2015 Canadian Personal Tax Package

BENSON
INKSTER
BRIGHTON
Peter I.M. Benson, CPA, CA, LPA, CFP, CPA (Illinois), CGMA
John R.G. Brighton, CPA, CA, LPA, CEP
Susen Boyd, CPA, CGA
Christina L. Walkom, CPA, CA, LPA
Your Personal Tax Organizer
Name:
S.I.N. #
Birthdate:
Phone # (W)
Address:
(H)
E-Mail:
(C)
Efile your return? (Sign enclosed Form T183) There will be a charge of $30/Return
plus HST if you do not wish to E-File.
Are you a Canadian Citizen? (If no, see insert)
Do you agree to release your name, address and date of birth to Elections Canada?
Did you own or hold foreign property at any time during the year with a total cost of
more than $100,000 Canadian? (If so, see Tl135 insert)
Do you wish to purchase tax inquiry protection? (Sign enclosed form)
Canada Revenue Agency Email correspondence
Yes [] No []
if yes, email address
Have you signed up for direct deposit for any government refunds? Yes [] No []
- if no, please see insert to do so.
Yes
[]
No
[]
Income:
T4, T4A, T4U, T4A (P), T4A (OAS), T4E, TS, T3 [] Foreign income, including foreign pensions (include US)
Canadian information slips
[] Other income (RRSP, RPP, RRIF, annuity, alimony
[] Business Website
received, WSIB benefits, scholarships, social
[] Rental income and expenses, property disposition
assistance, etc.)
including residence, if applicable
[] Investment transaction summaries (i.e. details of share
[] Self-employment income and expenses
purchases and sales, treasury bills, adjusted cost base)
Deductions/Credits:
[]
[] RRSP contributions
[] T2200/TL 2 forms (employment expenses)
[] Tuition/T2202 slips (education credit, self or
[] Rent receipts
dependents)
[] Other deductions (carrying charges, interest, alimony
[] Child care (S.I.N., name and address), receipts
paid)
[] Moving expenses and details - receipts required [] Investment counsel fee
[] Donations/political contributions - receipts required [] Property tax statement and proof of payment
[] T2201 forms (disability credits, self or
[] Medical expenses - receipts required
dependents), signed by a qualified person
[] Dependent Info: Name, Birth Date and SIN
[] Children’s Fitness and Activity tax credit
[] Children’s Arts tax credit - receipts required
- receipts required
[] Volunteer Firefighter / Search & Rescue
Public Transit
Other:
[]
Income tax instalments, final statement indicating [] Notices of assessment/reassessments for at least the
total paid for the year
prior year
[] Changes, such as address, name, marital status
Details of any foreign non-business investments,
(including common-law) dependants, spouse’s S.I.N.
costing more than $100,000 Canadian (in total)
and birth date
New Client Information:
[] Copy of prior year returns (3 years preferred)
[] Copy of any carry forward information such as RRSP contribution room, losses, reserves, Investments, alimony
or support agreements.
PRIVACY:
The information requested to be provided is required to assist in preparing personal income tax returns.
Use and custody of this information will be in accordance with the firm’s Privacy Policy Statement, a copy
of which may be reviewed at our office or obtained upon request. Your provision of personal information
in this envelope implies your consent to its use as per the privacy policy and terms of engagement.
665 Maitland Street
London, Ontario N5Y 2V7 (519) 433-4055
FAX (519) 433-7915
[email protected]
BENSON
INKSTER
BRIGHTON
Peter I.M. Benson, CPA, CA, LPA, CFP, CPA (Illinois), CGMA
]ohn R.G. Brighton, CPA, (’.A, I,PA, CFP
Susen Boyd, CPA,
Christina L. Walkom, CPA, CA, LPA
Dear Valued Client:
We are writing as a reminder that it is once again time to assemble the information required to prepare
your 2015 income tax return. Your Personal Income Tax Organizer and our Personal Income Tax
Checklist are enclosed to assist in gathering your income tax papers. Certain sections of the checklists
may not be relevant to your particular circumstances, in which case, please disregard those sections.
In an effort to expedite preparation of your income tax return, we would appreciate if you could try to have
the information to our office by March 15, 2016.
Mandatory Electronic Filing for 2018
Electronic filing of 2015 personal income tax returns is now mandatory. Should you wish to continue
paper filing your return a fee of $30 plus HST will be billed to you. Please indicate on the Personal Tax
Organizer that you do not wish to electronically file.
Engagement Letter
We have enclosed an engagement letter and privacy statement. We request that you review these
documents and return a signed copy of the engagement letter along with your records. Sending your
information in without a signed letter will imply your consent to the engagement letter terms.
