Canada Revenue

Agence du revenu

du Canada

Protected B when completed

T$1$ GENERAL $2017$

Income Tax and Benefit Return

Step $1-$ Identification and other information

Residency information for tax administration agreements $($For more information, see page $18$ in the guide.$)$

Did you reside on Nisga'a Lands on December $31,2017?$

If yes, are you a citizen of the Nisga'a Nation? Yes Yes

$2$

Ecctions Connada

Elections Canada $($For more information, see page $19$ in the guide.$)$

A$)$ Do you have Canadian citizenship?.

If yes, go to question $B.$ If no$,$ skip question $B.$

B$)$ As a Canadian citizen, do you authorize the Canada Revenue Agency to give your name, address, date of birth, and citizenship to Elections Canada to update the National Register of Electors?...... Yes $1$ No $2$

Your authorization is valid until you file your next tax return. Your information will only be used for purposes permitted under the Canada Elections Act, which include sharing the information with provincial$/$territorial election agencies, members of Parliament, registered political parties, and candidates at election time.

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