Listing Service Advertisement Form - Ontario Community Housing

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Listing Service Advertisement Form

Community Housing

169 Univeristy Ave

Kingston ON K7L 3N6

community.housing@queensu.ca ; Phone 613.533.2501; Fax 613.533.2196

CUSTOMER INFORMATION

(please print)

Advertiser

Agent

Landlord

Customer Type:

First Name

Last Name

Phone #

Cell Phone #

Mailing Address

City / Province

Postal Code

CONTACT INFORMATION FOR UNIT

(please print)

Check here if contact information for the unit is the same as Customer Information above, otherwise please complete below

First Name

Last Name

Phone #

Cell Phone #

Listing Name (shown in the Contact Field of the ad - e.g. J Smith (default), Jim Smith, ABC Company )

Website

Mailing Address

City / Province

Postal Code

UNIT INFORMATION

(incomplete information will affect accuracy of listing, particularly related to the distance/map function)

Unit/Apartment #

Street Number

Street Name

FULL RENT $ FOR UNIT (NOT per bedroom)

City

Postal Code

Contract Program Unit?

Date Unit Available

Description (250 characters maximum)

PROPERTY TYPE

(Please check one only)

Apartment

House

Room

LEASE TYPE/TERM

(Please check one only)

12 Month Lease

8 Month Lease

Sublet

Assignment

Other (e.g. monthly, short term)

UNIT FEATURES

(leaving sections empty may result in your ad not appearing in search results)

Total # of Bedrooms in Unit

On site Laundry?

Yes

Heat Included?

Electricity Included?

Yes

Water Included?

Furnished?

Yes

Parking Available?

Air Conditioned?

Yes

Accessibility Features?

Laundry Hookup

Yes

Gas-Forced Air

Gas-Boiler

Yes

Is this a shared

Primary Heating Type

Oil-Force Air

Oil-Boiler

accommodation?

Electric Baseboards

Submission of this form constitutes acceptance of the following terms and conditions:

1. While we endeavour to post ads as soon as possible, please allow up to three (3) business days for your ad to appear online;

2. Advertising & Processing Fees are subject to change without notice and are non-refundable;

3. Changes to Ads, except where there was a data entry error on the part of Community Housing, will be treated as a new ad and will

require payment of an additional advertising & processing fee;

4. Community Housing reserves the right to remove ads at its discretion, including ads for units/from Landlords who have been

prohibited from using this service.

PROTECTION OF PRIVACY: Community Housing is committed to protecting the privacy of the personal information you provide. Personal information you provide is only used for the

stated purpose and will only be released in accordance with the Freedom of Information and Protection of Privacy Act. Information collected from this form will be used to advertise the

rental property, to provide statistical analysis including rental market analysis, to conduct financial activities, and to contact the customer from time to time. Direct questions expressly

related to the collection and use of this information to: Associate Director (Community Housing), 169 University Avenue, Kingston, ON, K7L 3N6, 613.533.2501.

Office Use Only

Received: _____ / _____ / _____

M.O.P.:

Cash

Debit

Money Order

Amount Received: $_________

HST: $_______

YYYY

Receipt No: __________ Entered by: ___________________

Date: _______________________