Tax inquiry Protection
In recent years, the Canada Revenue Agency (CRA) has directed an increasing number of inquiries
relating to personal income tax returns to tax professionals. We have charged, and will continue to
charge, clients for time spent in responding to the income tax authority’s requests for information. As in
prior years, we are offering the option of purchasing tax inquiry protection against the cost of a CRA
inquiry for $30 per return. If you purchase the tax inquiry protection, we will not charge you for any time
spent related to responding to such inquiries. This does not include the cost of any support or appeal
work required as a result dan income tax audit. In order to be eligible for the inquiry protection, receipts
must be supplied to our office in advance of CRA’s Inquiry.
Other Forms Requiring Signature
Enclosed is an E-file Authorization Form (T183), please sign the form where indicated and enclose with
your tax records.
CRA Failure to Report Penalties
Please be advised that Canada Revenue Agency has been very diligent in assessing failure to report
penalties when income (i.e. T4, T5, T4RSP, etc.) are omitted. The penalty can be equal to 10% of the
income omitted. If a second occurrence happens within three years, the penalty increases to 20% of
gross income. Please review your tax information before submission to our office to ensure all expected
slips are accounted for.
If you have any questions or wish to discuss any other matters, please contact us. Thank you for this
opportunity to be of service to you.
Yours very truly,
Encl.
665 Maitland Street (at Pall Mall)
London, Ontario N5Y 2V7
519-433-4055
Fax: 519-433-7915
www.bibpc.ca
Peter I.M. Bcnson, CPA, CA, LPA, CFP, CPA (Illinois), CGMA
John R.G. Brighton, CPA, CA, LPA, CFP
Susen Boyd, CPA, CGA
Christina L. Walkom, CPA, CA, LPA
BENSON
INKSTER
BRIGHTON
ENGAGEMENT LETTER
This letter is to confirm our mutual understanding of the terms of engagement to prepare your Personal income
tax return from information you furnish to us. We will not perform an audit or other verification of the data you
submit, although we may ask for clarification of the information.
If you claim deductions on your return for business entertainment, meals, recreation, travel, gifts or other
expenses, it is your responsibility to keep the original receipts and provide details required (amount, date, place,
business purpose, business relationship of recipient, etc.) if requested by CRA.
We will prepare your income tax return based on our understanding of the governing income tax laws at the time
of preparation.
Fees for our services will be at our standard hourly rates for income tax matters. We will bill you after we
complete your income tax return for time spent, plus out-of-pocket expenses. Our invoice is due and payable
upon presentation.
Your income tax return is subject to review by the taxing authorities. Any items which may be resolved against
you by an examining agent are subject to certain rights of appeal. In the event of an income tax review or audit,
we will be available, upon request, to represent you. Billing for such additional service is at our standard rate for
the nature of services performed.
Privacy
It is acknowledged that we will have access to all personal information in your custody that we require to
complete our engagement. Our services are provided on the basis that:
¯ you represent to us, that before we access such personal information, you will have obtained any
required consents for collection, use and disclosure to us of personal information required under
applicable privacy legislation (i.e. from spouse or dependents); and
¯ we will collect from you and use, disclose and retain all such personal information in compliance with
our privacy statement, which is available upon request from our office.
If the above fairly sets out your understanding of the terms of engagement, please sign, date, and return it to us
for our files.
Yours very truly,
/jm
I am in agreement with the above engagement terms:
Name
Signature
Date
665 Maitland Street (at Pall Mall)
I,ondon, Ontario N5Y 2V7
519-433-4055
Fax: 51%433-7915
www.bibpc.ca
Peter i.M. Benson, CPA, CA, I,PA, CFP, CPA (illinois), CGMA
John R.G. Brighton, CPA, CA, LPA, CFP
Susen Boy& CPA CGA
Christi~aa L. X,Valkom, CPA, CA, I,PA
BENSON
INKSTER
BRIGHTON
FOR 2015 INCOME TAX PREPARATION
"Protect yourself against the cost of an inquiry."
Each year we receive numerous inquiries from the taxation authorities about personal income
tax matters. When an inquiry is made by the Canada Revenue Agency (CRA), we charge
clients for our time spent to answer the inquiry.
We are therefore offering tax inquiry protection at a flat rate of $30 per person per Canadian tax
return to cover any additional information requested by the CRA including the cost of
representation up to the appeal stage. In order to qualify for this protection, receipts for all
deductions/credits claimed must be provided at the time of return preparation. Enclosed is a
summary of the deductions/credits most commonly questioned by CRA and details regarding
the supporting documents that should be provided for each.
Be advised that this coverage is for responding to inquiries by CRA following the electronic filing
of the return, and no._~t responding to full tax audits or reassessments.
If you wish to subscribe for the protection, kindly complete the information below and we will
include it on your invoice.
Tax Inquiry Protection
Client’s Name:
Address:
Phone number:
Signature
665 Maitland Street (at Pall Mall)
Date
London Ontario N5Y 2V7
519-433-4055
Fax: 519-433-7915
www.bibpc.ca
DEDUCTIONS/CREDITS MOST FREQUENTLY QUESTIONED BY CRA
Below are some of the most frequently deductions/credits that Canada Revenue Agency (CRA)
questions each year. In such situations, if the supporting documents do not meet CRA’s
requirements, the claim is likely to be denied. The below list is not exhaustive and in certain
cases further supporting documentation may be required. Further guidance may be found for
more specific claims at the links provided.
Charitable contributions
http : llwww, cra-arc.,qc, caltx/ndvdlsltpcslncm-tx/spprt/Ics-154 36-en.q . html
Receipt must include: name and address of the charitable organization, date the donation was
made, serial number of the receipt, name and address of the donor, amount of the donation,
registered charity number of the charity, signature of an authorized official, statement that it is
an official receipt for income tax purposes and Canada Revenue Agency’s name and website
address.
Child care expenses
http://www.cra-arc.,qc.ca/tx/ndvdls/tpcs/ncm-tx/spprt/Ics-15415-en.q.html
Receipt must include: the name of the child(ren), signature of the person who provided the
services, amount paid for the services, dates when the child care expenses were incurred, the
name(s) of the child(ren)’s parents, address and SIN of the person providing the services.
Eligible dependant
http : //www. cra-arc..qc, ca/tx/ndvdls/tpcs/ncm-tx/spprt/Ics-15404-en,q, html
Proof of custody must be provided.
Fitnesslarts tax credits
http : llwww, cra-arc.,qc, caltxlndvdls/tpcslncm-tx/spprt/Ics-12658-en.q, html
Receipt must include: organizations name and address, child’s full name and year of birth, full
name of payer, name of the eligible program/activity, total amount paid, breakdown of the
eligible amount paid, date of payment and the signature of an authorized official. A description
of the duration of the eligible activity/program is also required.
Medical expenses
http : /Iwww. cra-arc.,qc, ca/tx/ndvdlsltpcs/ncm-tx/spprtllcs-15435-en.q.html
Receipts must include: name of the patient, type of service provided by the medical practitioner,
amount and date of the payment for the service provided and proof of payment for amounts paid
in respect of a dependant who is 18 years of age or older at the end of the year.
In some instances a letter from a medical practitioner certifying the taxpayers need for the
device/service may be required.
Moving expenses
http://www, cra-a rc. ,q c. ca/tx/n dvd Is/tpcs/n cm-tx/spprt/I cs- 15418-e n.q. html
In some cases, a letter from your employer confirming the first date of employment and whether
any part of the moving expenses were reimbursed by the employer may be required.
Rent/property tax expense
http://www.cra-arc.,qc.ca/tx/ndvdls/tpcs/ncm-tx/spprt/Ics-15446-en.q.html
Receipt must include: amount of rent/property taxes paid, date paid, name of person paying
rent/property taxes, name of person/business paid to, address of property rented/owned.
NOTE: lease agreements are not acceptable as proof of rent paid.
Support payments
http : //www. cr a-arc.,qc, ca/tx/ndvdls/tpcs/ncm-tx/spprt/Ics-15419-en.q, html
To support this claim you will need to provide: receipts confirming total amount of child/spousal
support paid, name, address, date of birth and SIN to whom support was paid, name and date
of birth of each child support payments were paid on behalf of, complete copy of the court order
or written agreement detailing the amount of child/spousal support required to be paid, dates the
support payments required to be made, date of separation and custody arrangement and the
agreement must be signed and dated by both parties and must be signed by an official of the
court and bear the court seal.
Tuition and education amounts
http://www.cra-arc.,qc.ca/tx/ndvdls/tpcs/ncm-tx/spprt/Ics-15430-en.q.html
Approved government forms:
T2202A, Tuition, Education and Textbook Amounts Certificate issued by educational
institutions in Canada
TL11A, Tuition Education and Textbook Amounts Certificate issued by educational
institution outside Canada
TL11B, Tuition, Education and Textbook Amounts Certificate issued by a flying school or
club
If tuition is being transferred to a spouse/parent/grandparent the T2202A (tuition receipt) must
be signed and dated by the student. Please leave the amounts blank as the maximum
transferrable will be determined by our office.
I~1~I
Canada Revenue Agence du revenu
Agency
du Canada
Protected B
when completed
Information Return for Electronic Filing of
an Individual’s Income Tax and Benefit Return
,, "]he information found on this form corresponds to the tax year indicated on the right.
¯ Before you fill out this form, read the information and instructions on the back.
¯ The individual (or legal representative) identified in Part A must sign Part E.
,* Part G is to be filled out by your electronic filer once the return has been submitted.
¯ Give the signed original of this form to your electronic filer and keep a copy for yourself.
Tax year:
2015
Part A - Identification and address as shown on your return (mandatory)
First name
I
Social insurance number
I Last name
Mailing address: Apt No - Street number and name
PO Box
RR
City
Pr0v.,q’errl
Postal code
Part B - Declaration of amounts from your General Income Tax and Benefit Return (mandatory)
Enter the following amounts from your return, if applicable:
Total income (line 150) ................................
Taxable income (line 260) ..............................
Refund (line 484) .........
or
Total federal non-refundable tax credits (line 350 of Schedule 1) ...
Balance owing (line 485) ....
Part C - Alternative address information (optional)
Fill out this part if you want us to mail your notice of assessment and your tax refund, or only your notice of assessment, to you at the address of the
electronic filer named in Part F. Tick (v") the appropriate box to tell us which information to mail to the electronic flier’s address. This authorization is valid
for the current tax year only. Important: Read the back of this form for more details, especially if you have signed up for the online mail service.
[~ notice of assessment and tax refund
or D notice of assessment
Part D - Authorizing an electronic filer to represent you (optional)
By filling out and transmitting this part of the T183 form, I authorize the Canada Revenue Agency to deal with the electronic filer named
in Part F as my representative for income tax matters on my tax return. This authorization is limited to the specific tax year and does not
provide my representative with online access. This authorization will expire on
If you do not show an expiry date, this authorization witl remain in effect until you, the undersigned, cancel it. Read the back ol this form
for more details.
Signature (ir, dividual identified in Part A or legal representative)
Name and title of legal representative
Date
Sign Here
<
Part E - Declaration and authorization (mandatory)
I declare that the information entered in Part A and F and the amounts shown above in Part B are correct and complete and fully disclose my income
from all sources. I also declare that I have read the information on the back of this form, and that the electronic filer identified in Part F is filing my return.
I
I allow this electronic filer to communicate with the Canada Revenue Agency to correct any errors or omissions.
Sign Here
Sigr~ture (individual identified in Part A or legal representalh/e)
Name and title o| legal representative
Date
Email address (optional)
I understand that by providing an emait address, I am registering for ontine mail and I accept the terms and conditions. For more information, refer to
the information and instructions on the back of this form.
Part F - Electronic filer identification (mandatory)
By signing Part E above, the individual named in Part A declares that the following person or firm is electronically filing his or her return. Part E must be
signed before the return is electronically transmitted.
C3077
Name of person or firm:
Benson Inkster Brighton Electronic filer number:
Part G - Document control number or confirmation number (mandatory)
Enter the document control number or confirmation number for the individual’s electronic record:
C3077
Privacy Act, personal information bank numbers CRA PPU 005 and CRA PPU 175
(Vous pouvez obtenir ce formulaire en fran~;ais b www.ar¢.g¢.ca/formulaires ou en composant le 1-800-959-7383.)
T183 E (15)
CanadS
FOREIGN REPORTING & THE NEW FORM Tl135
Please answer the following question:
Did you own or hold foreign property at any time in 2015 with a total cost of more than CANS100,000?
(see the "Foreign income" section in the guide for details)
Yes [] No []
If yes, attach a completed Form T1135.
This question is posed on the Canadian Income Tax and Benefit Return each year. The guidelines to answer this correctly are
somewhat complicated. Below is some information to help decide whether a completed Form Tl135 should be attached to
your personal income tax return.
What property has to be reported?
Foreign investment property that must be reported includes:
=
¯
¯
¯
¯
¯
¯
amounts in foreign bank accounts
shares in foreign companies
interests in non-resident trusts
bonds or debentures issued by foreign governments or foreign companies
interests or units in offshore mutual funds
real estate situated outside Canada, other than personal-use property (see below) and assets used in an active
business
other income-earning foreign property.
However, foreign investment property does not include:
¯
Personal-use property, that is, any property used mainly for personal use and enjoyment, such as a vehicle, ya.c.a.tLo~
orogeny, jewellery, artwork, or any other such property.
What defines cost?
Take the cost amount of each foreign property owned in the year and determine if at any time in the year the total of the cost
amounts were more than $100,000 (in Canadian dollars). "Cost" is defined as the historical cost (i.e. the price you bought it
for) converted to Canadian dollars using the exchange rate in effect at the time of acquisition.
Failin,q to file
The penalty for failing to file a return is $25 a day for up to 100 days (minimum $100 and maximum $2.500~. When failing to
file is done knowingly or under circumstances amounting to gross negligence, the penalty is $500 per month for up to 24
months (maximum $~, less any penalties already levied.
The Canada Revenue Agency has implemented the following changes to form T1135 for the 2015 and later tax years:
¯
¯
¯
¯
Part_A, a new simplified reporting method, for those taxpayers who held specified foreign property with a total cost of
more than $100,000, but throughout the year was less than $250,000. This reporting method allows taxpayers to
check the box for each type of property they held during the year rather than providing the details of each property.
The country codes to be selected are based on the aggregate maximum cost amount of specified foreign property
held during the year. Income from all specified foreign property and gain (loss) from the disposition from all specified
foreign property during the year must also be reported.
Part B, the current detailed reporting method, will continue to apply to those taxpayers who, at any time during a year,
held specified foreign property with a total cost of $250,000 or more.
The aggregate reporting method will continue to apply to taxpayers who have an account with a Canadian registered
securities dealer. Specifically, a taxpayer who held specified foreign property in an account with a Canadian
registered securities dealer (as defined in subsection 248(1) of the Income Tax Act) or a Canadian trust company
(as determined under paragraph (b) of the definition of a restricted financial institution in subsection 248(1)) have
the option to report the aggregate value of all such property, but on a country by country basis. The total value to be
reported is the highest fair market value at the end of any month during the year in addition to the fair market value at
year end. The aggregate income earned in the year, and the gain (loss) realized from all dispositions during the tax
year must also be reported.
This aggregate reporting will continue to be reported in a table - Category 7 on Form Tl135, "Property held in an
account with a Canadian registered securities dealer or a Canadian trust company
If you hold foreign property meeting the criteria for reporting and not eligible for the exclusion, the following is the information
required to be reported. See our website http://www.bibpc.ca for a link to a tillable version of the form.
F:~ADMIN\T1 INFO - LOG - FORMS\T1 FORMS\CDN FORMS\T1 MAIL OUT PACKAGE\FOREIGN REPORTING 2015.DOCX
In order to complete your tax return in a cost effective manner, we request that this information be
provided along (if applicable) along with the balance of your income tax information
1, Funds held outside Canada
Name of bank/other entity holding the funds
Country
code
Max, funds
held during
the year
Shares of non-resident corporations (other than foreign affiliates)
Max.
Cost
Name of corporation
Country cost
amount at
code
during
the year year end
Funds
held at
year end
Income
Income
Gain (loss)
(loss)
disposition
(loss)
on
Indebtedness owed by non-resident
Description of indebtedness
Country
code
Max.
cost
during
the year
Cost
amount at
year end
Income
Max.
cost
during
the year
Cost
amount
at year
end
Income
received
Capital
received
(loss)
Gain (loss)
on disposal
4. Interests in non-resident trusts
Name of trust
Country
code
Gain (loss)
on
disposition
Real property outside Canada (other than ~ersonal use and real estate used in an active business)
Max.
Cost IncomeGain (loss)
Country
cost
Description of property
amount
at(loss)
on
code during
year end
disposition
the year
Other property outside Canada
Description of property
Country
code
Max.
cost
during
the year
Cost
amount at
year end
Income
(loss)
Gain (loss)
on
disposition
Property held in account with a Canadian registered securities dealer or a Canadian trust company
Max. fair
Fair market
Gain (loss)
Country
market
Income
Name of registered security dealer /
value
value
at
on
Canadian trust company
code
(loss)
during
year end
disposition
the year
F:\ADMIN\T1 INFO - LOG - FORMS\T1 FORMS\CDN FORMS\T1 MAIL OUT PACKAGE\FOREIGN REPORTING 2015.DOCX
I ~lIpI
Canada Revenue Agence du revenu
Agency
du Canada
Protected B when completed
For departmental use.
Foreign Income Verification Statement
¯ This form must be used for the 2015 and later taxation years.
¯ Complete and file this form if at any time in the year the total cost amount to the reporting taxpayer
of all specified foreign property was more than $100,000 (Canadian).
¯ If an election has been made to use a functional currency (see attached instructions), state the
I
elected functional currency code .................................................
¯ See attached instructions for more information about completing this form.
II
If this is an amended return check this box.
Identification
Check ( ~ ) a box to indicate who you are reporting for, and complete the areas that apply
First name
Last name
[] Individual
Initial
Corporation’s name
[]
Corporation
[]
Trust
Social insurance number
Individual code
I--]2
Business number (BN)
Account number
Trust’s name
Partnership code
Partnership’s name
Partnership’s account number
[] Partnership
Reporting taxpayer’s address
Number
Street
City
Province or territory
Year
Postal or zip code
Month Day
Year
II
Country code
Month Day
For what taxation year are you filing this form?
Check ( v’ ) the appropriate box that applies for the taxation year:
If the total cost of all specified foreign property held at any time during the year exceeds $100,000 but was less than $250,000, you are required to
[] complete either Part A or Part B;
[] If the total cost of all specified foreign property held at any time during the year was $250,000 or more, you are required to complete Part B.
Part A: Simplified reporting method
For each type of property that applies to you, check ( ~ ) the appropriate box.
Type of property;
Funds held outside Canada ...........................................................
[]
Shares of non-resident corporations (other than foreign affiliates) .................................[]
Indebtedness owed by non-resident .....................................................
[]
Interests in non-resident trusts .........................................................
[]
Real property outside Canada (other than personal use and real estate used in an active business) .........
[]
Other property outside Canada .........................................................
[]
Property held in an account with a Canadian registered securities dealer or a Canadian trust company ....... []
Country code:
Select the top three countries based on the maximum cost amount of specified foreign property held during the year. Enter the country codes in the boxes below:
Income from all specified foreign property $
Gain(loss) from the disposition from all specified foreign property $
Privacy Act, personal information bank number CRA PPU 205
Tl135 E (15)
(Ce formulaire existe en fran~ais.)
