IMM 0008 E : Schedule 4A Economic Classes - Provincial ...

1 (DISPONIBLE EN FRAN AIS - IMM 0008 F)PROTECTED WHEN COMPLETED - BPage 1 of 4 Schedule 4A Economic Classes - Provincial NOMINEES - BUSINESS NOMINEESIMM 0008 (06-2020) EThe principal applicant must complete this those nominated under a business, entrepreneur, or self-employed stream/category must complete this full nameFamily nameGiven name(s) date of birth (YYYY-MM-DD) you made a business exploration trip to Canada in the five years preceding the date of your application?NoYesGive details4. Business ownership (If applicable)Complete your entire business ownership experience. Add a separate sheet if Business plan / Investment / Intended occupation in CanadaProvide details of the business you wish to establish. If you have already invested in a business or plan to invest in a business, please provide details of that nameType of businessOwnership percentageCo-owners and their percentagesPage 2 of 4 IMM 0008 (06-2020) E6.

2 Personal net worth statement and source of fundsA complete and current statement of total personal net worth of you and your spouse or common-law partner is required. All assets and liabilities must be identified. All assets must be your own personal holdings or your spouse's or common-law partner's, and must be documented. You must present financial statements and other documentation to support the information provided in this BANK DEPOSITS A Fixed (term) deposits Date of initial deposit YYYY-MM-DDMaturity date YYYY-MM-DDCurrent balance Foreign Canadian$ (Specific currency) TOTALREAL PROPERTY (Use a separate page if necessary)BDescriptionYear purchasedMortgaged ()Yes NoPurchase priceEstimated current market value Foreign Canadian$ (Specific currency) TOTAL Current and Savings Accounts Date opened YYYY-MM-DDAccount numberCurrent balance Foreign Canadian$ (Specific currency) TOTALPUBLICLY TRADED STOCKS AND OTHER INVESTMENTS (Use a separate page if necessary)

3 CDescriptionQuantityEstimated current market value Foreign Canadian$ (Specific currency) TOTAL BUSINESS (Use a separate page if necessary)DName% ownedCurrent book value (net assets)Estimated current market value Foreign Canadian$ (Specific currency) TOTAL Page 3 of 4 IMM 0008 (06-2020) EPENSIONS AND OTHER ASSETS (Use a separate page if necessary)EDescription Amount Foreign Canadian$ (Specific currency) TOTAL LIABILITIES REAL PROPERTY MORTGAGES (Use a separate page if necessary) FComplete Address Current balance Foreign Canadian$ (Specific currency) TOTAL OTHER PERSONAL DEBTS (Use a separate page if necessary) GNature of debt Amount Foreign Canadian$ (Specific currency) TOTAL NET WORTHHT otal assets (A + B + C + D + E)CDN$ Less total liabilities (F + G)-CDN$= NET WORTH=CDN$Total funds available for settlement in Canada CDN$IACCUMULATION OF FUNDSJYou must submit with your application a narrative document bearing your signature and describing how your present financial resources, both family and business, were accumulated.

4 This document could, for example, present information on the following points: - Employment income: date, amount and source for each year of employment; - Business income: amount accumulated while the applicant managed the business as well as dates the business was in operation, share of distributed profits and accumulated profits; - Investment income: shares, units, bonds (date and purchase price, sale price and current market value), interest, dividends, capital gains (date, amount and source); - Dates and amounts of each investment made; - Cumulative gains on personal assets: real estate (date and purchase price, sale price and current market value), other; - Inheritance, donations and non-bank loans: date, amount and source, accompanied by documents confirming: the identity of the donor and/or lender and his financial capacity to give or lend; the transfer of sums borrowed and their complete or partial repayment.

5 DeclarationI declare the information provided by me is a complete disclosure of all assets/liabilities for my family at the time of my (YYYY-MM-DD)ASSETS (continued)Page 4 of 4 IMM 0008 (06-2020) EPersonal information provided on this form is collected by Immigration, Refugees, and Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information will be used for the purpose of processing an application. The personal information provided may be disclosed to other federal government institutions, law enforcement bodies, non-governmental organizations, Provincial /territorial governments and foreign governments for the purpose of validating identity, admissibility and eligibility. Personal information may also be used for other purposes including research, statistics, program and policy evaluation, internal audit, risk management, subsequent program eligibility, strategy development and reporting.

6 Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to, protection, and correction of their personal information. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a complaint to the Office of Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described in IRCC's Personal Information Bank - IRCC PPU 042.