Fillable Form 1283: EVALUATION FINANCIAL 1 Citoyennet et Citizenship (Transam International Inc.)

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Form 1283: EVALUATION FINANCIAL 1 Citoyennet et Citizenship (Transam International Inc.)

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Country of origin: CANADA
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IMM
(05-2003)
English
1283
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
(DISPONIBLE EN FRANÇAIS - IMM 1283 F)
i)
ii)
iii)
iv)
9. Total income available to sponsor
3.
Family name
1. A) Your full name
Given name(s)
PROTECTED WHEN COMPLETED - B
PAGE 1 OF 4
FINANCIAL
EVALUATION
YOUR FAMILY MEMBERS AND PERSONS FINANCIALLY
DEPENDENT ON YOU AND, IF APPLICABLE, ON YOUR CO-SIGNER
1
A)
2. You
B)
ii)
Current undertaking
Number of persons included in section C of your Application
to Sponsor and Undertaking (form IMM 1344A)
Previous undertakings
i)
iii)
Number of persons included in previous undertakings you
signed as a sponsor and that are not yet in effect (persons
who have not yet become permanent residents).
Provide details on the back of this page.
Number of persons included in previous undertakings you
signed as a sponsor and that are still in effect.
Provide details on the back of this page.
Number of persons included in previous undertakings you
co-signed, where these undertakings are still in effect.
Provide details on the back of this page.
iv) Number of persons included in previous undertakings you
co-signed where these undertakings are not yet in effect
(persons who have not yet become permanent residents).
Provide details on the back of this page.
ABOUT YOU AND, IF APPLICABLE, YOUR CO-SIGNER
Family name
C) Is your spouse or common-law partner co-signing the
undertaking?
Given name(s)
4. Complete this section only if your spouse or common-law partner is
co-signing the undertaking
Number of persons included in previous undertakings your
spouse or common-law partner signed as a sponsor and that
are still in effect. Do not include persons already accounted
for in question 3.B(iii). Provide details on the back of this
page.
Number of persons included in previous undertakings your
spouse or common-law partner signed as a sponsor and that
are not yet in effect (persons who have not yet become
permanent residents). Do not include persons already
accounted for in question 3.B(iv). Provide details on the back
of this page.
Number of persons included in previous undertakings your
spouse or common-law partner co-signed, where these
undertakings are still in effect. Do not include persons already
accounted for in question 3.B(i) Provide details on the back of
this page.
Number of persons included in previous undertakings your
spouse or common-law partner co-signed where these
undertakings are not yet in effect (persons who have not yet
become permanent residents). Do not include persons
already accounted for in question 3.B(ii). Provide details on
the back of this page.
8. Minimum necessary income.
$
$
If this amount is less than the amount of the minimum necessary
income above, you do not meet the sponsorship eligibility
requirements. Do not send your application.
FINANCIAL REQUIREMENT
7. Total number of persons for the purpose of determining your
minimum necessary income.
Add the numbers entered in the boxes for 2, 3, 4, 5 and 6 above
and write the total here.
See instructions on how to complete this form
for details
Enter the amount from box 17
IMM 1283 (05-2003) E
Citizenship and
Immigration Canada
Citoyenneté et
Immigration Canada
B) Are you currently employed?
No Yes
Provide employer's details below.
Name
Address
Country code Area code Number
()()
Phone
number
Occupation/
Position
Start date
Name of
supervisor
YearMonthDay
Full name of your spouse or common-law partner
No Yes
Give the following details.
Date of birth
YearMonthDay
5.
6.
Every other member of your family unit not included above and
dependent on you financially, whether they are living with you or
not. Enter their number in the box on the right and provide details
on the back of this page.
Your spouse or common-law partner, if not included in 3.
above. Provide details on the back of this page if he or she is not
co-signing the undertaking.
Fillable Form
IMM 1283 (05-2003) E
3. B. i) Persons included in previous undertakings you signed as a sponsor and that are still in effect.
Details of persons financially dependent on you
PAGE 2 OF 4
3. B. iv) Persons included in previous undertakings you co-signed and that are not yet in effect.
3. B. iii) Persons included in previous undertakings you co-signed and that are still in effect.
3. B. ii) Persons included in previous undertakings you signed as a sponsor and that are not yet in effect.
Details of persons financially dependent on your spouse or common-law partner if he or she co-signing your current undertaking
4. ii) Persons included in previous undertakings your spouse or common-law partner signed as a sponsor and that are not yet in effect.
4. iii) Persons included in previous undertakings your spouse or common-law partner co-signed and that are still in effect.
4. iv) Persons included in previous undertakings your spouse or common-law partner co-signed and that are not yet in effect.
