Form Nr74 E - Determination Of Residency Status (Entering Canada) (Page 3 of 4) in pdf

Tick (✔) the boxes that show the ties you are going to have in Canada during the year: (continued)

You will use Canadian credit cards.

Other than your home, you will own real property in Canada. (e.g. real property is also known as real estate, includes land, buildings and their structural components).

You will apply for hospitalization and medical coverage from a province or territory of Canada. To find out if you are eligible for such coverage, contact the provincial or

territorial health authorities where you live.

You will have professional association memberships that are only available to Canadian residents. List these associations:

You will join social or recreational organizations in Canada. List these organizations:

You will be involved with and have responsibilities in partnerships, corporate or business relationships, and endorsement contracts in Canada.

Specify:

You will have other ties with Canada. Describe them:

None of the items in this section apply to you.

Why you are in Canada

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You are in Canada for employment.

Yes

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If yes, will you be in Canada for a significant period?

Yes

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Will your employer second you to a job in Canada?

Yes

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Will your routine of life be similar to what it was in your previous country?

Yes

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You are in Canada for sport.

Yes

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If yes, will you be in Canada for a significant period?

Yes

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Will you play for a Canadian sports organization?

Yes

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Will your routine of life be similar to what it was in your previous country?

Yes

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You are in Canada for education.

Yes

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If yes, will you be a full-time student?

Yes

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Will your routine of life be similar to what it was in your previous country?

Yes

If none of the above apply, explain:

Ties in another country

The following questions about your residential ties in another country will help us give you an opinion on your residency status:

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a) Do you expect to return to reside in your country because of a contract with an employer?

Yes

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b) Do you expect to return to reside in your country because you have a specific date to report back to work in that country?

Yes

c) If your spouse (or common-law partner) will not live in Canada, give the name, citizenship, and current address of that person and the reason he or she will not live in Canada

d) If you have children or dependants and they will not live in Canada, give the reason, their name, age, citizenship, and current address, as well as the name and address of

the school they attend and the grade in which they are enrolled.

e) If you support individuals, other than through a charitable organization, give the name, current address, and your relationship with these people and financial details of your

support.

f) If you kept a dwelling in another country, give details such as the address, type, size, whether you rent or own the dwelling, whether you keep the dwelling available for your

use or for your family's use during return visits to that country, and whether you rent the dwelling to a relative:

g) Describe the personal possessions (such as clothing, furniture, personal items or pets) you have in the other country:

h) If you have a driver's licence issued in a country other than Canada, state for which country it is issued, the expiry date, and whether you will renew it.

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Yes

i) You will have a passport for a foreign country

If yes, what country?

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Yes

j) You will renew your foreign passport when it expires.

k) If applicable, give the name of the insurer of your medical and hospitalization coverage while living in Canada and the length of the coverage:

l) List the professional, social or recreational organizations in which you will be a member in countries other than Canada: