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	Ontario	Application to Terminate a Tenancy for Nonpayment of
	Rental	Application to Terminate a Tenancy for Nonpayment of
	Rental	Rent and for Collection of Arrears of Rent
	Housing	Rent and for Collection of Arrears of Rent
	Tribunal	Form L1
		Form L1

Read the Instructions carefully before completing the Form. Print or Type in Block or Uppercase.

Part 1: General Information

Landlord's Name and Address

First Name

Male

Female

Company

Initial

Last Name

If there is more than 1 landlord, complete a Schedule of Parties form and file it with this application

Street Address

Unit Number

City

Day Phone Number

(

)

E-mail Address

Evening Phone Number

( )

(

Province Postal Code

Fax Number

)

Rental Unit Covered by this Application

Street Number

Street Name

Street Label

Direction

Unit Number

Postal Code

City

Province

Tenants' Names and Addresses

Tenant 1: First Name

Male

Female

Company Initial

Tenant 1: Last Name

Tenant 2: First Name

Male

Female

Company Initial

Tenant 2: Last Name

If there are more than 2 tenants, complete a Schedule of Parties form and file it with this application

Mailing Address (if different from above)

Unit Number

City

Province Postal Code

Day Phone Number

Evening Phone Number

Fax Number

(

E-mail Address

)

(

)

(

)

Related Applications

List the file numbers of any other applications to the Tribunal that relate to the same rental unit.

File Number 1

File Number 2

The Ontario Rental Housing Tribunal collects the personal information requested on this form under section 172 of the TENANT

PROTECTION ACT, 1997. This information will be used to determine applications under this Act. After an application is filed, all information may become available to the public. Any questions about this collection may be directed to a Customer Service Representative at

416-645-8080 or toll-free at 1-888-332-3234.

11104

For Office use only : File Number:

Page 1 of 5

Version. 07/10/2002

Part 2: Reasons for Your Application

The following are the reasons for making this application. You must choose either reason #1 or reason #2. You can only ask for an amount related to NSF cheque charges if you are applying for an order for rent arrears and/or compensation. For a further explanation of each reason, see the instructions to this form.

1. I am applying for BOTH:

An order to terminate a tenancy and evict the tenant because the tenant has not paid the rent the tenant owes, and

An order requiring the tenant to pay:

plus

which represents the rent the tenant owes me

compensation for each day the tenant remains in the rental unit without paying after the termination date set out in the Notice

for charges related to NSF cheques.

The termination date set out on the N4 Notice to Terminate a Tenancy Early for Nonpayment of Rent is:

dd mm

yyyy

You must attach a copy of the Notice to Terminate a Tenancy Early for Nonpayment of Rent and a Certificate of Service showing how and when you gave the notice to the tenant.

The amount of rent currently on deposit: $

The date the rent deposit was collected:

The last period for which interest on the rent deposit was paid:

yyyy

2. I am applying for an order requiring the tenant to pay:

plus

$ ,

which represents the rent the tenant owes me

for charges related to NSF cheques.

If you choose reason #2, the tenancy will not be terminated.

Is the tenant still in possession of the rental unit?

Yes

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Page 2 of 5

Part 3: Calculation of Amount Owing

1. Rent Owing

I have calculated the amount of rent the tenant owes me as follows:

Rent Period	Rent Charged $	Rent Paid $	Rent Owing $
From: (dd/mm/yyyy)	To: (dd/mm/yyyy)

Total Rent Owing $

2. NSF Cheque Charges and Related Administration Charges Owing

I have calculated the amount of NSF cheque charges and related administration charges the tenant owes me as follows:

Cheque		Date of Cheque		Date NSF Charge Incurred				Amount of			Related				Total Charge $
Amount $		DD/MM/YYYY			DD/MM/YYYY			NSF Cheque			Administration
								Charge $			Charge $

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.


	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

	.	/	/		/		/		.			.				.
	.	/	/		/		/		.			.				.

						Total NSF Related Charges Owing $							,				.
													,				.



