Client CLIENT SIN#: * Address: * First Name: * Last Name: * City: * Province: * Postal Code: * Date of Birth * Telephone (H): * (W): * CLIENT'S SPOUSE SIN#: * Address: * First Name: * Last Name: * City: * Province: * Postal Code: * Date of Birth * Telephone (H): * (W): * Is he / she - employed? * Yes No His / Her Province: * CLIENT'S DEPENDENT(S) Name: Date of Birth SIN# Relationship Name: Date of Birth SIN# Relationship Name: Date of Birth SIN# Relationship Name: Date of Birth SIN# Relationship INCOME / EXPENSES RRSP T-4 Employment Income T4AP- Pension, Retirement, Annuity T4AOAS- Old Age Security T5- Investment Income T5007 - Statement of Benefits T4E - Employment Insurance Income RC62-Universal Childcare Benefit Medical Expense Union & Professional Dues Children's Fitness Amount Childcare Expense Moving Expense Rent Receipt / Property Taxes Carrying Chargers & Interest donations T2202- Tuition Fees Student Loan Interest Public Transit Passes Self Employed T2200 Declaration of Condition of Employment DECLARATION FOR PROPERTY TAX CREDIT (RENTAL INFORMATION) Address Month Rent Pay P. Tax Name of Landlord / Municipality Address Month Rent Pay P. Tax Name of Landlord / Municipality Address Month Rent Pay P. Tax Name of Landlord / Municipality DIRECT BANK DEPOSIT INFORMATION Name of Bank Institution # Transit# Account# Applicant's Signature Drop a file here or click to upload Choose File Required upload size: 0.2MB - 0.5MB Date If you are human, leave this field blank. Submit
