First Name

Middle Name

Last Name

Date of Birth

Email Address

Phone Number

Marital Status Marital StatusSingleCommon-law spouse (or separated for less than 90 days)Married (or separated for less than 90 days)WindowedSeparatedDivorced

Residential Address (as at 31st December)

City

Province ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

First time tax filer? First time tax filer?YESNO

Did you change your name in the tax year? Did you change your name in the tax year?YesNo

Old Name

Do you have Canadian citizenship? Do you have Canadian citizenship?YesNo

Do you identify as an Indigenous? Do you identify as an Indigenous?YesNo

Did you change your address in the tax year? Did you change your address in the tax year?YesNo

Old Address

Date You Moved to the New Address

Did you sell your principal place of residence? Did you sell your principal place of residence?YesNo

Is your home address the same as your mailing address? Is your home address the same as your mailing address? YesNo

Mailing address

If your province or territory of residence changed in the tax year, enter the date of change

Are you an immigrant? Are you an immigrant?YesNo

Date of Migration

Country You Immigrated from

Net Income for the year from Country of Immigration (state currency)

Did you own a foreign property above CAN$100,000 in the tax year? Did you own a foreign property above CAN$100,000 in the tax year? YesNo

Do you choose to receive an E-mail notification from CRA? Do you choose to receive an E-mail notification from CRA?YesNo

Will you be filing for Prior years? Will you be filing for Prior years?YesNo

Are you reporting any income for the tax year? Are you reporting any income for the tax year?YesNo

Spouse Name

Spouse date of birth

Spouse level of Income (state currency)

Do you have same address as your spouse? Do you have same address as your spouse?YesNo

Address of your spouse?

Is Your Spouse an Immigrant? Is Your Spouse an Immigrant?YesNo

Date of Spouse Immigration

Number of dependents

Name of First Dependant

Date of Birth of First Dependant

Relationship with First Dependant Relationship with First DependantSonDaughterFatherMotherGrandfatherGrandmothersNieceNephewBrotherSisterAuntUncleGrandsonGranddaughterSon-in-lawDaughter-in-law

Country of Residence of First Dependant

Name of Second Dependant

Date of Birth of Second Dependant

Relationship with Second Dependant Relationship with Second DependantSonDaughterFatherMotherGrandfatherGrandmothersNieceNephewBrotherSisterAuntUncleGrandsonGranddaughterSon-in-lawDaughter-in-law

Country of Residence of Second Dependant

Name of Third Dependant

Date of Birth of Third Dependant

Relationship with Third Dependant Relationship with Third DependantSonDaughterFatherMotherGrandfatherGrandmothersNieceNephewBrotherSisterAuntUncleGrandsonGranddaughterSon-in-lawDaughter-in-law

Country of Residence of Third Dependant

Name of Fourth Dependant

Date of Birth of Fourth Dependant

Relationship with Fourth Dependant Relationship with Fourth DependantSonDaughterFatherMotherGrandfatherGrandmothersNieceNephewBrotherSisterAuntUncleGrandsonGranddaughterSon-in-lawDaughter-in-law

Country of Residence of Fourth Dependant

Name of Fifth Dependant

Date of Birth of Fifth Dependant

Relationship with Fifth Dependant Relationship with Fifth DependantSonDaughterFatherMotherGrandfatherGrandmothersNieceNephewBrotherSisterAuntUncleGrandsonGranddaughterSon-in-lawDaughter-in-law

Country of Residence of Fifth Dependant

Do you wish to claim British Columbia Renter's Tax Credit? Do you wish to claim British Columbia Renter's Tax Credit? YesNo

Number of months you resided in your residence in 2023

Amount of rent paid in 2023

Name of your Landlord

Are you claiming any donations or gifts for the 2023 tax period? Are you claiming any donations or gifts for the 2023 tax period?YesNo

State Amount