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1. Personal Information: Basic identification including full legal name, business name (if applicable), address, contact information, and Social Insurance Number
2. Business Information: Nature of self-employment, business number (if applicable), industry sector, and business start date
3. Income Declaration: Statement of gross income from self-employment for the relevant period(s)
4. Expense Summary: Overview of business-related expenses claimed against income
5. Net Income Calculation: Final calculation of net self-employment income after expenses
6. Payment Information: Details about payment methods, frequency, and typical income patterns
7. Verification Statement: Legal declaration of accuracy and consent to verify information
8. Signature Block: Space for signature, date, and witness if required
1. Multiple Business Declaration: Required when individual operates more than one business or has multiple self-employment activities
2. Seasonal Income Variation: For businesses with significant seasonal fluctuations in income
3. Third-Party Verification: Section for accountant or bookkeeper verification if required by the requesting party
4. GST/HST Registration: Required for businesses collecting GST/HST
5. Previous Year Comparison: Optional section comparing current income to previous year's income
6. COVID-19 Impact Statement: Temporary section for explaining any pandemic-related income changes
1. Schedule A - Income Breakdown: Detailed monthly or quarterly breakdown of income sources
2. Schedule B - Expense Details: Itemized list of business expenses with categories aligned with tax reporting requirements
3. Schedule C - Client List: List of major clients or contracts contributing to income (if required for verification)
4. Appendix 1 - Supporting Documents: Checklist and attachments of required supporting documentation (bank statements, invoices, etc.)
5. Appendix 2 - Tax Filing Confirmation: Copies or confirmation numbers of recent tax filings related to self-employment income
Gross Revenue
Net Income
Business Expenses
Verification Period
Supporting Documentation
Business Activity
Professional Services
Fiscal Year
GST/HST Registration Number
Business Number
Operating Expenses
Capital Expenses
Income Source
Business Premises
Professional Income
Commission Income
Contractor Income
Freelance Income
Trading Income
Partnership Income
Sole Proprietorship
Business Assets
Verification Authority
Declaration Period
Financial Institution
Income Documentation
Tax Year
Revenue Stream
Principal Business
Income Declaration
Verification Rights
Privacy Protection
Authorization
Consent to Verify
Documentation Requirements
False Declaration
Information Accuracy
Record Retention
Third Party Disclosure
Confidentiality
Data Protection
Amendment Rights
Legal Compliance
Supporting Evidence
Declaration of Truth
Income Sources
Business Activity
Financial Records
Financial Services
Real Estate
Professional Services
Technology
Creative Industries
Construction
Consulting
Healthcare
Retail
Agriculture
Transportation
Education
Entertainment
Mortgage Services
Credit Assessment
Risk Management
Compliance
Underwriting
Customer Service
Document Processing
Legal
Financial Analysis
Property Management
Mortgage Broker
Loan Officer
Property Manager
Financial Advisor
Credit Analyst
Underwriter
Insurance Agent
Government Benefits Officer
Business Banking Manager
Risk Assessment Officer
Compliance Officer
Self-Employed Professional
Independent Contractor
Freelancer
Small Business Owner
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