Form H08R-FS "Saskatchewan Home Repair Program - Adaptation for Independence - Rental" - Saskatchewan, Canada

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Repair and Renovation
Adaptation for Independence - Rental
- Rental property owners must keep rents
affordable based on the Saskatchewan
Housing Corporation rent schedule for the
• Provides financial assistance for rental
term of the loan.
property owners to modify their properties to
improve the accessibility for tenants with low
- The annual household income must be at
incomes and a housing related disability to live
or below the income limits established by
independently.
Saskatchewan Housing Corporation.
Other Details:
• Modifications required must be identified by a
qualified health practitioner.
• Repairs completed prior to receiving written
approval from Saskatchewan Housing
Corporation do not qualify.
• Once approval is granted, work must be
completed within six months.
Mail completed application to:
Saskatchewan Home Repair Program
11th Floor – 1920 Broad Street
Regina, SK S4P 3V6
Telephone: 1-800-667-7567
Assistance:
• A forgivable loan to a maximum of $23,000.
The property owner is responsible for all costs
greater than the approved amount.
Eligibility:
• Rental property owners must rent units to
households that have a low income and
include a person with a housing-related
disability.
saskatchewan.ca |
toll free 1-800-667-7567 | H08R-FS-10/19
Repair and Renovation
Adaptation for Independence - Rental
- Rental property owners must keep rents
affordable based on the Saskatchewan
Housing Corporation rent schedule for the
• Provides financial assistance for rental
term of the loan.
property owners to modify their properties to
improve the accessibility for tenants with low
- The annual household income must be at
incomes and a housing related disability to live
or below the income limits established by
independently.
Saskatchewan Housing Corporation.
Other Details:
• Modifications required must be identified by a
qualified health practitioner.
• Repairs completed prior to receiving written
approval from Saskatchewan Housing
Corporation do not qualify.
• Once approval is granted, work must be
completed within six months.
Mail completed application to:
Saskatchewan Home Repair Program
11th Floor – 1920 Broad Street
Regina, SK S4P 3V6
Telephone: 1-800-667-7567
Assistance:
• A forgivable loan to a maximum of $23,000.
The property owner is responsible for all costs
greater than the approved amount.
Eligibility:
• Rental property owners must rent units to
households that have a low income and
include a person with a housing-related
disability.
saskatchewan.ca |
toll free 1-800-667-7567 | H08R-FS-10/19
Adaptations for Independence - Rental
Saskatchewan Home Repair Program
Eligibility
To be eligible for the program, rental owners must:
• rent to tenants with an annual household income at or below limits established by
Saskatchewan Housing Corporation(SHC);
• rent modified units to tenants with a housing-related disability; and
• maintain affordable rents based on SHC’s rent schedule for the term of the loan.
Required Documents
Please complete this form in full and submit it to our office with ALL of the following information:
A copy of the most recent property tax notice showing taxes have been paid.
A copy of current insurance coverage for the full replacement value of the property.
A copy of a recent appraisal or estimate of the property value from a local realtor.
Confirmation of all debts owing on the property (e.g. mortgage, line of credit, etc.)
A copy of a revenue and expense (profit and loss) statement for the property, OR a copy of the
most recent audited financial statements for the company (if incorporated).
A Verification of Disability form completed by the tenant’s physician or health care practitioner.
A Tenant Income Declaration/Consent form for each occupied unit, signed and dated by the
tenant.
Note: Program funding is limited. Only completed applications will be considered.
Please direct completed applications and/or program questions to:
Saskatchewan Home Repair Program
11th Floor - 1920 Broad Street
Regina, SK S4P 3V6
Telephone: 1-800-667-7567
saskatchewan.ca
2
| toll free 1-800-667-7567 |
repairstaff@gov.sk.ca
| H08R-AP-10/19 |
Adaptations for Independence - Rental
Saskatchewan Home Repair Program
Saskatchewan Household Income Maximums
(as of July 1, 2019)
One Bedroom
Two Bedroom
Three Bedroom
Four+ Bedroom
$43,100
$52,900
$63,800
$77,100
Note: Bedroom counts refer to the number of bedrooms required to accommodate household members, not the
number of bedrooms in a specific unit.
Monthly Maximum Rents
(as of July 1, 2019)
One Bedroom
Two Bedroom
Three Bedroom
Four Bedroom
Rooming House
$940
$1,150
$1,390
$1,675
$560
Note: Median market rents apply to the number of bedrooms in a specific unit, not the number of bedrooms required
by the household members.
saskatchewan.ca
3
| toll free 1-800-667-7567 |
repairstaff@gov.sk.ca
| H08R-AP-06/20 |
Adaptations for Independence - Rental
Saskatchewan Home Repair Program
COMPANY INFORMATION
Company Name
Corporate Number
Contact Name
Mailing Address
Town/City
Postal Code
Telephone
Fax
Email
PRIVATE OWNER INFORMATION
First Name
Middle Name(s)
Last Name
Mailing Address
Town / City
Postal Code
Telephone
Alternate Telephone
Fax
Email
Marital Status:
Married
Divorced
Single
Common-Law
Separated
Widowed
CO-OWNER OR ALTERNATE CONTACT INFORMATION
First Name
Middle Name(s)
Last Name
Mailing Address
Town / City
Postal Code
Telephone
Alternate Telephone
Fax
Email
Marital Status:
Married
Divorced
Single
Common-Law
Separated
Widowed
Have you received program assistance from SHC in the past?
Yes
No
If yes, please describe:
Program Name
Year
Address
Amount Received
saskatchewan.ca
4
| toll free 1-800-667-7567 |
repairstaff@gov.sk.ca
| H08R-AP-10/19 |
Adaptations for Independence - Rental
Saskatchewan Home Repair Program
Declaration/Consent:
I acknowledge and agree that any work started before getting approval in writing from Saskatchewan
Housing Corporation (SHC) is ineligible for program funding.
I acknowledge and agree that all repairs required to bring my property up to a minimum health and safety
standard must be completed prior to the release of program funds.
I authorize SHC and/or its agents to conduct an inspection or inspections of my property for the purpose of
confirming eligibility for program funding.
I give consent to SHC to use and disclose any of the information given in this application form for any of
these reasons:
• to confirm eligibility for program funding;
• for research purposes to assess the effectiveness of the program; and
• for audit and evaluation purposes to Government of Saskatchewan stakeholders, including, but not
limited to, the Saskatchewan Ministry of Finance and Saskatchewan Ministry of Social Services.
I understand that program funding will be subject to the availability of funds and will be advanced on a first
come, first served basis.
I understand this application is not an agreement and does not obligate SHC to approve any funding.
I understand that the information provided by me in this application will be retained and disposed of in
accordance with The Archives and Public Records Management Act of the Province of Saskatchewan.
I hereby certify that all of the information given in this application is true, complete, and correct.
Property Owner
Signature
Date
Property Owner
Signature
Date
OR
Company Name
Per
(seal)
Per
saskatchewan.ca
5
| toll free 1-800-667-7567 |
repairstaff@gov.sk.ca
| H08R-AP-10/19 |
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