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Use this form to register your court order or written agreement if:
Registration of Family Support Payments
• your order or agreement was made after April 1997 and it specifies support payments for a spouse or common-law partner; or
• your order or agreement was made before May 1997, it specifies support payments for a spouse or clearly specifies separate amounts for a spouse and for a child, and:
– you have filed Form T1157, Election for Child Support Payments; or
– your order or agreement was changed after April 1997 to increase or decrease the amount of child support payable. Complete a separate form for each order or agreement you are registering.
Send the completed form and a copy of your order or agreement to one of the tax centres listed below:
St. John's Tax Centre 290 Empire Avenue
St. John's NL A1B 3Z1
Summerside Tax Centre 275 Pope Road Summerside PE C1N 6A2
Jonquière Tax Centre
2251 René-Lévesque Boulevard Jonquière QC G7S 5J1
Shawinigan-Sud Tax Centre 4695 12e Avenue Shawinigan-Sud QC G9P 5H9
Sudbury Tax Centre
1050 Notre Dame Avenue Sudbury ON P3A 5C1
Winnipeg Tax Centre 66 Stapon Road Winnipeg MB R3C 3M2
Surrey Tax Centre
9755 King George Boulevard Surrey BC V3T 5E1
For more information, see Guide P102, Support Payments.
Protected B
when completed
Part 1 – Personal information (please print)
Name of recipient
Telephone number
Social insurance number
Name of payer
Telephone number
Social insurance number
Part 2 – Information about your new or changed court order or written agreement
Enter the starting date of support payments for a child.
Year Month Day
Enter the starting date of support payments for a spouse or common-law partner.
Year Month Day
Enter the annual support payments to be made for a child.
$
Enter the annual support payments to be made for a spouse or common-law partner.
$
Enter the date support payments for a child are scheduled to end.
Year Month Day
Enter the date support payments for a spouse or common-law partner are scheduled to end.
Year Month Day
Will the amounts of these support payments be adjusted in any way while this order or agreement is in effect? (For example, will they be changed in accordance with increases in the consumer price index or increases in the federal, provincial or territorial simplified tables amounts?)
Yes 1 No 2
Personal information is collected under the Income Tax Act to administer tax, benefits, and related programs. It may also be used for any purpose related to the administration or enforcement of the Act such as audit, compliance and the payment of debts owed to the Crown. It may be shared or verified with other federal, provincial/territorial government institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties or other actions. Under the Privacy Act, individuals have the right to access their personal information and request correction if there are errors or omissions. Refer to Info Source at www.cra.gc.ca/gncy/tp/nfsrc/nfsrc-eng.html, Personal Information Bank CRA PPU 005.
T1158E (15) (Vous pouvez obtenir ce formulaire en français à www.arc.gc.ca/formulaires ou en composant le 1-800-959-7383.)