Schedule 4A: Provincial Business Nominees (IMM 0008 SCH4A)

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Schedule 4A: Economic Classes – Provincial Nominees – Business Nominees (IMM 0008-Schedule 4A)

Who needs to fill out this application form?

This form must be completed by:

  • You, as the principal applicant.

Note: Only those nominated under a business, entrepreneur or self-employed stream/category must complete this form.

Question 1

Write your full family name (surname or last name) as it appears on your passport or on the official documents that you will use to obtain your passport.

Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Question 2

Write your date of birth.

Note: If you do not know your complete date of birth, please use a “*” (star sign/asterisk) to fill in the spaces for the unknown year, month or day,

Question 3

Check the box to indicate if you ever made a business exploration trip to Canada in the five (5) years preceding the date of your application. If you check “yes”, please provide details.

Question 4

Business ownership

If applicable, complete your entire business ownership experience. Add a separate sheet of paper if you need more space. Otherwise, indicate “N/A” if this does not apply to your situation.

Question 5

Business plan / Investment / Intended occupation in Canada

Provide details of the business you wish to establish. If you have already invested in a business or plan to invest in a business, provide details of that business.

6 – Personal net worth statement and source of funds/Assets

Question 6A

Bank deposits

Current and Savings Accounts

Indicate the:

  • date the account was opened,
  • account number, and
  • current balance in foreign currency (specify currency) and in Canadian dollars

Fixed (term) deposits

Indicate the:

  • date of initial deposit,
  • maturity date, and
  • current balance in foreign currency (specify currency) and in Canadian dollars
Question 6B

Real Property

Provide a description of your real property, the year it was purchased and check the “yes” or “no” box to indicate if it was mortgaged. Include the purchase price as well as the estimated current market value in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6C

Publicly traded stocks and other investments

Provide a description of the publicly traded stocks and other investments and include the quantity as well as the estimated current market value in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6D

Business

Include the:

  • name of your business,
  • percentage owned,
  • current book value (net assets), and
  • estimated current market value in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6E

Pensions and other assets

Provide a description of your pensions and other assets as well as the amount in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6F

Real property mortgages

Indicate the complete address and the current balance in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6G

Other personal debts

Provide details on the nature of the debt and include the amount in foreign currency (specify currency) and in Canadian dollars.

Note: Use a separate sheet of paper if necessary.

Question 6H

Net worth

Add the total assets from sections 6A through 6E. Subtract the total liabilities (6F+6G) and include the total net worth in Canadian dollars.

Question 6I

Write the total amount of funds in Canadian dollars available for your settlement in Canada.

Question 6J

Accumulation of funds

You must submit with your application a narrative document bearing your signature and describing how your present financial resources, both family and business, were accumulated. 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.

Declaration

Read the declaration carefully. Sign and date in the boxes provided. By signing, you declare that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

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