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Home Ownership Program Annual Compliance Update

Homeowner Name:

Homeowner Address:

Phone Number:

Email Address:

Please select one of the following options:

I no longer live at the above address.

The above address continues to be my sole and principal residence.

Verification Documents

Please upload a copy of your government issued ID (e.g. driver's licence). Note: If there are 2 homeowners we require both driver's licences.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please upload a copy of a utility bill.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I/We have truthfully completed this form and understand that misleading information could cause my/our homeownership loan to become due and payable and in default as per the terms in our agreement.

Yes

Notice of Collection

Personal information contained in this form or any additional attachments are collected in accordance with Section 8 of the Municipal Act for the purpose of determining initial and ongoing eligibility for the Homeownership Program funding and will also be de-identified and aggregated for statistical and program planning purposes. Any questions regarding the collection or release of this information should be directed to: Housing Services, City of Peterborough, 178 Charlotte Street PO Box 4138 Peterborough, ON K9J 8S1 or by calling 705-748-8830.