Application Form - SAM (Management) Inc.

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425 Elgin AvenueWinnipeg MB R3A 1P2TEL: (204) 942-0991FAX: (204) 957-5829email: admin@sam.mb.cawebsite: www.sam.mb.caIMPORTANT INFORMATIONIf your application is not completed IN FULL it will NOT beprocessed.1. Provide ALL Landlord information2. List ALL Occupants3. If you are 18+, a CURRENT INCOME TAX RETURN INFORMATION -OPTION C MUST BE ATTACHED. This form is required by MANITOBAHOUSING AND RENEWAL CORPORATION and is available by phoningRevenue Canada at 1-800-959-8281.4. If you are currently in receipt of Employment and Income Assistancebenefits, a current budget letter must be attached.5. If CURRENT ADDRESSES ARE LESS THAN 3 YEARS, PLEASE FILL OUTTHE CO-SIGNER FORM ATTACHED.S:\Applications\Complete 6 page Generic Application.docx

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