Canad
Part B: Detailed reporting method
Categories of specified foreign property
In each of the tables below, provide the required details of each specified foreign property held at any time during the particular tax year. If you need additional
space, please attach a separate sheet of paper using the same format as the tables.
A taxpayer who held specified foreign property with a Canadian registered securities dealer or a Canadian trust company is permitted to report the aggregate
amount, on a country-by-country basis, of all such property in Category 7, Property held in an account with a Canadian registered securities dealer or a Canadian
trust company. See attached instructions for Category 7 for details as to how to report under this method.
1. Funds held outside Canada
Country
code
Name of bank/other entity holding the funds
Maximum funds hold
during the year
Funds held
at year end
Income
Total
2. Shares of non-resident corporations (other than foreign affiliates)
Country
code
Name of corporation
Maximum cost
amount during
the year
Cost amount
at year end
Income
Gain (loss) on
disposition
Cost amount
at year end
Income
Gain (loss) on
disposition
Total
3. Indebtedness owed by non-resident
Country
code
Description of indebtedness
Maximum cost
amount during
the year
Total
4. Interests in non.resident trusts
Name of trust
Country
code
Maximum cost
amount during
the year
Cost amount
at year end
Income received
Capital received
Gain (loss) on
disposition
Total
5. Real property outside Canada (other than personal use and real estate used in an active business)
Description of property
Country
code
Maximum cost
amount during
the year
Cost amount
at year end
Income
Gain (loss) on
disposition
Cost amount
at year end
Income
Gain (loss) on
disposition
Income
Gain (loss) on
disposition
Total
6. Other property outside Canada
Description of property
Country
code
Maximum cost
amount during
the year
Total!
7. Property held in an account with a Canadian registered securities dealer or a Canadian trust company
Name of registered security dealer/Canadian trust company
Country
code
Maximum fair market
value during the year
Fair market value
at year end
Total
Privacy Act, personal information bank number CRA PPU 205
IMPORTANT REMINDER
DIRECT DEPOSIT
By April 2016, the Government of Canada will be phasing out issuing cheques in favour
of direct deposit for all government payments and income tax refunds.
If you are currently receiving payments or income tax refunds via cheque, you should
enroll.
You can enroll by completing a single form for one or several of the following
Government of Canada payments (as applicable to you):
¯
¯
¯
¯
¯
¯
¯
¯
Canada Child Tax Benefit (CCTB)
Canada Pension Plan (CPP)
Goods and Service Tax (GST)/Harmonized Sales Tax (HST) credits
Government of Canada Annuities
Old Age Security (OAS)
Income Tax Refunds
Universal Child Care Benefit (UCCB)
Veterans Allowance and Benefits
To ensure you receive all expected refunds and/or payments please complete the
attached form and mail it to the address below:
RECEIVER GENERAL FOR CANADA
PO BOX 5000
MATANE, QC
G4 W 4R6
** Alternatively you can enroll by telephone, online or in person.For more information
please visit:
http :l lwww. cra-arc, qc. cald irectdeposit
r-
Public Works and Government
Services Canada
Travaux publics et Services
gouvernementaux Canada
DIRECT DEPOSIT
ENROLMENT FORM
FORMULAI .RE .D’INSCRIPTION
AU DEPOT DIRECT
Veuillez ~crire lisiblement en lettres moul~es. N’utilisez
pas ce formulaire pour modifier votre adresse postale.
Ne joignez rien d’autre que votre cheque annul~ ~ ce
formulaire.
Print clearly in block letters, Do not use this form to
provide changes to your mailing address, Do not enclose
anything other than your voided cheque with this form.
1
PROTECTED,"B:’ when completed
PROTEGE B Iorsque rempli
PART A - Identification Information
PARTIE A - Renseignement$ d’identification
Surname
Nom
Initial(s)
Initiale(s)
Given Name
Pr6nom
Address
Adresse
I
City/Town
Ville
Province
Telephone No.
N° de telephone
Postal Code
Code postal
Date of Birth (YYYYMMDD)
Date de naissance (AAAAMMJJ)
Social Insurance No.
N° d’assurance sociale
I
PART B - Payment Information (Indicate the payment(s) you currently receive by cheque)
PARTIE B - Renseignement$ sur le$ paiements (indiquez les paiements que vous recevez actuellement
par chbque)
Canada Revenue Agency - Agence du revenu du Canada
Income Tax Refund, GST/HST credit and CCTB and any related provincial and territorial payments, WITB advance payments, any other
deemed overpayment of tax, and UCCB. I understand that providing new banking information replaces any banking information on file with
CRA and will stay in effect until changed by me.
