Statutory declarations
Statutory Declaration of Income for Rent-Geared-to-Income Housing
Fill in the fields below. Tap Preview to see your document.Fill in the fields on the left. Your document updates live on the right.
- 01You are hereFill in the form
- 02Step 02Download your copy
- 03Step 03Continue to notarization
Document progress
0 of 8 fields complete
Drafts stay in this browser.
Avoid saving personal information on a shared or public device.
Recommended. Work through one section at a time.
Download now or complete it to use for booking.
0 of 8 required fields complete for booking.
STATUTORY DECLARATION OF HOUSEHOLD INCOME
(Rent-geared-to-income housing)
I, ______, of ______, in the Province of Ontario, DO SOLEMNLY DECLARE THAT:
I make this declaration to ______ in connection with ______.
The members of my household, including me, are:
• ______, born ______ — ______
The income received by members of my household, and the monthly amount of each source, is:
• ______: ______, ______ per month, received since ______
No member of my household receives income from any other source, including employment, self-employment, a business, government benefits, support payments, pensions, rent, or regular gifts or help from others, except as listed above.
The assets owned by members of my household, with their approximate value, are: ______.
I cannot provide documents to prove all of this income because ______.
I will tell the housing provider of any change in my household's income or membership within the time it requires.
I understand that the housing provider relies on this declaration to set my household's rent.
AND I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |