Client Income Tax InformationForm for AccountantCompanyThis field is for validation purposes and should be left unchanged.Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code SIN Number(Required)Date of Birth(Required) MM slash DD slash YYYY Marital Status on Dec 31(Required) Married Divorced Common-Law Separated Widowed SingleProvince of Residence on Dec 31Spouse or Common-Law PartnerName(Required) First Last His/Her Net IncomeDate of birth spouse MM slash DD slash YYYY How many dependents live with you One Two Three or moreiNameDate of Birth MM slash DD slash YYYY Date of Birth MM slash DD slash YYYY NameDate of Birth MM slash DD slash YYYY NameCanadian Citzen(Required) Yes NoDo you have permanent Residency(Required) Yes NoDid you receive any monies for Gov't of canada in 2020 for covid relief(Required) Yes NoMedical Receipts - Out opf pocket expenses **example durgs/dental/visions/physio/massage/chiro(Required) Yes NoMedical Plan you or spouse pay for?(Required) Yes NoDid you travel for medical appts?(Required) Yes NoAre you or spouse eligble for CRA Disability Tax Credit(Required) Yes NoChildcare receipts ex. Daycare Expenses?(Required) Yes NoAre you receiving spousal or child support?(Required) Yes NoIf married or common law who is claiming childrenTuition Receipts for University/College(Required) Yes NoIs Tution being transferred to a parent of spouse?(Required) Yes NoDid you volunteer for fire search & rescue(Required) Yes NoAny Charitable Donations?(Required) Yes NoName of taxpayer of legal reprentative(Required)Disclaimer: By signing and dating this page, you authorize the CRA to interact with and/or cancel the representatie(sa) mentioned above. [ Insert policy, contract, or agreement details here ] By signing this form, I confirm that I have read and understood the terms outlined above. I freely and voluntarily give my consent to participate in the activity, program, or service described. I understand the responsibilities, requirements, and any potential risks involved. I accept the terms and conditions of this agreement and agree to comply with all related rules and policies. I understand that I may withdraw my consent at any time by contacting the organization, recognizing that doing so may affect my ability to continue with the related service or activity. Please checkSignature(Required)
