Application For A Canada Revenue Agency Individual Tax Number

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APPLICATION FOR A CANADA REVENUE AGENCY
INDIVIDUAL TAX NUMBER (ITN) FOR NON-RESIDENTS
Before you start:
Do not submit this form if you have, or are eligible to obtain, a social insurance number (SIN). For more information about obtaining
a SIN, call Social Development Canada (SDC) toll-free at, 1-800-206-7218. Select option "3" for SIN information. If you are calling
from outside Canada, or if you have a rotary dial telephone, call (506) 548-7961 (long distance charges will apply). You may also
visit their web site at
Do not submit this form if you have previously obtained a SIN, an ITN, or a temporary taxation number. Continue to use the tax
number you have already been issued.
Indicate the reason you are applying for an ITN:
Supporting documents:
Filing a Canadian income tax return
Valid Passport
Filing an application to waive or reduce Canadian
Driver's licence
withholding tax on payments that you receive
Disposing of taxable Canadian property
Birth certificate/Proof of Birth
Other (please identify):
IDENTIFICATION (please print)
1. Name
Last name
First name
Middle name(s)
2. Foreign address
Apartment number, street address, street name
City
Province or State
Country
Postal code or zip code
3. Mailing address (if different from above)
Apartment number, street address, street name
City
Province or State
Country
Postal code or zip code
4. Birth information
Date of birth (year, month, day)
Country of birth
5. Other information
Foreign tax identification number
Telephone number
CERTIFICATION
I,
,
(Please print name)
certify that the information given on this form is, to the best of my knowledge, correct and complete.
Date
Signature
T1261 E (06)
(Ce formulaire existe en français.)

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