 |
Document: |
| |
I wish
to have personal information passed on to Elections Canada |
| |
Income
Tax Installments Paid |
(and
receipt) |
$__________ |
| |
RRSP Receipts |
Contributions to
Februrary |
$__________ |
| |
Prior year “Notice
of Assessment” |
And/or
other Reassessments from CCRA |
| |
T4 |
Employment
income - wages/salary |
| |
T4A(OAS)/T4A(P) |
Old Age
Security Pension / CPP Pension |
| |
T4A |
Pension/Annuity/Other
income |
| |
T3 |
Mutual
fund and trust income |
| |
T5 |
Interest,
dividend, and other investment income |
| |
T4E |
Employment
insurance income |
| |
T5013, T5003, T102,
T101 |
Tax Shelter
information |
| |
T5007 (Statement
of Benefits) |
WCB,
Social or other assistance received |
| |
T5008 |
Statement
of securities sold |
| |
T2200 (signed by
employer) |
If you
are deducting employment expenses |
| |
T2202/T2202A |
Tuition
fees/Education deduction |
| |
Charitable
donation receipts (must have registration number), political donation
receipts |
| |
Medical
Expenses, including premiums, dental, drugs and glasses |
| |
Disability
tax credit form signed by a physician |
| |
Other
(Interest paid on student loans, etc) |
| Other
Income and Deductions |
Attached |
Coming |
N/A |
Alimony/Child
Support:
Amount paid or received and the name, address, and SIN of the recipient.
Were the terms of your agreement changed during the year?(Provide a copy
if agreement is new/updated in ) |
|
|
|
Capital Gains:
Equity sale details |
|
|
|
Investment
Income:
Please list issue/maturity date, face amount and series if applicable
of CSB's, long-term GIC's, strip bonds etc. You may have to report interest
on an annual basis even if no cash was received. |
|
|
|
Investment
Expenses:
Please list carrying charges and interest paid to earn income from investments
(including safety deposit box and investment counsel fees) |
|
|
|
Rental Income:
Please provide details of income and expenses from rental properties including
mortgage interest, property taxes, utilities, repairs and maintenance,
insurance, and advertising. (attach details of any purchase and/or sale
of properties). |
|
|
|
Rent or Property
Taxes Paid on Your Residence:
Please include name of landlord or municipality. |
|
|
|
Union or
Professional Dues Paid:
Please include receipt. |
|
|
|
Moving Expenses:
Please include details including dates and amounts.Note if your employer
reimbursed any items. |
|
|
|
Child
Care Expenses:
Please include:
- Name, address
and amounts paid
- SIN of individual
daycare providers
- Details on #
of weeks if payment is for camp fees
|
|
|
|
2.
Specific Expenses Used in Your Business:
(See also Revenue Canada's "Business and Professional Income"
guide) |
Material
purchased for re-sale:
Amount still on
hand at year-end :
|
Office
expenses (Phone, fax, supplies) |
Sub-contracting
paid:
|
Interest and bank
charges:
|
Advertising:
|
Meals, entertainment
and sports tickets:
|
Membership dues,
fees, licences and subscriptions:
|
Delivery and freight:
|
Other expenses :
|
|
|
|