														11104
										Page 3 of 5

Part 4: Signature

Landlord's/Agent's Signature

Landlord

Agent

Date (dd/mm/yyyy)

If you are an agent or an officer of a corporation, you must provide the following information:

First Name

Initial

Last Name

Title

Company Name

Mailing Address

Unit Number

City

Province

Postal Code

Phone Number

Fax Number

(

E-mail Address

)

(

)

Important Information

1.Once the landlord files this application with the Tribunal, the Tribunal will give the landlord a Notice of Hearing. If they are applying for reason #1, the landlord must give the tenant a copy of this application and the Notice of Hearing at least five calendar days before the hearing. If they are applying for reason #2, the landlord must give the tenant a copy of this application and the Notice of Hearing at least ten calendar days before the hearing.

Once the landlord has given the tenant a copy of the application and Notice of Hearing, the landlord must file a Certificate of Service with the Tribunal showing how and when the landlord gave the documents to the tenant.

2.If the tenant intends to dispute the application, they must do so in writing. The tenant must file their written dispute with the Tribunal no later than five calendar days after being given a copy of the Notice of Hearing.

3.A Tribunal mediator may contact the landlord and tenant to discuss resolving the application through mediation instead of the formal hearing process. If mediation takes place and the parties resolve the dispute by agreement, the hearing will not be held. If no agreement is reached, the hearing will take place as scheduled; it will not be delayed.

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Page 4 of 5

4.The tenant can pay all the rent in arrears, any additional rent that is owing as of the date the tenant makes the payment, plus the landlord's $150 application fee. If the tenant pays this amount before an order is issued, the part of the application terminating the tenancy and evicting the tenant for arrears of rent will be discontinued.

After the order is issued, the tenant can pay all of the rent in arrears, any additional rent that is owing as of the date the tenant makes the payment, plus any charges for NSF cheques and related administration charges, and any costs the Tribunal has ordered the tenant to pay. The tenant must pay this amount before the date the order becomes enforceable. If they do, the part of the order terminating the tenancy and evicting the tenant for arrears of rent will be void.

To discontinue the application or void an order, the tenant can pay the amount owing either to the landlord, or to the Tribunal in trust.

5.It is an offence under the TENANT PROTECTION ACT to file false or misleading information with the Ontario Rental Housing Tribunal.

6.The Tribunal can order either the landlord or the tenant to pay the other's costs related to the application.

7.The Tribunal has Rules of Practice that set out rules related to the application process, and Interpretation Guidelines that explain how the Tribunal might decide specific issues that may arise in an application. You can purchase a copy of the Rules and Guidelines from your local Tribunal office or view them online at www.orht.gov.on.ca.

8.You may contact the Ontario Rental Housing Tribunal at 416-645-8080 or toll-free at 1-888-332-3234 or visit the Tribunal's web site at www.orht.gov.on.ca for further information.

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Page 5 of 5

Ontario

Rental

Housing

Tribunal

L1 Payment and Scheduling Information Form

Part 1: Application Fee

The application fee is $150.

Select how you are paying the application fee:

Cash

Certified Cheque

Credit Card:

Credit Card Number

Debit Card

Money Order

Certified cheques and money orders must be made payable to the "Minister of Finance"

Visa

MasterCard

American Express

Expiry Date

Cardholder's Name

Cardholder's Signature:

Important: The information you fill in under Part 1 is confidential. It will be used to process your application, but will not be placed on the application file.

Part 2: Information Required to Schedule the Hearing

What date will you give a copy of the Notice of Hearing to the tenant?

How will you give a copy of the Notice of Hearing to the tenant?

By Mail

By Courier

Another Method

dd mm

yyyy

How do you want the Tribunal to give you the Notice of Hearing? Select one of the following:

Pickup at Tribunal Office

By Mail

mm yyyy

By Fax (

Which office?

)

By E-mail

Part 3: Special Services Required

Shade in whether you require either of the following services at the hearing:

French language interpreter

Note: You must live in an area designated for French language services

Sign language interpreter

FOR OFFICE USE ONLY:

HRM Code

HR Date

Time

yyyy

min

am/pm

F L

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Delivery Method:

In Person

Mail

Fax

Courier

Question	Answer
Form Name	Ontario Form L1
Form Length	6 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 30 sec
Other names	l1 application, sjto forms, ltb ontario forms, ontario government forms online ltb l1

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