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Protected B
when completed
T1 GENERAL
2015
Income Tax and Benefit Return
Complete all the sections that apply to you. For more information, see the guide.
8
Information about you
Identification
Enter your social insurance
Print your name and address below.
number (SIN):
First name and initial
Year
Month
Day
Enter your date of birth:
Last name
English
Français
Your language of correspondence:
Votre langue de correspondance :
Mailing address: Apt No – Street No Street name
Is this return for a deceased person?
PO Box
RR
If this return is for a deceased
Year
Month
Day
person, enter the date of death:
City
Postal code
Prov./Terr.
Marital status
Tick the box that applies to your marital status on
December 31, 2015:
Email address
Married
Living common-law
Widowed
I understand that by providing an email address, I am registering for online mail.
1
2
3
I have read and I accept the terms and conditions on page 15 of the guide.
Divorced
Separated
Single
4
5
6
Enter an email address:
Information about your spouse or
common-law partner
(if you ticked box 1 or 2 above)
Information about your residence
Enter your province or territory of
Enter his or her SIN:
residence on December 31, 2015:
Enter the province or territory where
Enter his or her first name:
you currently reside if it is not the
same as your mailing address above:
Enter his or her net income for 2015
to claim certain credits:
If you were self-employed in 2015,
enter the province or territory of
Enter the amount of universal child care
self-employment:
benefit (UCCB) from line 117
of his or her return:
If you became or ceased to be a resident of Canada for income tax purposes
in 2015, enter the date of:
Enter the amount of UCCB repayment
from line 213 of his or her return:
Month
Day
Month
Day
Tick this box if he or she was self-employed in 2015:
1
entry
or
departure
Do not use this area
Elections Canada
(see the Elections Canada page in the tax guide for details or visit )
A) Are you a Canadian citizen? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
1
2
Answer the following question only if you are a Canadian citizen.
B) As a Canadian citizen, do you authorize the Canada Revenue Agency to give your name,
address, date of birth, and citizenship to Elections Canada to update the National Register of Electors? . . . . . .
Yes
No
1
2
Your authorization is valid until you file your next return. Your information will only be used for purposes permitted under the Canada
Elections Act, which include sharing the information with provincial/territorial election agencies, members of Parliament, and registered
political parties, as well as candidates at election time.
Do not use
172
171
this area
5000-R