Fillable Form 4: DOCUMENT CHECKLIST FORMS - Send originals,

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Form 4: DOCUMENT CHECKLIST FORMS - Send originals,

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Country of origin: CANADA
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BROWSE OTHERS (CANADA) FORMS

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If you had previous marriages or common-law relationships, photocopy of the following documents:
Sponsor
Photocopy of
either your
13
Sponsor
OFFICIAL
USE ONLY
OFFICIAL
USE ONLY
PROTECTED WHEN COMPLETED - B
PAGE 1 OF 2
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
(DISPONIBLE EN FRANÇAIS - IMM 5491 F)
IMM 5491 (10-2007) E
DOCUMENT CHECKLIST
SPONSOR
Put an "X" in the box corresponding to the documents you are enclosing. If you do not enclose all the required forms and documents,
your entire application will be returned to you. Supporting documents must be in English or French. If they are not, send a certified
translation with a copy of the originals.
FORMS - Send originals, unless instructed otherwise
SUPPORTING DOCUMENTS - Send photocopies of documents, unless instructed otherwise (e.g., 17, 18, 26, 27)
Citizenship and
Immigration Canada
Citoyenneté et
Immigration Canada
1
2
3
4
8
9
10
11
12
Original of Application for Permanent Residence (IMM 0008 Generic), completed by the sponsored person
Original of completed Schedule 1 - Background / Declaration (IMM 0008 Schedule 1) for the sponsored person and
each family member 18 years of age or over, signed by the person concerned
Original of completed Spouse/Partner Questionnaire (IMM 5490), signed by the sponsored person if she or he is your
spouse, common-law partner or conjugal partner
Original of completed Additional Family Information (IMM 5406), for the sponsored person and each family member
18 years of age or over, signed by the person concerned
Original of completed Use of a Representative (IMM 5476), if applicable
Proof that you are separated (Income Tax forms, legal documents), if you are separated
Divorce certificate, if you are divorced
Annulment certificate, if the marriage was annulled
Death certificate, if your former spouse or common-law partner is deceased
Declaration of severance of common-law relationship
16
1
Sponsored person and family members
OFFICIAL
USE ONLY
Canadian passport (pages showing passport number, date of issue and expiration,
photo, name, surname, place and date of birth of holder).
Permanent Resident Card (both sides) or, if you were not issued a Permanent Resident Card,
your Record of Landing (IMM 1000), or your Confirmation of Permanent Residence (IMM5292), or
Canadian Citizenship Card with photo (both sides), or
Canadian citizenship certificate without photo issued before February 15, 1977, or
Canadian birth certificate , or
1
1
If you were born in the province of Quebec, only a birth certificate issued by the Directeur de l'état civil is
acceptable.
Permanent Resident Card (both sides) or, if he/she was not issued a Permanent Resident Card,
his/her Record of Landing (IMM 1000), or his/her Confirmation of Permanent Residence
(IMM 5292), or
Canadian Citizenship Card with photo (both sides), or
Canadian citizenship certificate without photo issued before February 15, 1977, or
Canadian passport (pages showing passport number, date of issue and expiration, photo, name,
surname, place and date of birth of holder).
Canadian birth certificate , or
1
1
If your spouse or common-law partner was born in the province of Quebec, only a birth certificate issued
by the Directeur de l'état civil is acceptable.
Original of completed Application to sponsor and Undertaking (IMM 1344A), signed by you and, if applicable,
your co-signer
Photocopy of the completed Sponsorship Agreement (IMM 1344B), signed by you, your co-signer, if applicable, and
the person you want to sponsor (Except residents of Quebec)
Original of completed Sponsorship Evaluation (IMM 5481) or Financial Evaluation (IMM 1283) (Except residents of
Quebec). See Guide for information on which form to complete
Original of completed Use of a Representative (IMM 5476), if applicable
14
Photocopy of your marriage certificate , if you have a co-signer and he or she is your spouse.
1
If you were married in the province of Quebec, only a marriage certificate issued by the Directeur de l'état civil is acceptable.
6
Original of completed Statutory Declaration of Common-Law Union (IMM 5409), if you have a co-signer and he or
she is your common-law partner
7
Original of completed Sponsor Questionnaire (IMM 5540)
5
Copy 2 of your Receipt (IMM 5401), stamped by the financial institution where you pay the fees or, if you are a
