New Client Form – PersonalTitle– Select –Mr.Ms.Mrs.First NameLast NameDate of BirthSocial Insurance NumberEmail AddressAddressAddress Line 1Address Line 2CityProvincePostal CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone/MobilePhone/Mobile/ WhatsApp Number (other)Marital Status– Select –SingleCommon LawMarriedSeparatedDivorcedWidowedSpouse’s first nameSpouse’s last nameSpouse’s SINSpouse’s EmailSpouse’s Date of birthFiling questionsAre you a Canadian Citizen? Yes NoDo you authorize Canada Revenue to give your name, address, date of birth to Elections Canada? Yes NoDid you own any property outside of Canada with a total cost of $100,000 CAD or over? Yes NoDid you or anyone living with you have a disability that restricts in any way? If unsure, see us for more info. Yes NoDid you dispose of a property (or properties) in the tax year for which you are claiming a principal residence exemption? Yes NoDo you authorize the CRA to provide your name and email address to Ontario Health so that Ontario Health(Trillium Gift of Life) may contact or send information to me by email about organ and tissue donation? Yes NoFiling questions – SpouseIs your spouse a Canadian Citizen? Yes NoDo you authorize Canada Revenue to give your spouse’s name, address, date of birth to Elections Canada? Yes NoDid your spouse own any property outside of Canada with a total cost of $100,000 CAD or over? Yes NoDid your spouse or anyone living with your spouse have a disability that restricts in any way? If unsure, see us for more info. Yes NoDid your spouse dispose of a property (or properties) in the tax year for which you are claiming a principal residence exemption? Yes No7. Do you authorize the CRA to provide your spouse name and email address to Ontario Health so that Ontario Health(Trillium Gift of Life) may contact or send information to me by email about organ and tissue donation? Yes NoDependentsDo you have dependents? Yes NoHow many children you have?Child #1First NameLast NameRelationship Son DaughterDate of birthChild’s SIN (if available)Did this child earned any income in the tax year? Yes NoIf yes, how much?1. Was your home the child’s principal residence? Yes No4. Did this child attend school full or part-time in the tax year? Yes No2. Did you pay or receive child support for this child in the tax year? Yes No5. Did this child pay tuition fees in the tax year? Yes No3. Will anyone else be making a claim for this child? Yes No6. Did you pay anyone to care for this child in the tax year? Yes NoChild #2First NameLast NameRelationship Son DaughterDate of birthChild’s SIN (if available)Did this child earned any income in the tax year? Yes NoIf yes, how much?1. Was your home the child’s principal residence? Yes No4. Did this child attend school full or part-time in the tax year? Yes No2. Did you pay or receive child support for this child in the tax year? Yes No5. Did this child pay tuition fees in the tax year? Yes No3. Will anyone else be making a claim for this child? Yes No6. Did you pay anyone to care for this child in the tax year? Yes NoChild #3First NameLast NameRelationship Son DaughterDate of birthChild’s SIN (if available)Did this child earned any income in the tax year? Yes NoIf yes, how much?1. Was your home the child’s principal residence? Yes No4. Did this child attend school full or part-time in the tax year? Yes No2. Did you pay or receive child support for this child in the tax year? Yes No5. Did this child pay tuition fees in the tax year? Yes No3. Will anyone else be making a claim for this child? Yes No6. Did you pay anyone to care for this child in the tax year? Yes NoChild #4First NameLast NameRelationship Son DaughterDate of birthChild’s SIN (if available)Did this child earned any income in the tax year? Yes NoIf yes, how much?1. Was your home the child’s principal residence? Yes No4. Did this child attend school full or part-time in the tax year? Yes No2. Did you pay or receive child support for this child in the tax year? Yes No5. Did this child pay tuition fees in the tax year? Yes No3. Will anyone else be making a claim for this child? Yes No6. Did you pay anyone to care for this child in the tax year? Yes NoChild #5First NameText InputRelationship Son DaughterDate of birthChild’s SIN (if available)Did this child earned any income in the tax year? Yes NoIf yes, how much?1. Was your home the child’s principal residence? Yes No4. Did this child attend school full or part-time in the tax year? Yes No2. Did you pay or receive child support for this child in the tax year? Yes No5. Did this child pay tuition fees in the tax year? Yes No3. Will anyone else be making a claim for this child? Yes No6. Did you pay anyone to care for this child in the tax year? Yes NoProvide with your last year’s filed income tax return (If applicable).Choose File Notes/ Comments (if any) Submit Form