Remboursement d’imp~)t, credit pour la TPS/TVH et PFCE, y compris les versements de prestations provinciales ou territoriales lies,
versements anticipes de la PFRT, ainsi que tout autre paiement d’imp6t ou de taxe rdputd en trop et de la PUGE. En fournissant mes
nouveaux renseignements bancaires, je comprends que ceux-ci remplacent les renseignements bancaires fournis pr~c~demment et qu’ils
resteront valables jusqu’& avis contraire de ma part.
Service Canada
Canada Pension Plan
R~gime de pensions du Canada
Old Age Security
Securit6 de la vieillesse
PWGSC-TPSGC 8001-551 (2015-09)
Canad
Page 1 of
de
001
I
rPART C - Banking Information (Canadian financial institutions only)
PARTIE C - Renseignements bancaires (institutions financi~res canadiennes seulement)
IMPORTANT: Complete Part C or attach a blank cheque with "VOID" written on it.
IMPORTANT : Veuillez remplir la partie C ou joindre un specimen de cheque portant la mention <~ NUL >>.
Branch No.
N° de la succursale
Institution No.
N° de I’institution
Account No.
No de compte
Name(s) of Account Holder(s)
Nom(s), titulaire(s) du compte
Financial Institution Stamp
(required if no void cheque attached)
Cachet de I’institution financiere
(requis si un cheque annule
n’est pas joint)
PART D - Consent
PARTTE D - Consentement
Provision of the personal information, including your Social Insurance
Number (SIN), is pursuant to Department of Public Works and
Government Services Act, s. 5, s. 11 and the Financial Administration
Act, ss. 35(2). The Receiver General will use and disclose information to
the federal institutions identified in Part B and to your financial institution
in order to issue direct deposit payments, but will not disclose your SIN
to your financial institution. Your personal information will be protected,
used and disclosed in accordance with the Privacy Act, and as
described in Personal Information Bank PWGSC PSU 712, Receiver
General Payments. Under the Act, you have the right to access and
correct your personal information, if erroneous or incomplete.
La transmission des renseignements personnels, y compds votre
num~ro d’assurance sociale (NAS), est conforme aux articles 5 et 11 de
la Loi sur le miniature des Travaux publics et des Services
gouvernementaux et au paragraphe 35(2) de la Loi sur la gestion des
finances publiques. Le receveur g~n~ral utilisera et divulguera
I’information aux institutions f6d~rales figurant dans la partie Bet & votre
institution financi6re, en rue d’effectuer des paiements au moyen du
d6pSt direct, mais ne divulguera pas votre NAS ~ votre institution
financi~re. Vos renseignements personnels seront proteges, utilis~s et
divulgu~s conform~ment & la Loi sur la protection des renseignements
personnels, et tel que d6crit dana le fichier de renseignements
personnels TPSGC POU 712 - Paiements du receveur g~n~ral. En
vertu de la Loi, vous avez le droit d’acc~der ~ vos renseignements
personnels et de les corriger, s’ils sont erron~a ou incomplets.
I, the undersigned, have read the Privacy Notice and consent to the
collection, use and disclosure of my personal information as described
therein.
Je, soussigne(e), d~clare avoir lu I’avis sur la protection des
renseignements personnels et consens & la cueillette, ,~ I’utilisation et ~
la divulgation de rues renseignements personnels conform6ment au
present avis.
20160205
X
Date (YYYYMMDD - AAAAMMJJ)
Signature of Applicant
Signature du demandeur
Hail the completed form to:
Postez votre formulaire rempli ~ :
RECEIVER GENERAL FOR CANADA
PO BOX 5000
MATANE QC G4W 4R6
Need help with this form?
Call 1-800-593-1666 (toll-free) Monday, Tuesday, Wednesday
and Saturday from 7 a.m. to 7 p.m. or Thursday and Friday from
7 a.m. to 10 p.m., Eastern Standard Time (TDD/TTY:
1-844-524-5286), visit www.directdeDosit.gc.ca or consult with
your financial institution.
RECEVEUR GI~NI~RAL DU CANADA
CP 5000
MATANE QC G4W 4R6
Besoin d’aide avec ce formulaire?
Composez le 1-800-593-1666 (sans frais) lundi, mardi, mercredi et
samedi entre 7 h et 19 h ou jeudi et vendredi entre 7 h et 22 h,
heure normale de I’Est (ATS/teleimprimeur : 1-844-524-5286),
visitez www.deDotdjrect.gc.ca ou consultez votre institution
financiere.
PWGSC-TPSGC 8001-551 (2015-09)
002
Page 2°f2
de
__J
DIRECT DEPOSIT ENROLMENT FORM
FORMULAIRE D’INSCRIPTION AU DEPOT DIRECT
INSTRUCTIONS
Mailing address
Adresse postale
Mail the completed form to:
Postez votre formulaire rempli ~ :
RECEIVER GENERAL FOR CANADA
PO BOX 5000
MATANE QC G4W 4R6
RECEVEUR GI~NI~RAL DU CANADA
CP 5000
MATANE QC G4W 4R6
Until your direct deposit information has been
updated, you will continue to be paid by cheque.
Jusqu’~ ce que vos informations de d~p6t direct soient
mis & jour, vous continuerez ~ ~tre pay~s par cheque.
To update your banking information, please complete
a new direct deposit enrolment form.
Pour changer votre information bancaire, veuillez
completer une nouvelle demande d’inscription au
d6p6t direct.
Please do not use this form to provide change of
address information.
Ne pas utiliser ce formulaire pour changement
d’adresse.
Need help with this form?
Besoin d’aide avec ce formulaire?
) Call 1-800-593-1666 (toll-free) Monday, Tuesday,
Wednesday and Saturday from 7 a.m. to 7 p.m. or
Thursday and Friday from 7 a.m. to 10 p.m., Eastern
Standard Time (TDD/TI’Y: 1-844-524-5286)
) Composez le 1-800-593-1666 (sans frais) lundi,
mardi, mercredi et samedi entre 7 h et 19 h ou jeudi
et vendredi entre 7 het 22 h, heure normale de VEst
(ATS/t61~imprimeur : 1-844-524-5286)
Visit the Receiver General website at:
www.directdeposit.gc.ca
)
Visitez le site web du Receveur g~n~ral au :
www.depotdirect.gc.ca
Consult with your financial institution.
)
Consultez votre institution financi6re.
How to complete Part C
Comment remplir la pattie C
See example below
Voir exemple ci-dessous
1. Cheque number - not required.
2. Branch number - 5 digits.
3. Institution number - 3 digits.
4. Account number - as shown on your cheque.
1.
2,
3.
4,
Num~ro du cheque - pas n~cessaire.
Num~ro de la succursale - 5 chiffres,
Num~ro de I’institution - 3 chiffres,
Num~ro de compte - comme il est indiqu~ sur votre
cheque,
Name / Nom
P.O. Box ! C.P. 000
City / Ville. Canada HOH OHO
Cheque No.
N° de cheque
Pay to the order of
Payez ~ I’ordre de
~, V~.~"j
0000000
$
_ ,, g.’77
Dollars
Signature
,,q q q,, =:qqqqq,,,qqq=:
~J
I
1
II
2
J
3
Instead of filling in Part C, you can attach a blank
cheque for your Canadian bank account with "VOID"
written on it. DO NOT ENCLOSE ANYTHING OTHER
THAN YOUR VOIDED CHEQUE WITH THIS FORM.
PWGSC-TPSGC 8001-551 (2015-09)
q q q,,,q q q,,,q,,
I
4
Au lieu de remplir la partie C, vous pouvez joindre un
specimen de ch6que pour votre compte bancaire
canadien portant la mention << NUL >> au recto.
N’INCLURE AUC, UN AUTRE DOCUMENT AVEC CE
FORMU,LAIRE, A L’EXCEPTION DE VOTRE CHI~QUE
ANNULE.
DO YOU HAVE A U.S. TAX OBLIGATION?
(A) Are you a U.S. Citizen?
13 Canada
13 United States
13 Other
In recent years there has been much publicity surrounding the issue of non-resident U.S.
citizens of the United States not being in compliance with their U.S. tax obligations.
In Canada as well as in many other countries, a taxpayer is subject to tax based on his/her
residency in the country. The United States however, taxes both on residency and on
citizenship. Thus, by virtue of being a U.S. citizen (and/or Green Card Holder), a taxpayer is
subject to U.S. tax filings for the remainder of their lifetime regardless of where he/she lives.
This requirement to file a U.S. tax return for life may also pass on to your children if you are a
U.S. citizen.
The Internal Revenue Service (IRS) is now reinforcing this requirement for non-resident U.S.
citizens to become current with their U.S. tax filings by applying significant penalties for failing to
do so and this fact has been highly publicized in the media as of late. This requirement cannot
be resolved by renouncing citizenship as one of the steps in this process is ensuring that one is
up to date with his/her tax filings.
Failure to meet this requirement may also create issues if travelling to and from the United
States, even if you travel with a passport issued by a country other than the United States.
Border crossing agents have become increasingly aware of this issue and therefore have been
questioning this fact more frequently.
If you (or someone you know) is a U.S. citizen and you have not been filing a U.S. tax return,
please contact our office for further information as to your particular situation.
(B) Do you spend significant time in the U.S.?
If you visit the United States for any significant period of time, you may be required to file some
tax forms with the United States. We recommend that if you are in the U.S. for more than 90
days in any year that you advise us of the number of days spent there in each of the last three
years. We can then advise if any "preventative" U.S. filings should be made. For further
information please follow the link below for information for filing Form 8840 Closer Connection
Exception Statement for Aliens. http://www.irs..qov/pub/irs-pdf/f8840.pdf
Number of days in the U.S.:
2015
2014
F:~Admin\T1 INFO - Log - forms\T1 Forms\CDN Forrns\T1 Mail out package~Are you a US citizen.docx
2013