4. i) Persons included in previous undertakings your spouse or common-law partner signed as a sponsor and that are still in effect.
MD
Date of birth
Y
Family name Given name(s)
5. Your spouse or common-law partner, if he or she is not co-signing the undertaking.
6. Every other member of your family unit not listed above and dependent on you financially, whether they are living with you or not.
IMM 1283 (05-2003) E
TOTAL OTHER INCOME
TOTAL INCOME (11A + 11B)
Amount of provincial allowance you received for instruction or training
Amount of social assistance paid to you by a province
Amounts other than special benefits paid to you under the Employment Insurance Act
Amount of guaranteed income supplement paid to you under the Old Age Security Act
Amount of line 150 on last notice of assessment (Option C - printout) issued by the Minister of National Revenue
LESS:
PAGE 3 OF 4
$
10. Simplified calculation of your earned income
PERSONAL INCOME FROM EMPLOYMENT, BUSINESS AND OTHER SELF-EMPLOYMENT
PERSONAL INCOME FROM EMPLOYMENT
Income you earned from employment in the 12 months preceding your application and for which you
have received or will receive a T-4
11. Detailed calculation of your earned income
YearMonthDay
From
YearMonthDay
To
Employer's name
Supervisor's
name
Address and
phone number
Occupation
Hours worked
per week
Rate per
hour
If you need additional space, provide details on a separate sheet,
add income earned not reported above and print the total here
PERSONAL INCOME FROM BUSINESS (PROFESSIONAL) AND OTHER SELF-EMPLOYMENT
If you need additional space, provide details on a separate sheet,
add income earned not reported above and print the total here
TOTAL PERSONAL INCOME FROM EMPLOYMENT, BUSINESS AND OTHER SELF-EMPLOYMENT
Add amounts reported in column on the right and enter result in box 11A
YearMonthDay
From
YearMonthDay
To
Employer's name
Supervisor's
name
Address and
phone number
Occupation
Hours worked
per week
Rate per
hour
YearMonthDay
From
YearMonthDay
To
Name of
business
Occupation/
Position
Percentage of
share in business
OTHER INCOME
Net rental income
Investment and interest income
Pension income
Maternity, parental or sickness benefits paid under the Employment Insurance Act
Other income
+
+
+
+
=
$
12. YOUR AVAILABLE INCOME (amount in 10C or 11C above)
$
Specify
$
$
$
$
+
Income during
qualifying period
+
Income during
qualifying period
Income during
qualifying period
10A
TOTAL INCOME (10A - 10B)
= 10C
- 10B
11A
= 11C
+ 11B
12
+
+
+
=
+
Net income during
qualifying period
+
Net income during
qualifying period
IMM 1283 (05-2003) E
13. Simplified calculation of income earned by your spouse or common-law partner
Amount of line 150 on last notice of assessment (Option C - printout) issued by the Minister of National Revenue
LESS:
PAGE 4 OF 4
Amount of provincial allowance received for instruction or training
Amount of social assistance paid by a province
Amounts other than special benefits paid under the Employment Insurance Act
Amount of guaranteed income supplement paid under the Old Age Security Act
PERSONAL INCOME FROM EMPLOYMENT, BUSINESS AND OTHER SELF-EMPLOYMENT
EMPLOYMENT INCOME
Income your spouse or common-law partner earned from employment in the 12 months
preceding your application and for which he or she has received or will receive a T-4
14. Detailed calculation of income earned by your spouse or common-law partner
YearMonthDay
From
YearMonthDay
To
Employer's name
Supervisor's
name
Address and
phone number
Occupation
Hours worked
per week
Rate per
hour
If you need additional space, provide details on a separate sheet,
add income earned not reported above and print the total here
PERSONAL INCOME FROM BUSINESS (PROFESSIONAL) AND OTHER SELF-EMPLOYMENT
If you need additional space, provide details on a separate sheet,
add income earned not reported above and print the total here
TOTAL PERSONAL INCOME FROM EMPLOYMENT, BUSINESS AND OTHER SELF-EMPLOYMENT
Add amounts reported in column on the right and enter result in box 14A
YearMonthDay
From
YearMonthDay
To
Employer's name
Supervisor's
name
Address and
phone number
Occupation
Hours worked
per week
Rate per
hour
YearMonthDay
From
YearMonthDay
To
Name of
business
Percentage of
share in business
OTHER INCOME
Net rental income
Investment and interest income
Pension income
Maternity, parental or sickness benefits paid under the Employment Insurance Act
Other income
TOTAL OTHER INCOME
$
15. YOUR SPOUSE'S OR COMMON-LAW PARTNER'S AVAILABLE INCOME, if co-signer
(enter amount from box 13C or 14C here)
$
14A
Occupation/
Position
Specify
Income during
qualifying period
+
Income during
qualifying period
+
Income during
qualifying period
$
16. YOUR AVAILABLE INCOME (from box 12 on previous page)
$
17. TOTAL INCOME AVAILABLE TO SPONSOR (15 + 16)
$
$
$
13A
TOTAL INCOME (13A - 13B)
= 13C
- 13B
TOTAL INCOME (14A + 14B)
+
+
+
+
=
$
$
15
= 14C
+ 14B
= 17
+ 16
+
+
+
=
+
Net income during
qualifying period
+
Net income during
qualifying period
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Form 1283: EVALUATION FINANCIAL 1 Citoyennet et Citizenship (Transam International Inc.)

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Completed 26 December 2020

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