AHGP - Purchase Units

Required fields are marked with an asterisk (*)

Affordable Housing Grant Program Submission Request Form - Acquisition of Buildings, Housing Units, or Properties for Affordable Housing

Contact Information

Name of Organization: *

Project Title: *

Federal Charity or NS Registered Joint Stock Number:

Contact Person: *

Contact Information (phone): *

Contact Information (email): *

Mailing Address of Contact: *

Property Description

Address of the Subject Property:

Number of Residential Units - Total Units:

Number of Residential Units - Total Affordable Units:

Please describe what level of affordability and what population groups your development will target. Please include current/anticipated rents:

Please provide additional information regarding the development that you feel is relevant to your project (is the development exclusively residential, are other uses included, are support services provided):

Are there existing residents that live on the property? If so, how will they be impacted by the purchase of the property (ie will rents increase, will existing tenants be required to vacate, will existing tenants need to move into different units on the property)?

Please describe the status of the project and identify any barriers that may delay the development of the project (zoning, access to land, operating costs).

Please indicate the residential unit breakdown:

Bachelor

Number of Units Total, Number of Units Affordable, Average Size

1 Bedroom

Number of Units Total, Number of Units Affordable, Average Size

2 Bedroom

Number of Units Total, Number of Units Affordable, Average Size

3 Bedroom

Number of Units Total, Number of Units Affordable, Average Size

Request for Funding

Amount of Funding Requested:

Please note requests less than $500 will not be considered.

Total Amount of Funding Required for Acquisition:

Total Amount of Funding Required for Development/Renovations (if needed):

Please List Other Sources of Funding Confirmed:

Amount & Source

Please List Other Sources of Funding Pending:

Amount & Source

Does the building require renovations?

Yes

If yes, please provide details:

Please describe how your organization will maintain operational expenses including any additional confirmed or pending funding from other sources:

Project pro formas can be submitted to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca, be sure to include the name of your organization and project title.

Please attach a project construction pro forma that includes the following information at a minimum:

Hard costs / cost related to construction
Soft costs /cost related to design
Project manager costs
Costs associated with the acquisition of land
All sources of financing, both confirmed and unconfirmed

Please attach a project operation pro forma that includes the following information at a minimum:

Annual operation costs (utilities, property tax, maintenance, reserve) for the next 5 years
Rental income

Information Regarding your Organization

Number of years experience in providing housing:

Please list other residential properties your organization currently owns/manages:

Please provide a summary of your organization including what services you offer and examples of similar projects you have participated in or have led.

Please List the Board of Directors:

Document Checklist

A copy of your operating budget Pro-forma *

A copy of the property appraisal or building assessment if available *

A copy of a signed letter or agreement confirming the property or units will be conveyed to your organization (required if the property is currently not owned by your organization) *

A copy of your construction Pro-forma (required if renovations or construction are necessary) *

Please be sure to include the following information if applicable to your project, documents can be submitted to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca; please be sure to include the name of your organization and project title.

Submission to Affordable Housing Grant Program will be reviewed by Halifax Regional Municipality staff and external representatives such as representatives from the United Way, the Canada Housing and Mortgage Corporation and Housing Nova Scotia. If you have any concerns with this please reach out to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca; please be sure to include the name of your organization and project title.

You are encouraged to provide any additional information you feel may complement your application. Please note HRM may request additional information during our application review process.

Please submit additional information to the Affordable Housing Grant Program by email: affordablehousingprogram@halifax.ca; please be sure to include the name of your organization and project title.

In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this submission request form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing the Affordable Housing Grant Program submission forms.

If you have any questions about the collection and use of this personal information, please contact the Access and Privacy Office at 902.943.2148 or privacy@halifax.ca.