PROTECTED WHEN COMPLETED - B

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SCHEDULE 6
BUSINESS IMMIGRANTS - INVESTORS AND ENTREPRENEURS DESTINED TO QUEBEC
THE PRINCIPAL APPLICANT MUST COMPLETE THIS FORM.

By submitting this form, you consent to the release by the Canadian Government, as necessary, of any personal financial information or corporate
financial information of which you are the proprietor to the appropriate government authorities.

It is important that you complete this form fully and accurately, so that we can better assess your financial background and standing, your personal
history and experience.

The information you provide will be used to gauge your ability to meet the requirements of the Immigration and Refugee Protection Act and
Regulations as it applies to applicants in the Investor and Entrepreneur classes destined to Quebec.

Before you start completing this form, make enough photocopies for your needs. You can also print all or part of this form from our Web site at www.cic.gc.ca.

If there is not enough space to provide all the necessary information, attach a separate sheet of paper with further details. Print your name at the top of each
additional sheet and indicate the form's title and the number of the question you are answering.

1. Indicate which class you are applying under (choose one only) 5. Specify the foreign currency and the exchange rate you used to
provide financial information on pages 2 - 4:
Quebec investor Quebec entrepreneur Foreign currency (e.g. Hong Kong dollar)

2. Your full name

Exchange rate
Family name

Given name(s)

Given name(s) 6. Have you made a business exploration trip to Canada in the five
years preceding the date of your application?

No Yes Give details

3. Your date of birth

Date
(YYYY-MM-DD)

4. Language

Which is your first official language: English French

Which is your second official language: English French

7. Have you participated in business immigration initiatives administered
Your proficiency in English
High Moderate Basic None jointly by the federal and provincial governments of Canada?
Speak
No Yes Give details
Listen

Read

Write

Your proficiency in French

High Moderate Basic None

Speak

Listen

Read

Write

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
IMM 0008 (06-2020) E
Schedule 6 (DISPONIBLE EN FRANÇAIS - IMM 0008 F - Annexe 6)
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8. Business ownership / Performance summary
(PLEASE COMPLETE ONE FORM PER BUSINESS)
A Name of business (Complete in full)

B Description of business (e.g. sector, products, services)

C Proprietorship Partnership Corporation

Type of ownership:

D Identify partner and percentage (%) of ownership (including spouse or common-law partner)

Name of partner(s) with more than 10% ownership Percentage (%) of ownership

E Business ownership NET INCOME NUMBER OF

in the 5 years preceding FOREIGN ANNUAL SALES NET ASSETS
(AFTER TAX) FULL-TIME
the date of application EXCHANGE RATE (Canadian & equivalent) (Canadian & equivalent)
(Canadian & equivalent) JOB EQUIVALENTS
Most recent operating year
Y M Y M
to

Most recent operating year

Y M Y M
to
Most recent operating year
Y M Y M
to

Most recent operating year

Y M Y M
to
Most recent operating year
Y M Y M
to

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Schedule 6
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9. Personal net worth statement

You must disclose all assets and liabilities belonging to you and your spouse or common-law partner. Do not provide supporting documents at this point. If
necessary, you will be asked to provide supporting documentation later on in the process.

ASSETS
A BANK DEPOSITS

Current and Savings Accounts Fixed (term) deposits

Current balance Current balance

Date opened Account number Foreign Canadian$ Date of initial deposit Maturity date Foreign Canadian$
YYYY-MM-DD (Specific currency) equivalent (Specific currency) equivalent
YYYY-MM-DD YYYY-MM-DD

TOTAL TOTAL

B REAL PROPERTY (Use a separate page if necessary)

Mortgaged ✔ Estimated current market value
Description Year purchased Purchase price Foreign Canadian$
Yes No (Specific currency) equivalent

TOTAL

C PUBLICLY TRADED STOCKS AND OTHER INVESTMENTS (Use a separate page if necessary)
Estimated current market value
Description Quantity Foreign Canadian$
(Specific currency) equivalent

TOTAL

D IMMIGRANT INVESTOR PROGRAM INVESTMENT (QUEBEC INVESTOR APPLICANTS ONLY)

Date paid
Description Amount currently invested
YYYY-MM-DD

TOTAL CDN$

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Schedule 6
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ASSETS (continued)
E BUSINESS (Use a separate page if necessary)
Current book value Estimated current market value
Name % owned Foreign Canadian$
(net assets) (Specific currency) equivalent

TOTAL
F PENSIONS AND OTHER ASSETS (Use a separate page if necessary)
Amount
Description Foreign Canadian$
(Specific currency) equivalent

TOTAL

LIABILITIES
G REAL PROPERTY MORTGAGES (Use a separate page if necessary)
Current balance
Complete Address Foreign Canadian$
(Specific currency) equivalent

TOTAL

H OTHER PERSONAL DEBTS (Use a separate page if necessary)

Amount
Nature of debt Foreign Canadian$
(Specific currency) equivalent

TOTAL

I NET WORTH

Total assets (A + B + C + D + E + F) CDN$

Less total liabilities (G + H) - CDN$

= NET WORTH = CDN$

J
Total funds available for settlement in Canada CDN$

K 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. Do not provide supporting documents with the narrative. If necessary, you will be requested to provide supporting documents later on in the process. 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.

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Personal 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.

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.

IMM 0008 (06-2020) E

Schedule 6