Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastSocial Insurance Number *Phone Number *Date of Birth (mm/dd/yyyy) *Email *Address *CityProvincePostal codeMarital Status (on December 31st) *MarriedLiving Common-lawWidowedDivorcedSeparatedSingleMarital Status Change Date (YYYY-MM-DD)(if it is changed during last year)Do you have dependent children?YesNoAre you a Canadian Citizen?YesNoProvince of Residence at Dec 31st *AlbertaOntarioBritish ColumbiaQuebecNova ScotiaNew BrunswickManitobaPrince Edward IslandSaskatchewanNewfoundland and LabradorNorthwest TerritoriesNunavutYukonDate of Landing (YYYY-MM-DD)For New Residents during the last year.Did you purchase or sell any property last year?YesNoDid you own specified foreign property at any time during last year with a TOTAL COST of more than CAN $100,000?YesNoSubmit