OMDC
ONTARIO INTERACTIVE DIGITAL MEDIA APPENDICES
ONTARIO INTERACTIVE DIGITAL MEDIA TAX CREDIT (OIDMTC)
TAX CREDIT DECLARATION OF RESIDENCY/ CONSENT FORM 2016
PLEASE COLLECT THIS FORM FOR ALL INDIVIDUALS BEING INCLUDED IN YOUR LABOUR EXPENDITURE
CLAIM. PLEASE RETAIN FOR YOUR RECORDS FOR PROOF OF RESIDENCY.
(For services personally rendered between January 1, 2016 to December 31, 2016)
Instructions: Please complete all sections of this form.
_______________________________________________________________________ the “Corporation”
(name of production company)
Name: _________________________________________________________________________________
S.I.N.: _____________________________ ON Driver’s License #: ________________
Address: _________________________________________________________________________________
__________________________________________________________________________
(full address including postal code)
I hereby certify and confirm that:
1. I was subject to personal income tax in Ontario in the calendar year 2015 by virtue of being resident in
Ontario on the 31st day of December, 2015 and my address at that time was:


same as above
(full address including postal code)
2. I understand that the Corporation will be relying on this declaration for its application for an Ontario
Interactive Digital Media Tax Credit (OIDMTC) which is jointly administered by the Ontario Media
Development Corporation (OMDC) and the Canada Revenue Agency and may be subject to government
audit, and hereby warrant that the above-noted information is true and correct.
3. I understand that an OIDMTC is based on eligible Ontario labour expenditures incurred for product, and as
such I hereby grant permission for the Corporation to supply to the Canada Revenue Agency information
with respect to my position on the production including, but not limited to, the information contained in this
form; the number of hours worked, any and all remuneration I received by the Corporation, and any other
information necessary in order to determine that the remuneration I received for my work is an eligible
labour expenditure as per Subsection 35(3) of the Ontario Regulations and any information necessary in
order to verify that I am an Ontario-based individual1.
4. The information obtained in connection with this Declaration/Consent is collected pursuant to section 93,
93.1, 93.2 of the Taxation Act. The above-referenced information shall be used for the purpose of processing
the Corporation’s application for an OIDMTC tax credit.
____________________________________________________ ________________________________
Signature of Declarant
Date
1“Ontario-based
individual” means, in relation to an eligible Ontario product, an individual who, by virtue of being an
individual described in clause 2(a) of the Income Tax Act, is subject to tax under section 2 of that Act for the calendar
year before the calendar year in which he or she rendered the services.
OMDC
ONTARIO INTERACTIVE DIGITAL MEDIA APPENDICES
ONTARIO INTERACTIVE DIGITAL MEDIA TAX CREDIT (OIDMTC)
TAX CREDIT DECLARATION OF RESIDENCY/ CONSENT FORM 2015
PLEASE COLLECT THIS FORM FOR ALL INDIVIDUALS BEING INCLUDED IN YOUR LABOUR EXPENDITURE
CLAIM. PLEASE RETAIN FOR YOUR RECORDS FOR PROOF OF RESIDENCY.
(For services personally rendered between January 1, 2015 to December 31, 2015)
Instructions: Please complete all sections of this form.
_______________________________________________________________________ the “Corporation”
(name of production company)
Name: _________________________________________________________________________________
S.I.N.: _____________________________ ON Driver’s License #: ________________
Address: _________________________________________________________________________________
__________________________________________________________________________
(full address including postal code)
I hereby certify and confirm that:
1. I was subject to personal income tax in Ontario in the calendar year 2014 by virtue of being resident in
Ontario on the 31st day of December, 2014 and my address at that time was:


same as above
(full address including postal code)
2. I understand that the Corporation will be relying on this declaration for its application for an Ontario
Interactive Digital Media Tax Credit (OIDMTC) which is jointly administered by the Ontario Media
Development Corporation (OMDC) and the Canada Revenue Agency and may be subject to government
audit, and hereby warrant that the above-noted information is true and correct.
3. I understand that an OIDMTC is based on eligible Ontario labour expenditures incurred for product, and as
such I hereby grant permission for the Corporation to supply to the Canada Revenue Agency information
with respect to my position on the production including, but not limited to, the information contained in this
form; the number of hours worked, any and all remuneration I received by the Corporation, and any other
information necessary in order to determine that the remuneration I received for my work is an eligible
labour expenditure as per Subsection 35(3) of the Ontario Regulations and any information necessary in
order to verify that I am an Ontario-based individual1.
4. The information obtained in connection with this Declaration/Consent is collected pursuant to section 93,
93.1, 93.2 of the Taxation Act. The above-referenced information shall be used for the purpose of processing
the Corporation’s application for an OIDMTC tax credit.
____________________________________________________ ________________________________
Signature of Declarant
Date
1“Ontario-based
individual” means, in relation to an eligible Ontario product, an individual who, by virtue of being an
individual described in clause 2(a) of the Income Tax Act, is subject to tax under section 2 of that Act for the calendar
year before the calendar year in which he or she rendered the services.
OMDC
ONTARIO INTERACTIVE DIGITAL MEDIA APPENDICES
ONTARIO INTERACTIVE DIGITAL MEDIA TAX CREDIT (OIDMTC)
TAX CREDIT DECLARATION OF RESIDENCY/ CONSENT FORM 2014
PLEASE COLLECT THIS FORM FOR ALL INDIVIDUALS BEING INCLUDED IN YOUR LABOUR EXPENDITURE
CLAIM. PLEASE RETAIN FOR YOUR RECORDS FOR PROOF OF RESIDENCY.
(For services personally rendered between January 1, 2014 to December 31, 2014)
Instructions: Please complete all sections of this form.
_______________________________________________________________________ the “Corporation”
(name of production company)
Name: _________________________________________________________________________________
S.I.N.: _____________________________ ON Driver’s License #: ________________
Address: _________________________________________________________________________________
__________________________________________________________________________
(full address including postal code)
I hereby certify and confirm that:
2. I was subject to personal income tax in Ontario in the calendar year 2013 by virtue of being resident in
Ontario on the 31st day of December, 2013 and my address at that time was:


