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Candidate Disclosure Form
TO: Essex Condominium Corporation No.:
Candidate Name:
First Name:
Last Name:
I submit this Candidate Disclosure Form in support of my candidacy for election to the Board of Directors of the Corporation. I make the following declarations to s. 29(1)(f) of the Condominium Act, 1998, as amended, subject to any additional disclosure obligations required by the Corporation's by-laws.
OWNER/OCCUPANCY STATUS
I am a registered owner of a unit in the Corporation:
Yes
No
If you answered "yes" to the above:
The contributions to the common expenses payable for my unit(s) are in arrears for 60 days or more:
Yes
No
I am an occupant of a unit in the Corporation:
Yes
No
LEGAL PROCEEDINGS
The candidate, or certain members of the candidate’s family, is/are involved in a legal action also involving the Condominium Corporation.:
Yes
No
If you answered "yes" to the above, please provide a brief description:
CONDOMINIUM ACT CONVICTIONS
The candidate has been convicted of an offence under the Condominium Act or Regulations in the previous 10 years.:
Yes
No
If you answered "yes" to the above, please provide a brief description (Copy):
CONFLICTS OF INTEREST
I have a material interest, either directly or indirectly, in a material contract or transaction to which the Corporation is a party (other than in my capacity as a purchaser, mortgagee, owner, or occupier of a unit):
Yes
No
I have a material interest, either directly or indirectly, in a material contract or transaction to which the declarant or an affiliate of the declarant is a party (other than in my capacity as a purchaser, mortgagee, owner, or occupier of a unit):
Yes
No
If you answered "yes" to the above, please provide a brief description (Copy):
CONFIRMATION
The declarations that I have made above, and in any additional pages, are true as of the date I have signed this form. I will notify the Corporation immediately if any of the above information I have provided on this form changes prior to the election.
Confirmation:
Yes
No
Date:
Signature:
Email Address
Contact Us
2296 Richmond St Unit 2,
Windsor, ON N8Y 1L6, Canada
Tel: 519 974 3003
Fax: 519 974 6893
Office Hours
Monday-Friday 9 AM - 4:30 PM
Email Us
info@danburypropertymanagement.com