Personal Information (Please Write Clearly in BLOCK Letters, non-cursive writing):

First Name: ____________________ Middle Name: __________________ Last Name: ____________________________

Date of Birth: _________________________ Gender: _________________ SIN or TTN: ___________________________

Status in Canada: Citizen ☐ PR ☐ Work-Permit ☐ Martial Status on Dec 31st: Single ☐ Married ☐ Divorced ☐
International Student ☐ Common Law ☐ Separated ☐
Dependent ☐ Others ☐ Widowed ☐ Widower ☐

____________________________ ________________________________

Current Address/Mailing Address (Revenue Quebec & Revenue Canada assessments and correspondence,
will be sent to this is the mailing address):

Street #: ___________________ Apartment #: ___________________

City: ___________________________ Province: ________________________ Postal Code: ________________________

E-mail: __________________________ Mobile #: _______________________ Home Phone #: _____________________

Which province were you a resident of on Dec 31, 2023 (Permanent Establishment): ____________________________

Did you have any medical expenses in 2023 (provide receipts): Yes ☐ No ☐

Did you have any moving expenses last year for work &/or school: Yes ☐ No ☐

Is this your first tax return in Canada: Yes ☐ No ☐ If yes, when did you arrive in Canada: ______________________

Country of residence before coming to Canada (Only for new arrivals to Canada or First-time filers): _______________

Your income before coming to Canada for the year of entry (Only for new arrivals to Canada or First-time filers): $____

How many T4’s you have for 2023: ______________ How many T4A’s you have for 2023: _______________________
Box below applies only for the taxpayers with spouse or Dependents:
Did your marital status change in 2023? If, “Yes” provide new status & (dd/mm/yyyy) New status:
change date and if “No” provide Marriage date:
Spouse First Spouse Last
Name: Name:
Gender: Male ☐ Female ☐
Spouse DOB: ____________________ Spouse SIN or TTN: _______________

Are you filing for your spouse? Yes ☐ No ☐ Status of your spouse: Citizen ☐ PR ☐ Work-Permit ☐ International
Student ☐ Dependent ☐ Others ☐

Is this your spouse's first return? Yes ☐ No ☐ If yes, when your spouse arrived in Canada: (dd/mm/yyyy)

Email: ___________________________________ Your Spouse Income before coming to Canada for the year of entry CAD $
(Only for newcomers to Canada or first-time filers):
Is your Spouse covered throughout the year by any Private/Group/Spousal/ Medical Insurance Plan (aside from Yes ☐ No ☐
Provincial/Government):
If yes, please select Months of Private Coverage: Jan ☐ Feb ☐ Mar ☐ Apr ☐ May ☐ Jun ☐ Jul ☐ Aug ☐ Sep ☐ Oct ☐ Nov ☐ Dec ☐
Did your wife Work from Home? Yes ☐ No ☐
Did employer issued form T2200S or T2200 (If yes, Yes ☐ No ☐
please provide the form)

Dependents (if any): Children (living with you)

1. Name: Date of Birth: (dd/mm/yyyy) Relation:

2. Name: Date of Birth: (dd/mm/yyyy) Relation:

3. Name: Date of Birth: (dd/mm/yyyy) Relation:

For any T4A and/or Self Employment Income:

Explain in brief, the nature of Self-Employment (e.g., Uber Taxi, Uber Eats (car, walk, cycle), Instructor, Teaching Assistant (TA),
IT/Admin Service, etc.):

Provide the expenses incurred if any for this Self – Employment:

Meals: $____________________ Travel: _______________________ Phone/Internet: ____________________
Car Expenses (Gas, Repair): $__________ Office Supplies _________________ Business License, etc.: $______________
Disclaimer: As a Canadian resident, for tax purposes I am declaring my worldwide income and I have provided all my incomes
information for the required taxation years; “SK MultiTaxServices Inc.” are not liable for any omission of my income:

_______________________________
(Signature)