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INDEPENDENT LIVING

REGISTRATION FORM

INDEPENDENT SENIORS APARTMENT BUILDING 59+

 

RENTAL APPLICATION

4. Statement of Gross Annual Income and Assets
List all Annual Income and Assets for you and all other persons who will live with you in the Rental Unit.
Employment (from all Sources)
Canada Pension
Family Benefits
Old Age Security
Supplements
Foreign Pension
Worker's Compensation
General Welfare
Unemployment Insurance
Other Income
4. Statement of Gross Annual Income and Assets - Continued

Asset Source - Combined for Applicant and Co-Applicant


Bank Account 1


Bank Account 2


Bonds


Securities/Stocks


Mortgages Held


Interest


Other Assets