLOORS; CONTROLLED ACCESS TO THE BUILDING; TWELVE SECURITY CAMERAS; SIXTH FLOOR ROOFTOP PATIO WITH TABLES AND CHAIRS, AND A PATIO AREA ON THE EAST SIDE OF THE BUILDING.

IF YOU NEED ANY ADDITIONAL INFORMATION, PLEASE FEEL FREE TO CALL OR DROP IN. BUSINESS HOURS ARE 8:30 AM TO 4:00PM, MONDAY, TUESDAY, WEDNESDAY, AND THURSDAY. CLOSED FRIDAY.

Consent Form

For collection, Use and Disclosure of Personal Information Provided By Tenants & Applicants of Davis Drive Non-Profit Homes Corporation.
What is “Personal Information”?

Personal information includes any factual or subjective information, recorded or not, about an identifiable individual. This includes information in any form such as:

-          Age, Name, ID numbers, Income, Assets, Household Composition, Residency Status, Rent Payment Record, Etc.

-          Opinions, Evaluations, Comments, Social Status, or Disciplinary Actions, and

-          Employment Files, Credit Records, Loan Records, Medical Records, Existence of a Dispute Between a Land=lord and a Tenant, Intentions (for example, to Acquire Goods or Services, or Change Jobs)

Personal information does not include the name, title, business address or telephone number of an employee or an organization.

Collection and Use of Your Personal Information

Davis Drive Non-Profit Homes Corporation (hereinafter; “Davis Drive Non-Profit”) collects, retains and uses any personal information provided by you in this form for the following purposes.

-          Considering your application for tenancy

-          Verifying the information that you have provided in your application and its attachments relating to the administration and processing of your application for tenancy.

-          Calculating your rent

-          Meeting legal and regulator requireme3nts arising out of or relating to your tenancy.

-          For the use of Davis Drive Non-Profit’s auditor to verify our financial records.

-          For the purpose of contacting necessary services or your next-of-kin in case of an emergency.

Disclosure of Your Personal Information

Davis Drive Non-Profit may disclose the personal information provided by you to the following parties for the purposes described above.

-          to any social agency providing any form of assistance to you, or other government subsidy under the Ontario Works Act, 1997 the Ontario Disability Support Program Act, 1997 or the Day Nurseries Act, or any government department responsible for social housing programs under the Social Housing Reform Act or Davis Drive Non-Profit’s housing portfolio operating agreements.

-          To the Government of Canada, a department, ministry or agency of it, without further notice to you if the information is necessary for the purpose of administering or enforcing the Income Tax Act (Canada) or the Immigration Act

-          To any agent working on behalf of Davis Drive Non-Profit for the purposes of complying with the Social Housing Reform Act

-          To relevant agencies or next of kin in case of an emergency

-          To credit bureaus and other businesses that provide credit or rental history information about you and

-          To a third party in connection with the potential or actual sale, reorganization, merger, consolidation or disposition of the business of Davis Drive Non-Profit
Consent*

I authorize and agree that Davis Drive Non-Profit may collect,use and disclose the personal information that I have provided as describedabove and as required or permitted by law.
Consent Name

First NameLast Name
Consent Date

MonthDayYear
Date

Application for Rental Accommodation
Personal information contained on this form or in attachments is collected by York Region Social Assisted Housing Providers pursuant to the Freedom of Information and Protection of Privacy Act (R.S.O. 1990, C f 31) or the Municipal Freedom of Information and Protection of Privacy Act ( R.S.O. 1990 C , 56). This information will be used to determine eligibility for housing applied for, continuation of housing and may be used for the appropriate rent geared-to-income charge.

To Be Eligible For Housing

-          You must be a permanent resident of Canada or have Refugee Claimant Status (copy of documents must be submitted)

-          You must occupy or have need of a dwelling in the Province of Ontario:

-          At least 1 person in your household must be 16 years old, or older.

-          If you owe rent to any provincially assisted housing provider, you must have the provider’s agreement to waive or make payment toward the debt:

-          You must be able to live independently with or without support services.

-          For Seniors accommodations, at least one applicant must be 60 or over.

Filling out the Form

-          Please read and understand the Declaration and Consent section.

-          If you need a paper copy please contact us.

IF YOU HAVE ANY DIFFICULTY COMPLETING THIS APPLICATION, PLEASE CONTACT

HAMILTON PLACE
DAVIS DRIVE NON-PROFIT HOMES CORP
925 DAVIS DRIVE
NEWMARKET, ONTARIO
L3Y8K9

EXECUTIVE DIRECTOR; CORINE BRETTELL (905) 898-7147 FAX: (905) 898-4481

NOTE:

In order to avoid delays in processing of this application, please keep the office, located at the address shown above, informed of any changes to your principal address or telephone number.

EMERGENCY HOUSING IS NOT AVAILABLE.

