Social Insurance Number:
2016-2017 OSAP: Parent Income Verification
Section B: Parent 1 Information
Parent 1 Details
Parent 1’s first name:
Parent 1’s last name:
Parent 1’s date of birth:
Month
Day
Year
Parent 1 Income Information
Select the statement that best describes the total amount of income received by Parent 1 in 2015
1.
(January 1, 2015 to December 31, 2015).
Parent 1 received no income in 2015. - Sign Declaration of Parent 1.
a)
See page 6 for Required Documentation.
b)
Parent 1’s total income received during 2015 was greater than zero. - Go to questions 2 and 3.
2.
Did Parent 1 receive income from a Canadian source(s) in 2015?
Answer the following 2 questions.
Yes -
Enter amounts in Canadian dollars only. Do not indicate cents or use commas or periods.
a)
Parent 1’s 2015 total gross income (before deductions)
$
See page 6 for Required Documentation.
Parent 1’s 2015 total non-taxable income.
b)
Examples of non-taxable income include GST/HST credits, Canada child tax benefits,
most lottery winnings and most amounts received from a life insurance policy following
someone’s death.
$
See page 6 for Required Documentation.
No
3.
Did Parent 1 receive income from a foreign (non-Canadian) source(s) in 2015?
a)
Yes -
Answer the following 3 questions.
Enter the amounts in the currency the income was received. Enter the income amounts in
whole numbers only. Do not indicate cents or use commas or periods.
Parent 1’s 2015 total gross income (before deductions)
$
See page 6 for Required Documentation.
Currency of income:
Country of currency:
b)
No
3
March 18, 2016