Parent Income Verification: Foreign And/or Non-Taxable Income - 2016-2017 Page 4

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Social Insurance Number:
2016-2017 OSAP: Parent Income Verification
Declaration of Parent 1
I declare that the income information that I provided is an accurate reflection of the income I earned in the 2015
year, and that I have provided all required supporting documentation that substantiates the source(s) of my
income. I understand that the ministry may verify this information with the government, my employer and/or the
source(s) of my non-taxable income. If there is a discrepancy, the student’s funding will be reassessed, which
may change the amount of funding for which the student is eligible.
Date:
Signature of Parent 1:
Month
Day
Year
Your personal information will be used to administer and finance the Ontario Student Assistance Program (OSAP) as set
out in the notice of Collection and Use of Personal Information on your child’s OSAP application form and in accordance
with the consents you signed on your child’s OSAP application form. The Ministry of Training, Colleges and Universities
administers and finances OSAP under the legal authority set out on your child’s OSAP application form. If you have any
questions about the collection, use and disclosure of your personal information, contact the Director, Student Financial
Assistance Branch, Ministry of Training, Colleges and Universities, PO Box 4500, 189 Red River Road, Thunder Bay, ON
P7B 6G9; (807) 343-7260.
Section C: Parent 2 Information
Parent 2 Details
Parent 2’s first name:
Parent 2’s last name:
Parent 2’s date of birth:
Month
Day
Year
Parent 2 Income Information
Select the statement that best describes the total amount of income received by Parent 2 in 2015
1.
(January 1, 2015 to December 31, 2015).
a)
Parent 2 received no income in 2015. - Sign Declaration of Parent 2.
See page 6 for Required Documentation.
b)
Parent 2’s total income received during 2015 was greater than zero. - Go to questions 2 and 3.
2.
Did Parent 2 receive income from a Canadian source(s) in 2015?
Yes -
Answer the following 2 questions.
Enter amounts in Canadian dollars only. Do not indicate cents or use commas or periods.
a)
Parent 2’s 2015 total gross income (before deductions)
$
See page 6 for Required Documentation.
b)
Parent 2’s 2015 total non-taxable income.
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
4
March 18, 2016

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