Determination Of Residency Status (Leaving Canada) - Canada Revenue Agency (Page 2 of 4) in pdf

Yes

Are you the spouse (or common-law partner) of an individual employed by the Canadian Forces who has been posted abroad?

If yes, what is the length of the posting?

and,

Yes

Will you be returning to Canada at the end of the posting?

If you are a child or dependant of a person leaving Canada, tick (

) the appropriate box:

you are under 18 years old at any time during the year.

you are 18 or older and you are dependent because of a mental or physical disability.

Enter your net world income for the current year:

Employment

If you will be employed while you live abroad, tick (

) the boxes that apply to you:

You are a member of the Canadian Forces.

You are a member of the overseas Canadian Forces school staff.

Will you choose to file a Canadian income tax return each year to report your world income?

Yes

Were you living in the province of Quebec immediately prior to your departure?

Yes

You are a locally engaged employee (you lived outside of Canada after severing ties and were then hired locally) of a Canadian embassy or mission abroad.

You are an ambassador, a high commissioner, an agent general of a province or territory of Canada, or an officer or servant (employee) of Canada or of a province or territory of

Canada.

Will you receive a representation allowance for the year?

Yes

Were you a Canadian resident (including factual or deemed) just before your appointment or employment by Canada, the province, the

Yes

territory, or the Crown corporation?

You are an employee or officer of a Canadian Crown corporation, either federal or provincial, where:

the corporation is designated as an agent of Canada;

the employees of the corporation have been given the status of servants of Canada; or

none of the above apply—explain:

Will you receive a representation allowance for the year?

Yes

Were you a Canadian resident (including factual or deemed) just before your appointment or employment by Canada, the province, the

Yes

territory, or the Crown corporation?

You are performing services as an employee, co-operant, advisor, contractor, or subcontractor under a prescribed international development assistance program of the

Government of Canada that is financed with Canadian funds.

Specify:

Were you a resident (including factual or deemed) at any time during the three months before the day you started your service abroad?

Yes

You are a missionary.

Will you file a Canadian income tax return for each year you are living outside Canada to report your world income?

Yes

Are you a Canadian citizen or landed immigrant?

Yes

Will you be employed by a Canadian religious organization while you are outside Canada?

Yes

How many years will you be outside Canada

You are an employee of an employer or an organization other than those described above.

Give your employer's name and address:

Is this a Canadian employer?

Yes

Do you expect to return to reside in Canada because of a contract with your employer, or because you have a specific date to report back to work in

Yes

Canada?

If you have a contract with your employer, attach a copy of the contract.

If you do not have a contract with your employer or a return date to Canada specified by your employer, will your job in Canada be kept available for you on

Yes

your return to Canada?

STATEMENT OF RESIDENCY

Are you, under a tax treaty with another country, considered resident in the other country and not resident in Canada?

Yes

Are you subject to income tax in that country on your world income? (total income from inside and outside Canada)

Yes

Are you considered resident of a country that does not have a tax treaty with Canada?

Yes

We may ask you for confirmation from that government that you are considered resident and are subject to tax as a resident for the year in question.

We may also ask you to give us proof that your income is subject to tax in that country. (e.g. Copy of the foreign tax return, notice of tax assessment, a statement from the foreign

authorities with the equivalent information as the tax return, Form 6166)

Ties in Canada

Which of the following ties will you have in Canada while living in another country? Tick (

) the boxes that apply to you.

Your spouse or common-law partner will stay in Canada. Give the name, SIN, citizenship, and current address of your spouse or common-law partner. If you are legally

separated, this item does not apply to you. List any reason for your spouse or common-law partner to stay in Canada:

You will leave children or dependants in Canada. Give their names, ages, citizenship, and current address, as well as the name and address of the school they attend and the

grade in which they are enrolled. List any reasons why they are staying in Canada: