First-Time Home Buyers Rebate Application Form Page 3
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3First Time Home Buyers' Rebate
Declaration of First Time Home Buyer
I,
declare that:
(Applicant)
1. I reside in
.
(City/Town)
2. I am the applicant for the First Time Home Buyer Rebate with respect to the new
construction at
, Nova Scotia.
(Civic or Lot Number, Street/Road/Highway, Subdivision, City/Town)
3.
(Choose one of A. or B.)
A.
The applicant or any co-owner or relation of any of them who occupy the home for which
the rebate is being requested, have not owned and occupied a home in Canada as a
primary place of residence at any time in the 60 month period prior to:
(check the option that
applies)
the occupancy permit date
(For homes built on land you owned)
the statement of adjustments date
(For a home purchased with land or a condominium
unit)
the bill of sale date
(For a manufactured home purchased and installed on leased land)
(For the purchase of a share in a cooperative housing corporation
the bill of sale date
)
or
B.
The home for which the rebate is being requested, is a replacement home for the
occupants, who owned and occupied a home that was accidentally destroyed within the
period described in A.
Sworn to/Affirmed before me
on
, 20
at
,
)
)
)
)
Signature of Authority
)
Signature of Applicant
(Barrister, Commissioner of Oaths, Notary)
)
)
Print Name:
)
Official Capacity:
)
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