Step 1 of 10
Please be advised if you have any outstanding payments owing, this may affect your eligibility.
If there are any co-signers, guarantors or co-owners, they may need to provide additional information or signatures on this application
Please indicate if you have previously received any government funding from the following:
Please be advised if you have received previous funding, this may affect your eligibility.
List all money you receive each month. Listing all income is mandatory
Documentation to verify your current income must be attached to your application.
You will be required to provide a copy of your most recent Notice of Assessment from the Canada Revenue Agency. If you do not have a copy of this assessment, you can request one by calling the Canada Revenue Agency at 1-800-959-8281.
Click the button below to add additional sources of income
Maximum number of income reached.
List all Assets owned by you. Listing all assets is mandatory.
Reminder: Bank Accounts Are Assets!Bank accounts (checking, savings, CDs, etc.) are considered assets. Please ensure you've declared all financial accounts before proceeding.
Click the button below to add additional assets
Maximum number of assets reached.
Maximum number of properties reached.
Maximum number of members reached.
For the purposes of this application, an owner includes all individuals 18 years of age or older who reside in the household, whether or not their name appears on the property's legal title or deed. All adult household members are required to provide income and asset information for the purpose of determining eligibility for the Lambton Renovates Program.
I/we hereby confirm that I/we are the owners of the house and property and that no other person is an owner.
I/we hereby acknowledge that if my/our funding application is accepted I/we cannot claim the repairs for any Provincial tax rebate program.
I/ we declare and certify that all information given in this application is correct and complete. I / we understand that falsifying information may result in the cancellation of my application. This application and any requested supporting documents become the property of the Corporation of the County of Lambton, Housing Services Department.
Personal information contained on this form or in attachments hereto is collected by the Corporation of the County of Lambton pursuant to the Municipal Freedom of Information and Protection of Privacy Act, (R.S.O. 1990, c.M.56) for the purpose of determining eligibility for Lambton Renovates Funding under the Investment in Affordable Housing Program. Inquiries relating to this collection should be directed to the Corporation of the County of Lambton, Housing Services Department, 162 Lochiel Street – Suite 100, Sarnia, ON N7T 7W5, 519-344-2062.
Pursuant to the Municipal/Provincial Freedom of Information and Protection of Privacy Act, I give my consent and authorization to the Corporation of the County of Lambton, Housing Services Department, to make enquiries 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 information to the Corporation of the County of Lambton, Housing Services Department. I also give my consent and authorization to the Corporation of the County of Lambton, Housing Services Department, to disclose the information given on this form to any person, corporation, social agency and other municipal, provincial and federal department agencies providing assistance to me and persons listed on this application.
Maximum number of documents reached.
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