Canadian citizen and are residing abroad, an international bank draft or money order, in accordance with the
instructions given in your Sponsor's Guide, or
if you are paying using the Internet, copy 2 properly completed of the Receipt you print from our Web site.
If your spouse or common-law partner is a co-signer, photocopy of your spouse's or common-law partner's
15
IMM 5491 (10-2007) E
OFFICIAL
USE ONLY
PAGE 2 OF 2
Make sure all forms are completed and signed.
Attach this checklist to forms and supporting documents and
send in an envelope addressed to the Case Processing Centre in Mississauga.
See Mailing your application in your guide.
Sponsor
OFFICIAL
USE ONLY
SUPPORTING DOCUMENTS (continued)
17
An original "Option C Printout" of your and your co-signer's last Notice of Assessment for the most recent taxation
year.
To obtain this printout free-of-charge from the Canada Revenue Agency, call 1 800 959-8281.
If you do not provide this printout, provide an explanation on a separate sheet of paper.
18
If you are employed, an original of a letter from your current employer stating your period of employment, salary,
and regular hours per week. If you have a co-signer and he or she is employed, include a similar letter from his or
her employer. If you and, if applicable, your co-signer are the sole owners of or partners in an unincorporated
business, provide evidence of self-employment income (statement of business activities) over the 12 months
preceding the date of your sponsorship application. If you and, if applicable, your co-signer received interest,
provide evidence of interest income (bank statement showing rate of interest, deposit amount and length of time
deposit held) over the 12 months preceding the date of your sponsorship.
If you are a Canadian citizen living exclusively outside Canada, you must include proof that you intend to live in
Canada with your spouse, common-law partner or conjugal partner and/or dependent children once they become
permanent residents of Canada. See Who can sponsor? in your guide for additional information.
20
If you must meet the minimum necessary income requirement and you and, if applicable, your co-signer:
• are not producing an original Option-C printout of your last Notice of Assessment for the most recent year or
• are producing an original Option-C printout of your last Notice of Assessment for the most recent year, but the
total income reported on your and your co-signer's printout is less than the mininum necessary income, provide
(a) Evidence of employment income (pay stubs) over the 12 months preceding the date of your sponsorship
application, if you and your co-signer are employed
(b) Evidence of self-employment income (statement of business activities) over the 12 months preceding the
date of your sponsorship application, if you and your co-signer are the sole owners of or partners in an
uncorporated business
(c) Evidence of interest income (bank statement showing rate of interest, deposit amount and length of time
deposit held), over the 12 months preceding the date of your sponsorship application, if you and your
co-signer received interest
(d) Evidence of: - investment income (e.g., dividends),
- rental income (e.g., statement of real estate rentals),
- pension income,
- special benefits income (e.g., certificate delivered by HRDC confirming payment
of maternity, parental or sickness benefits),
- other income (give details below)
received over the 12 months preceding the date of your sponsorship application, if you and your co-signer
received such income.
Details of other income:
19
Sponsored person and family members
Identity and civil status documents
As per document list provided with The Immigrant's Guide
Children information
As per document list provided with The Immigrant's Guide
Travel documents and passports
As per document list provided with The Immigrant's Guide
Proof of relationship to sponsor
As per document list provided with The Immigrant's Guide
Originals of police certificates and clearances
As per document list provided with The Immigrant's Guide
Proof of medical examination for the sponsored person and each of his or her dependants (original copy 2 of form
IMM 1017 signed by the examining doctor)
22
23
24
25
26
27
Medical Condition Statement, if a dependent child included in the application is your adopted son or daughter.
See section on Adopted children in your guide for additional information.
21
SPONSOR
CO-SIGNER
if applicable
If you are a Quebec resident, proceed immediately to item 21
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Completed 11 October 2020

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