Applicant
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Sex

MaleFemale
Social Insurance Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Canadian CitizenLanded/SponsoredRefugeeOther
Home Telephone Number

Area CodePhone Number
Work Telephone Number

Area CodePhone Number
Can you take Personal Calls?

YesNo
Person to Contact In your Absence or to Act as an Interpretor

First NameLast Name
Relationship
Phone Number

Area CodePhone Number

Co-Applicant
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Sex

MaleFemale
Social Insurance Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Canadian CitizenLanded/SponsoredRefugeeOther
Home Telephone Number

Area CodePhone Number
Work Telephone Number

Area CodePhone Number
Can you take Personal Calls?

YesNo
Relationship to Applicant

First NameLast Name
Relationship
Phone Number

Area CodePhone Number

Other Household Members

Other Household Members (Include Only those who will live with you)

	Surname	First Name	Birthdate (YY-MM-DD)	Sex (M/F)	Social Insurance No.	Relationship
1
2
3
4
5

Do all household Members reside in present accomodations?

YesNo
If "No" was the answer to the above question; please give addresses and reason for separation.

	Monthly Amount
Hydro $
Heat $
Water $
Parking $
Other $

Previous Tenancy In Subsidized Rental Accommodation in Ontario
Have you or any other persons listed on this application lived in subsidized rental accommodation in Ontario?

YesNo

Income
Statement of Monthly Income Before deducuctions received by all persons/family members to live in teh accommodation. Income means all income, benefits, and gains, of every kind and every source, including but not limited to the following; gross salary, overtime, commissions, self-employment, unemployment insurance, workers' compensation, pensions, annuities, inheritance, social assistance (wellfare, family benefits), alimony/support payments, interest income from savings or chequing account, interest from investments, term deposits, grants, scholarships, etc.

Gross Monthly Income

	Applicant	Co-Applicant	Other Persons	Total
Gross Monthly Income

Do you or any other person listed on this application own property (e.g., house, farm, land, mobile home, etc.)?

YesNo
If "Yes", indicate type of property, location and estimated value:
Have you or any person listed on this application transferred assets?

YesNo
If "Yes", indicate amount and date of transfer:

Previous Landlords

	Previous Address (Most Recent First)	Dates of Occupancy	Landlord's Name	Telephone No.
1
2
3
4

Additional Requirements (Optional)
Check one or more of the boxes that apply to you or other persons listed on the application

I/We currently live in or recently moved from an unsafe or abusive relationship. Additional information will be requested to verify the abuse.
I/We have no permanent address (e.g. live in a hostel, hotel, on the street, etc)
Please Specify:
I/We have applied for housing within one year of entering Canada.
Please specify date of entry (Month/Day/Year)
The applicant or co-applicant is either 16 or 17 years of age.

Declaration & Consent
I declare that all information given in this application is correct and complete. The application and any supporting documents become the property of the York Region Social Assisted Housing Providers. Copies of the application and supporting documents may be given to housing providers that I have selected for placement on the waiting lists in locations where I wish to live.

I understand that if rental accomodation is provided to me it will be occupied by me and the persons listed on this application.

I understand that this application does not constitute an agreement on the part of the York Region Social Assisted Housing Providers to provide me with rental accomodation.

I understand I must report any changes to family composition or household income.

I understand that some housing provders may request additional information and complete a credit check.

Personal information contained on this form or in attachments is collected by the York Region Social Assisted Housing Providers pursuant to the Freedom of Information and Protection of Privacy Act, (R.S.O. 1990, c.F.31) or the Municipal Freedom of Inforemation and Proptection of Privacy Act (R.S.O. 1990, c.M.56). This information will be used to determine eligibility for housing applied for, continuation of housing and may be used for the appropriate rent geared-to-income charge.

Pursuant to the Provincial/Municipal Freedom of Information and Protection of Privacy Act, I giv emy consent and authorization to the York REgion Social Assited Housing Providers:

1. To make inquiries to verify the information given in this application and I authorize any person, corporation or any social agency having knowledge of any such required information to release teh information to the York Region Social Assited Housing Providers. I agree to provider any supporting material required for my application.

2. To disclose the information given on this form to non-profit housing corporations/co-operatives, local housing authorities, the Ministry of Municipal Affairs and Housing and other municipal, provincial and federal departments and agencies that assist in the provision of afordable housing and social agencies providing social assistence to me and persons listed on this application.

Questions about this collection should be directed to: York Region Social Assited Housing Providers.
Applicants Full Name
I agree
Co-Applicants Full Name
I agree
Should be Empty:

Hamilton Place Application

Rental Information

Consent Form

Application for Rental Accommodation

Applicant

Co-Applicant

Other Household Members

Present Accommodation

Previous Tenancy In Subsidized Rental Accommodation in Ontario

Income

Additional Requirements (Optional)

Housing Preferences

Declaration & Consent

	Name	Address	Occupancy Start Date (Month/year)	Occupancy End Date (Month/year)
1
2
3
4