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Statutory Declaration of Common-Law Union (IMM 5409) - Canada.ca
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href='/en/immigration-refugees-citizenship/services/application/application-forms-guides.html'>Find an IRCC application package or form</a></li> </ol></div></nav> </header> </div> </div> <main property="mainContentOfPage" resource="#wb-main" typeof="WebPageElement" class="container"> <div class="mwstitle section"> <h1 property="name" id="wb-cont" dir="ltr"> Statutory Declaration of Common-Law Union <span class="nowrap">(IMM 5409)</span></h1> </div> <div class="mwsgeneric-base-html parbase section"> <h2>Download the form</h2> <div class="well"> <div class="row"> <div class="col-md-2 hidden-xs hidden-sm"><img class="img-responsive thumbnail" src="/content/dam/ircc/images/services/visit-canada/upload-docs.png" alt=""></div> <div class="col-xs-12 col-md-10"><a href="/content/dam/ircc/documents/pdf/english/kits/forms/imm5409/01-01-2023/imm5409e.pdf" download=""> <p class="gc-dwnld-txt">Statutory Declaration of Common-Law Union <span class="nowrap">[IMM 5409] (PDF, 1.4 MB)</span></p> </a> <div class="mrgn-bttm-lg"><span class="badge">Last updated: January 2023</span></div> </div> </div> </div> </div> <div class="reference parbase section"><div class="cq-dd-paragraph"><div class="mwsgeneric_base_html mwsgeneric-base-html parbase"> <section id="id1"><span data-incl-name="forms-download-help-eng"></span> <details> <summary> <h3>How to download, save and open this form</h3> </summary> <ol> <li>Use your computer. <strong>The form may not open on tablets or mobile phones</strong>.</li> <li><strong>Save the form on your computer</strong> in a place you can remember. <ul> <li>For most Internet browsers, clicking on the link above will automatically download the form.</li> <li>If the form <strong>doesn’t</strong> automatically download, right-click on the link and select “Save as.” </li> </ul> </li> <li><strong>After you download the form, open</strong> it using Adobe Acrobat Reader.</li> </ol> <h4> Open this form in Acrobat Reader</h4> <ol> <li>Open Acrobat Reader. <ul> <li>You need <strong>Acrobat Reader version 10 or higher</strong> to open our forms.</li> <li>Get the <a href="https://get.adobe.com/reader/" rel="external">latest version of Acrobat Reader</a>.</li> </ul> </li> <li>Select “<strong>File</strong>” from the top menu.</li> <li>Click “<strong>Open.</strong>”</li> <li>Find the location where you saved the form, click on the file, and click “<strong>Open.</strong>”</li> </ol> </details> </section> </div> </div> </div> <div class="mwsgeneric-base-html parbase section"> <h2>Complete the form</h2> <p>Read the step by step instructions on how to complete the form.</p> <div class="button-container nojs-hide"> <div> <div class="mrgn-bttm-lg" id="buttons"> <button id="navOn" class="btn btn-primary" data-wb-doaction="[ {"action":"addClass", "source":"#navOn", "class":"hidden"}, {"action":"removeClass", "source":"#navOff", "class":"hidden"}, {"action":"removeClass", "class":"nojs-show", "source":".instructioncontainer"} ]">Show instructions </button> <button 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application to sponsor <ul> <li>the sponsor and their common-law partner must complete this form.</li> </ul> </li> <li>If the person being sponsored (the principal applicant) has a common-law partner <ul> <li>the person being sponsored and their common-law partner must complete this form.</li> </ul> </li> </ul> </div> <dl class="dl-horizontal"> <dt>Question 1</dt> <dd> <p>Write the following information in the space provided:</p> </dd> <dd> <ul> <li>Country of current residence</li> <li>Province/state/territory of current residence</li> <li>Name of the declarant (as shown on passport/travel document)</li> <li>Name of the declarant’s partner (as shown on passport/travel document)</li> <li>Name of city, town, village</li> <li>Name of county (if applicable)</li> <li>Name of province/state/territory</li> <li>Name of the country</li> <li>Number of continuous year(s) in a conjugal relationship</li> <li>Date of the relationship (from-to)</li> </ul> </dd> <dt>Question 1A</dt> <dd> <p>Check the box to indicate if you have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in which you both live.</p> </dd> <dt>Question 1B</dt> <dd> <p>Check the box to indicate if you jointly own property other than your residence.</p> </dd> <dt>Question 1C</dt> <dd> <p>Check the box to indicate if you have a joint bank, trust credit union or charge card accounts.</p> </dd> <dt>Question 1D</dt> <dd> <p>Check the box to indicate if you have declared your common-law union under the <em>Canadian Income Tax Act</em> (T-1 “General individual income Tax Return”).</p> </dd> <dt>Question 2</dt> <dd> <p>Check the box to indicate if you have life insurance on yourself which names your common-law partner as a beneficiary.</p> </dd> <dt>Question 3</dt> <dd> <p>Check the box to indicate if your common-law partner has life insurance on themselves which names you as a beneficiary.</p> </dd> <dt>Question 4</dt> <dd> <p>If you answered “<strong><span class="text-uppercase">no</span></strong>” to questions <strong>1</strong> to <strong>3</strong>, indicate other documentary evidence you have that would indicate your relationship as common-law partners.</p> </dd> <dt>Question 5</dt> <dd> <p><strong><span class="text-uppercase">solemn declaration</span></strong><br> Write the following information in the space provided:</p> </dd> <dd> <ul> <li>Name of the declarant (as shown on passport/travel document)</li> <li>Name of the declarant’s partner (as shown on passport/travel document)</li> <li>Name of the city, town, village</li> <li>Name of the county</li> <li>Name of the province/state/territory</li> <li>Name of the country</li> <li>Date (day, month, year)</li> <li>Signature of the declarant</li> <li>Signature of the declarant’s partner</li> <li>Name of the person who administered the declaration</li> <li>Select the person’s title from the choices provided</li> <li>Signature of the person who administered the declaration</li> </ul> </dd> </dl> <p><strong>Note:</strong> Once you have filled out the form, click on the “<strong>Validate</strong>” button located at the top of the form. Missing information will be identified by a pop up when you press the “<strong>Validate</strong>” button. 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