T1248 E (11) 
 
T1-2011 
 
Schedule D 
 
Information About your Residency Status 
 
If you are completing a provincial or territorial form, and any of the 
following situations applied to you for all of 2011, complete this schedule 
by ticking the appropriate box and attach it to your return. 
 
Box 177: You were a non-resident of Canada 1 Yes ^
 
Box 177: You were a deemed non-resident of Canada 2 Yes ^
 
Box 177: You were a factual resident of Canada 5 Yes ^
 
For more information on residency status, see Interpretation Bulletin IT-221, 
Determination of an Individual's Residence Status. For information on which 
tax package you should use, see "Which tax package should you use?", on page 
5 of the Guide T4058, Non-Residents and Income Tax. If you are a deemed 
resident of Canada or a part-year resident, do not complete this schedule. 
 
Note 
If you were a non-resident or a deemed non-resident of Canada reporting 
income from employment in Canada or from a business that had a permanent 
establishment in Canada, enter the province or territory where you earned the 
income on the "Enter your province or territory of residence on December 31, 
2011" line on page 1 of your return, under "Information about your 
residence." 
 
Privacy Act, Personal Information Bank number CRA PPU 005