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TRANSFER REQUEST FORM - SEPTEMBER LEASE by imakyottiefosho

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									TRANSFER REQUEST FORM - SEPTEMBER LEASE

Community Housing
169 Univeristy Ave
Kingston ON K7L 3N6
community.housing@queensu.ca, fax 613.533.2196


 Tenants who wish to be considered for a transfer must complete and submit the form below along with their application for a new lease and any
 supporting documentation (if applicable) by the application for new lease deadline. Only submissions where there is a valid need for transfer (e.g.
 staying in current unit would violate occupancy limits) will be considered. A transfer request does not guarantee that a transfer will be granted,
 even where valid needs are presented. Transfers will be dependant upon space availability. Incomplete forms will not be processed.



CURRENT UNIT INFORMATION
    John Orr Tower           An Clachan                     Unit Number

REQUESTING TRANSFER TO
           Building                                         Unit Type                                                     Floor
    John Orr Tower (JOT)                                                                                 JOT 1-5        JOT 6-10          JOT 11-16
                                  1 Bedroom             2 Bedroom         2 Bedroom with study
    An Clachan (AC)                                                                                      AC-1           AC-2              AC-3


 Please provide detailed reason(s) for transfer request. Please include all factors in order of importance to you (please print,
 attach additional sheet if necessary). If applicable, please also attach any supporting documentation.




APPLICANT(S) INFORMATION                    (Adults)
1. Last Name                               First Name                              Signature                                       Date



2. Last Name                               First Name                              Signature                                       Date



3. Last Name                               First Name                              Signature                                       Date



4. Last Name                               First Name                              Signature                                       Date



APPLICANT(S) DECLARATION & AUTHORIZATION
In making this Transfer Request, I/We declare that the information reported on this form and contained in any supporting documentation is true and
complete. I/We understand that if a transfer is offered based on false or incomplete information, the transfer offer may be rescinded. I/We understand
that this request does not guarantee that a transfer will be offered.


PROTECTION OF PRIVACY: The personal information requested on this form is collected and protected under the authority of the Royal Charter of
1841, as amended. It will be used to determine and verify your eligibility for rental accommodation and for uses consistent with that purpose. If your
application is accepted, this personal information will be used to operate and administer the services provided by Community Housing and for uses
consistent with that purpose. Direct questions expressly related to the collection and use of this information to: Associate Director (Community
Housing), 169 University Avenue, Kingston, ON, K7L 3N6, 613.533.2501.


Office Use Only: Date Received (mm/dd/yy): _____ / _____ / _____

Request Status: O Approved O Pending Review O Denied                O Other: ____________________________________________________________

Unit Offered: _______    Ten Resp: O Dep Pd ____/____/____            Rec #________ O Lease Signed ____/____/____         O Declined ____/____/____

								
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