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[NINA AGHAEBRAHIMI LOWER-1226 DURANT DR COQUITLAM BC V3B 6Y2 Nee ree rae a oube28? Statement of Employment Insurance and Other Benefits Protected B/ Protege dos prostations @assurance-omploi ot autos prestations. ten ewe FO eT taabentcrae Fa] psa [2] eerenmmecas [2] tote wionsoooance [i] eset 30% 2,440.00 2,440.00 iterarsoawess | ramon sunmina, | san matin oo | Ae tee lemeems| ome! ans | cago, NINA AGHAEBRAHIMI LOWER-1226 DURANT DR COQUITLAM BC V3B 6Y2 AE (19) BB Germs renee Aspe a vom T4E Etat des prestations d'assurance-emy [fa] sexta rrr rater 748 402 468 ‘ie ifmation ee ve pap] ~ Aes ermlgnenws lara sunt) Service Canada (E $.0.0) - Employment Insurance Benefts ‘Service Canada (E D.S.C) - Prestatons ¢assurance-empot Canad Protected 8 Protege 8 ‘Attach this copy to your feral eta Jolgnee eas cople&vowe declaration eaerale ‘Statement of Employment Insurance and Other Benefits autres prestations SI id Cr eee 2019 30% 2,440.00 2,440.00 a m pietenitien | neumnssrms | ateveremianse | agemsncae | Fa ees FSD Ome [strane | cerinmean ran -Aaer sneer Ape rr) | 748 402 468 mite np vont aie sco matt nico or Ap ns =n bids sox sot cme fcr NINA AGHAEBRAHIMI LOWER-1226 DURANT DR COQUITLAM BC V3B 6Y2 Service Canada ( § DC) - Employment Insurance Bones Serle Ganasa (£0.80) Presatons assurance emp Kap is copy or your records He (19) Repayment chart Flin this chart if the rate in box 7 30% ana on your return, the total of lings 21300 and 23400 plus the amount of rgictaredcabiy savings plan {(RDSP) income repayment included online 23200, minus the fta of ines "100 ana 1260016 more than $88,378. Canada Cconservez cate cople dans vos dossiars ‘Tableau do romboursement Remplissezco tableau sl taux do 30% fgur a case 7 et quo, selon ‘ote déelaraton le total designee 21300 et 73400 plus le montart pour le Femboursoment des revonus dun régime enrgisre epsrgne-vahdts (REED incus ala ge 29200, moins lefts des lignes 11700 et 1250, ‘passe 66 3788, Enter tn amount from bo 16 minus any amount fom bax 30 nage, ena“) Inesriveze montant dla cae 15 mins le meant 3 Iacase 30s nogat neces « 0) “otal of emouns ones 21900 and 23400 plus the {mount of RSP nce on ne 2220 fr ren, ‘minus th sets on nee 1700 and 12900 Total des mentors des tgnes 21300 ot 25400 ple ‘montant do REET ins lage 23200 de vate, ‘carton, moins les mortars des bynes 11700 eri00 1 Line # minus $96375 negative, eler"0") Ligne 1 mein 68 375 $ (nga, insaier «0 ») 2

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