Current Page 1 Page 2 Preview Personal information on this form is collected under section 32(1)(g) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15-01, and will be used for assessing your application under the Closing Costs Support Program. If you have any questions about this collection of personal information, you may contact PEI Housing Corporation, 11 Kent Street, 2nd Floor Jones Building, Charlottetown, PE C1A 7M8, 902-368-5770, housing@gov.pe.ca. Identification Enter information for the primary contact of the household in the fields below, full legal name (including middle name in the middle initial field). The program officer will communicate with this person. First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address Marital Status - Select -Common LawMarriedSeparatedSingleWidowed Date of Birth Is there a co-applicant? - Select -YesNo Co-Applicant Information Enter the co-applicant's full legal name (middle name in the middle initial field). First Name Middle Initial Last Name Marital Status - Select -Common LawMarriedSeparated SingleWidowed Date of Birth Telephone Number For example 902-555-5555 Email Address Is the co-applicant's address different than above? - Select -YesNo Co-Applicant Address Address City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country