Intercity Ministries - Intake Form

Tax Years to be Filed

Other Years to be Filed Indicate which years to be filed

Name

First Name

Last Name

Address

Street Address

Street Address Line 2

City

Province

Postal Code

Is home address same as mailing address?

Yes No

Phone Number Please enter a valid phone number.

Email example@example.com

SIN Number

Date of Birth Click above to select Date of Birth

Spouses Name, SIN Number and Date of Birth

Childrens' Names/Dates of Birth (e.g. Bush, John/August 1, 2018)

Province of residence as of December 31 of tax year being filed

Marital status as of December 31 of tax year being filed

Did marital status change during tax year being filed?

Yes No

Language of correspondence with CRA (English or French)

English French

Is this your first time filing taxes?

Yes No

Did you own foreign property in tax year being filed with cost of over $100,000 Canadian?

Yes No

Are you an officer, servant, or foreign diplomate of another country during tax year being filed?

Yes No

Are you a Canadian Citizen?

Yes No

Do you consent for demographic information to be provided to Elections Canada?

Yes No

Did you own foreign property or sold principal residence during tax year?

Yes No

Do you wish to receive Notice of Assessment via mail or email? (Choose one)

Mail Email

Did you pay rent in tax year being filed?

Yes No

Total amount paid in Rent or Tax

Is any member of your family attending College or University? (*If yes, a T2202 tax slip is required)

Yes No

Do you wish to receive Trillium Benefit monthly or lump sum? (*Lump sum is paid in June of the following year, not the current year)

Monthly Lump Sum

Do you have a Disability Tax Credit certificate registered with CRA?

Yes No

If you answered 'yes' to the above question, what is the nature of the impairment?

Your Agency Contact Worker Name

Your Agency Contact Worker Phone Number Please enter a valid phone number.

Your Agency Contact Worker Email example@example.com

CRA Authorization Form (TIS60)

Please download, print, and sign the official CRA Authorization Form (TIS60) below so we can represent you with the Canada Revenue Agency:
📄 Download TIS60 Authorization Form (PDF)

Upload Completed & Signed TIS60 Form Choose File

Attach completed TIS60 PDF or image

Tax Documents & Slips

Upload all tax Slips Choose Files

Drag and drop files here