Down Payment Assistance Program (DPAP) for Modest Income Households

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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 for credit under the Down Payment Assistance Program. If you have any questions about this collection of personal information, you may contact Finance PEI, 94 Euston Street, 2nd Floor, Charlottetown, PE C1A 7M8, 902-368-6200, financepei@gov.pe.ca.

Identification

To be completed by the primary contact for the household. The program officer will communicate with this individual.

NOTE: Please fill in your full legal name in the fields below, including your middle name.

Prénom

Initiale

Nom

Adresse 1

Adresse 2

Ville, municipalité, communauté

Province

Code postal

Exemple : C1B 0X1 ou 12345

Pays

Numéro de téléphone

Exemple : 902-555-5555

Adresse courriel

Marital Status

Date of Birth

Is there a co-applicant?

Co-Applicant Information

NOTE: Please fill in your full legal name in the fields below, including your middle name.

First Name

Middle Initial

Last Name

Marital Status

Date of Birth

Telephone Number

For example 902-555-5555

Email Address

Is the co-applicant's address different than above?

Co-Applicant Address

Address

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country