Liberty Tax Online Drop Off Form

Please complete this form. Provide as much information as possible. You do not have to complete every field.

Remember to click on the Submit button at the bottom of the form when completed

If you have any questions please feel free to call us at (403) 457-8826

Name First Last
Birth Date / MM / DD YYYY
Current Mailing Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
Social Insurance Number (SIN)
Which tax year(s) to be filed
Province of Residence on Dec 31 of Tax Year being Filed
Marital status on December 31 of tax year to be filed
Spouse Name if Applicable First Last
Birth Date / MM / DD YYYY
Spouse Address If Different from Yours
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Spouse Phone - (###) - ### ####
Spouse Email
Spouse Social Insurance Number (SIN):
Dependant Information.
First Name Last Name Net Income Disabled (Yes or no)

/ DOB - MM / DD YYYY

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Are you a Canadian Citizen? Yes No
Would you like to provide information to Elections Canada for the voter list? Yes No
Did you own any foreign property with a total cost of more than $100,000 Canadian Dollars during the tax year. This could include stocks, bonds, physical property, foreign bank account, etc Yes No
Did you sell a residence, home or any property during the tax year? Yes No
Have you claimed bankruptcy in the past two years? Yes No
Are you self-employed or do you own your own business? Yes No
Do you have foreign income? Yes No
Do you have RRSP contributions in the reporting tax year? Yes No
Do you have any rental income? Yes No
Do you have employment expenses to claim? Yes No
Please check if you have any of the following receipts: Day care Medical expenses Donations Tuition fees Union dues / professional dues Digital news subscription expenses Political contributions
Did you pay or recieve the following support? Child Spouse
Did you open a First Home Saving Account? Yes No
If yes to above, did you have any First Home Saving Account contribution? Yes No
Please Provide any additional information