Drop Off Form - Accrual Accounting

First Name*
Last Name*
SIN*
DOB (Day/Month/Year)*
Address*
City*
Province*
Postal Code*
Email*
Phone*
Best Time To Call*
Province of Residence as of Dec 31st*
Have you moved recently?
- Yes
- No
Disability:
- Yes
- No
U.S. Citizen:
- Yes
- No
Marital Status*
- Single
- Married
- Common Law
- Widowed
- Divorced
- Separated
Did your marital status change recently:
- Yes
- No
If Yes, Date and Previous Status:
Spousal Info: First Name
Last Name:
Phone:
SIN
DOB
Net Income
Email:
Disability:
- Yes
- No
U.S. Citizen:
- Yes
- No
Drependants:
- Children
- Parents
- Grandparents
First Name Last Name DOB Relation SIN(if work) Disability (Y/N)
Do you have multiple tax years to be filed?
- Yes
- No
Have you claimed Bankruptcy in the past 2 years?*
- Yes
- No
Do you have Foreign Income?*
- Yes
- No
Do you have Foreign Property?
- Yes
- No
Do you have any RRSP or Other Investments?*
- Yes
- No
Do you have Employment Expenses to claim?*
- Yes
- No
Do you have Income from any of the following sources?
- Business/Self Employment
- Farm
- Rental Properties
Do you have any of the following Receipts?
- Daycare
- Medical Expenses
- Donations
- Political Contributions
- Tuition
Do you pay or receive any support?
- Pay
- Receive
What Kind?
- Child
- Spouse
If you are a Canadian Citizen, would you like your information (name, address, date of birth) given to Elections Canada to update the National Register of Electors?
- Yes
- No