Full Name *
Email *
Phone Number
Individual Tax ReturnFamily Tax ReturnDependent ClaimMedical ExpensesSelf-Employment IncomeEmployment Insurance (EI)Work From Home ExpensesInvestment IncomeRRSP ContributionFHSA ContributionDonation ReceiptsForeign IncomeForeign Assets (T1135)Moving Expenses
1. Have you filed taxes in Canada before? *
YesNo
2. Do you have a CRA account and access to it? *
YesNoNot sure
3. Did you enter or leave Canada this year? *
4. Which province did you live in on December 31st? *
BCOntarioAlbertaQuebecManitobaSaskatchewanNova ScotiaOther
Additional Notes (Optional)
Approximate Credit Score Not sure500–600600–700700+
Employment Status * Employed Full-timePart-timeSelf-employedStudentUnemployed
Personal Annual Income (CAD)
Status in Canada * Citizen/PRWork PermitStudy PermitVisitor
Previous Rental Address
Previous Landlord Name
Previous Landlord Contact (Phone/Email)
Reason for Leaving
Desired Lease Length * 6 months1 yearFlexible
Desired Move-in Date
Total Number of Adults
Total Number of Children
Do you have pets? * YesNo
If yes, what type?
Do you smoke or vape? * YesNo
Additional Notes
Birthday *
Gender * MaleFemaleOtherPrefer not to say
Nationality
Departing Country
Arriving Country
Travel Start Date *
Travel End Date *
Any medical history? * YesNo
Currently taking medication? * YesNo
If yes, please describe briefly
Trip CancellationTrip InterruptionBothNo, basic coverage only
