Low Income Remote Tax Clinc Request Form

Request For Virtual Appointment

Complete and submit form and we will contact you to arrange appointment
  • First Name
    Last Name
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    -
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  • Year / Monthly Rent $ / # Months / Landlord name / Landlord Address
  • Year / Monthly Rent $ / # Months / Landlord name / Landlord Address
  • If Yes, list children in your custody for which you receve the Child Tax Benefit
    FirstName / LastName / Sex(M/F) / DateOfBirth DD/MM/YYYY
  • By Submitting this form I certify all information is complete and accurate and I give permission for CPA/CVITP volunteer to prepare and e-file my taxes to Canada Revenue Agency, if applicable.
3.228.10.17