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Timberline at North Park | Seniors Housing Port Alberni BC
Seniors Living in Port Alberni, BC
Affordable Housing Application
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Step
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Contact Information
Name
*
First
Last
Second Occupant (Optional)
First
Last
Second person is an additional $700/month
Birthdate
*
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Phone
*
Current Address (Street, City, Postal)
*
My current home is a
*
Select
Condo
Basement Suite
Townhouse
Detached Home
Trailer
Duplex
Other (please explain)
Other:
*
I currently own my home
*
Select
Yes
No
Next
Suite Preferences
Preferred Move In Date
*
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2013
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Floor Preference
*
1st floor
2nd floor
3rd floor
4th floor
Do you have a pet? If yes, please describe breed, weight, and height. If no, please write 'N/A'
*
Do you require a parking stall?
*
Select
Yes
No
Additional $50/month
Next
Health
Do you or your partner use a walker?
*
Select
Yes
No
Do you or your partner use a wheelchair?
*
Select
Yes
No
Do you or your partner require any additional care services such as assistance getting dressed, bathing, or other personal care? If yes, please describe; if no, please write 'N/A'
*
Care is not provided by VRS communities
Do you or your partner have any serious health conditions? If yes, please describe; if no, please write 'N/A'
*
Next
Income & Assets
Gross monthly income for you and your partner (before deductions)
*
Please upload your T1 General proof of income document from the past 2 years or any document that supports your submission
*
Click or drag files to this area to upload.
You can upload up to 3 files.
*Disclaimer: You may be asked to submit further documentation to verify your application submission.
Cash/Bank Balance
*
Stocks / Bonds / Term Deposits $
Outstanding Mortgage Balance $
Next
Application Letter
Please provide any additional information that is relevant to your application or a letter as to why you are applying for affordable housing at The Timberline.
*
Letter (if applicable)
Click or drag a file to this area to upload.
Note: Applicants can also apply to SAFER for additional relief of expenses,
here
.
Submit