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

Form Nr74 E - Determination Of Residency Status (Entering Canada) Page 4

m) Describe the investments you will have in countries other than Canada. Include details of chequing and savings accounts, pension and retirement plans, property, and shares

in companies you will have in these countries. Explain why these investments are kept outside Canada:

n) Give details of other consumer relationships, such as lines of credit and credit cards, you will have in other countries:

o) Give the address for any telephone service you have in other countries, even if it is not listed, and indicate if it is a personal or business service:

p) Give any address you use for personal stationery and business cards in other countries:

q) Give any address for post office boxes and safety deposit boxes that you use in other countries:

r) Give details of your involvement and responsibilities in any partnerships, corporate or business relationships, and endorsement contracts you have in other

countries:

s) List the countries, other than Canada, you have visited in this calendar year, the length of time spent in each country, and the reason for visiting these countries. Include the

dates of entry and departure for each country visited:

Certification

We use this form as a starting point to get the facts we need to give an opinion on your residency status. Contact us if your situation changes since your residency status could

also change.

certify that the information given on this form is to the best of my knowledge, correct and complete.

(print)

Date

Signature

More information

If there is more information that we have not asked for and that you feel will help us determine your residency status, give this information here:

Privacy Act, Personal Information Bank number CRA PPU 005