same as above
(full address including postal code)
5. I understand that the Corporation will be relying on this declaration for its application for an Ontario
Interactive Digital Media Tax Credit (OIDMTC) which is jointly administered by the Ontario Media
Development Corporation (OMDC) and the Canada Revenue Agency and may be subject to government
audit, and hereby warrant that the above-noted information is true and correct.
6. I understand that an OIDMTC is based on eligible Ontario labour expenditures incurred for product, and as
such I hereby grant permission for the Corporation to supply to the Canada Revenue Agency information
with respect to my position on the production including, but not limited to, the information contained in this
form; the number of hours worked, any and all remuneration I received by the Corporation, and any other
information necessary in order to determine that the remuneration I received for my work is an eligible
labour expenditure as per Subsection 35(3) of the Ontario Regulations and any information necessary in
order to verify that I am an Ontario-based individual1.
7. The information obtained in connection with this Declaration/Consent is collected pursuant to section 93,
93.1, 93.2 of the Taxation Act. The above-referenced information shall be used for the purpose of processing
the Corporation’s application for an OIDMTC tax credit.
____________________________________________________ ________________________________
Signature of Declarant
Date
1“Ontario-based
individual” means, in relation to an eligible Ontario product, an individual who, by virtue of being an
individual described in clause 2(a) of the Income Tax Act, is subject to tax under section 2 of that Act for the calendar
year before the calendar year in which he or she rendered the services.
OMDC
ONTARIO INTERACTIVE DIGITAL MEDIA APPENDICES
ONTARIO INTERACTIVE DIGITAL MEDIA TAX CREDIT (OIDMTC)
TAX CREDIT DECLARATION OF RESIDENCY/ CONSENT FORM 2013
PLEASE COLLECT THIS FORM FOR ALL INDIVIDUALS BEING INCLUDED IN YOUR LABOUR EXPENDITURE
CLAIM. PLEASE RETAIN FOR YOUR RECORDS FOR PROOF OF RESIDENCY.
(For services personally rendered between January 1, 2013 to December 31, 2013)
Instructions: Please complete all sections of this form.
_______________________________________________________________________ the “Corporation”
(name of production company)
Name: _________________________________________________________________________________
S.I.N.: _____________________________ ON Driver’s License #: ________________
Address: _________________________________________________________________________________
__________________________________________________________________________
(full address including postal code)
I hereby certify and confirm that:
1. I was subject to personal income tax in Ontario in the calendar year 2012 by virtue of being resident in
Ontario on the 31st day of December, 2012 and my address at that time was:


same as above
(full address including postal code)
2. I understand that the Corporation will be relying on this declaration for its application for an Ontario
Interactive Digital Media Tax Credit (OIDMTC) which is jointly administered by the Ontario Media
Development Corporation (OMDC) and the Canada Revenue Agency and may be subject to government
audit, and hereby warrant that the above-noted information is true and correct.
3. I understand that an OIDMTC is based on eligible Ontario labour expenditures incurred for product, and as
such I hereby grant permission for the Corporation to supply to the Canada Revenue Agency information
with respect to my position on the production including, but not limited to, the information contained in this
form; the number of hours worked, any and all remuneration I received by the Corporation, and any other
information necessary in order to determine that the remuneration I received for my work is an eligible
labour expenditure as per Subsection 35(3) of the Ontario Regulations and any information necessary in
order to verify that I am an Ontario-based individual1.
4. The information obtained in connection with this Declaration/Consent is collected pursuant to section 93,
93.1, 93.2 of the Taxation Act. The above-referenced information shall be used for the purpose of processing
the Corporation’s application for an OIDMTC tax credit.
____________________________________________________ ________________________________
Signature of Declarant
Date
1“Ontario-based
individual” means, in relation to an eligible Ontario product, an individual who, by virtue of being an
individual described in clause 2(a) of the Income Tax Act, is subject to tax under section 2 of that Act for the calendar
year before the calendar year in which he or she rendered the services.