RICHMOND HEIGHTS HOUSING CO-OPERATIVE 68 - 12411 Trites Road, Richmond, B.C. V7E 6J7 Phone/Fax: 604.275-2404 Dear Applicant: Thank you for your interest in Richmond Heights Housing Co-operative. The following provides some basic information about our Co-operative. We have 67 units comprising of 1,2,3 and 4 bedroom townhouses. Included in these units are 6 appliances: fridge, stove, dishwasher, garb rater, washer and dryer. Each unit has a wood burning fireplace, mini blinds and a small fenced back yard. A share purchase is required for membership in our Co-operative in the amount of $2,000.00. These funds are required PRIOR to MOVE IN. This money is refundable in full, without interest, at the termination of your membership in the Co-operative providing no outstanding monies are owed and there is no damage to your unit. Two- (2) calendar month’s written notice is required for termination of membership. Completed applications can be submitted by mail to the above address or by email [email protected] Applications are kept on file for a period of six months. At the end of the six-month period, if you want your application to remain on file for a further six months, please notify the Co-operative in writing, also indicate any relevant changes. Your name is placed on our waiting list when your application is received. If there is a vacancy you will be informed at the interview. Our current housing charges are as follows: (at this time heat and hot water is included) Housing charges increases can be expected each year. Income minimum is based on the annual income for market. If your income is less than the required minimum you will placed on the subsidy waitlist.

UNIT 1 Bedroom 2 Bedroom 3 Bedroom 3 Bedroom 4 Bedroom

Housing Charges Income minimum $1,093.00 1,229.00 1,390.00 1,450.00 1,540.00

$43,720.00 49,160.00 55,600.00 58,000.00 61,600.00

Yours truly, The Membership Committee Richmond Heights Housing Co-operative May 2012

SIZE 922 sq. feet 1002 sq. feet 1195 sq. feet 1395 sq. feet 1550 sq. feet

1 bath 1 bath 1 ½ bath 2 full bath 2 full bath

RICHMOND HEIGHTS HOUSING CO-OPERATIVE 68 - 12411 Trites Road, Richmond, B.C. V7E 6J7 Phone/Fax: 604.275-2404 The information you provide on this application is confidential and will be used only to determine eligibility. Please fill out all applicable fields.  

As a principal applicant you have the right to vote on how the co-operative is run. List all persons over the age of 19.

Given name (s)

Surname

Birth Date (monthday-year)

Principal applicant (Y/N)

CHILDREN (under the age of 19)

Given name (s)

Surname

Birth Date (month-dayyear)

NUMBER OF BEDROOMS REQUIRED (Circle ONE choice only) CURRENT ADDRESS

1

2

3

4

Number / Street name Years Months _______________________________________ $________________ __________________ City Postal code Monthly Rent Length of stay

How may we contact you? Telephone Number _____________________________________________________ Cellular Number

_____________________________________________________

Facsimile Number _____________________________________________________ Email Address

_____________________________________________________

Do you know someone who lives in Richmond Heights Housing Co-operative? If yes, please indicate the name and unit number. ____________________________________ Have you ever lived in a co-operative?(if yes when and where) __________________________________________________________________________

References – Please be advised we do call all your references

Name of Reference

Address

Phone number

Current Landlord Previous Landlord Previous Landlord Personal Reference Personal Reference

Volunteer Experience Organization

Type of volunteer work

Dates

According to the structure of co-operative living and the lease, which you will sign upon move in, you will be REQUIRED to attend general meetings and expected to CONTRIBUTE to the successful running of the co-operative by attending committee meetings and/or assisting in the general maintenance of the Co-operative.

Vehicles

Year/Make/Model 

License Plate #

Note- If you are storing your vehicle in your assigned parking slot, a copy of the current storage insurance must be submitted to the co-op office and be kept up to date.

PETS

Name of Pet 

Breed

Neutered/Spayed Y/N

Only one 4 legged dog/cat per unit is permitted. A copy of the certificate that shows that your pet has been spayed/neutered is required.

Please state how you heard of Richmond Heights and why you would like to join this Housing Co-operative.

______________________________________________________________________

OFFICE USE ONLY:

Received (month/day/year)

Application fee submitted (Y/N)

Unit Size

Interviewed by

Date approved by the Board of Directors

Market/ Subsidy

RICHMOND HEIGHTS HOUSING CO-OPERATIVE 68 - 12411 Trites Road, Richmond, B.C. V7E 6J7 Phone/Fax: 604.275-2404 We understand that only the members of Richmond Heights Housing Cooperative may live in the co-operative and we apply for membership, as set out below. We understand that, if the co-operative accepts us for membership and offers us a unit, we must buy a share purchase of $2,000.00 for the principal member and $10.00 for each associate member. We declare that all the information in this application is correct. We give the cooperative permission to verify any or all of this information, and to do a landlord check and a credit check. We understand that acceptance of membership depends on the co-operative obtaining satisfactory results from a credit check. We agree to provide our dates of birth for that purpose. Signatures of all household members who are at least 19 years of age.

Applicant for Principal Membership

Applicant for Associate Membership

Applicant for Associate Membership

Applicant to reside in the unit

Applicant to reside in the unit Date: ________________________________________________________________

RICHMOND HEIGHTS HOUSING CO-OPERATIVE 68 - 12411 Trites Road, Richmond, B.C. V7E 6J7 Phone/Fax: 604.275-2404

Employers (s) – Please list your current employer(s)-Be advised we do verify your employment status Applicant

Income: Applicant

Occupation

Gross Income

Employer

Employer’s number

Phone

Annual Social Insurance Income from other number (optional) sources – please indicate amount per month and source.

You will need to provide proof of this income if the co-operative calls you for an interview. This page will be kept separate to limit access to your financial information.

Revised May 2012