Lisa Volpe Archive Cra 19 PDF

Name: Lisa Volpe SIN:506 406 958 Printed on:2020/04/05 09:21 EDT
Protected B when completed
Income Tax and Benefit Return 2019

Before you start:
If you are filling out this return for a deceased person, make sure you enter their information in all the boxes in Step 1.
Step 1 – Identification and other information

ON 7
Identification Information about you
Print your name and address below. Enter your social
insurance number (SIN): 5 0 6 4 0 6 9 5 8
First name and initial Year Month Day
Lisa 1 9 7 7 0 3 2 2
Enter your date of birth:
Last name
Volpe Your language of correspondence: English Français
Mailing address: Apt No. – Street No. Street name Votre langue de correspondance : X
127 Kellington Trail
PO Box RR Is this return for a deceased person?
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Ensure the SIN information above is for the deceased person.
City Prov./Terr. Postal code If this return is for a
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Stouffville O N L 4 A 1 X 6 Year Month Day
deceased person, enter the
date of death:
Email address
Marital status
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By providing an email address, you are registering to receive Tick the box that applies to your marital status on
email notifications from the CRA and agree to the Terms of use December 31, 2019:
under Step 1 in the guide.
Enter an email address: ivano_volpe@hotmail.com
END 1 X Married
4 Divorced
2
5
Living common-law
Separated
3
6
Widowed
Single
Information about your residence
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Enter your province or territory of Information about your spouse or
residence on December 31, 2019: Ontario common-law partner (if you ticked box 1 or 2 above)
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Enter the province or territory Enter their SIN: 5 1 0 0 7 9 4 9 4

where you currently reside if it is
not the same as your mailing Enter their first name: Ivano
address above:
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If you were self-employed in 2019, Enter their net income for 2019
enter the province or territory to claim certain credits: 133,230 52
where your business had a Enter the amount of universal child
permanent establishment: care benefit (UCCB) from line 11700
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If you became or ceased to be a resident of Canada for of their return:

income tax purposes in 2019, enter the date of: Enter the amount of UCCB repayment
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from line 21300 of their return:

Month Day Month Day
entry or departure Tick this box if they were self-employed in 2019: 1
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Do not use this area

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Do not use
this area
17200 17100
5006-R Page 1
Step 1 – Identification and other information (continued)
Please answer the following questions.
Elections Canada (For more information, see "Elections Canada" under Step 1, in the guide.)
A) Do you have Canadian citizenship? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X 1 No 2
If yes, go to question B. If no, skip question B.
B) As a Canadian citizen, do you authorize the Canada Revenue Agency to give your name, address,
date of birth, and citizenship to Elections Canada to update the National Register of Electors or, if
you are aged 14 to 17, to update the Register of Future Electors? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X 1 No 2
Your authorization is valid until you file your next tax return. Your information will only be used for purposes permitted under
the Canada Elections Act, which include sharing lists of electors produced from the National Register of Electors with
provincial and territorial electoral agencies, members of Parliament, registered and eligible political parties, and candidates
at election time.
Your information in the Register of Future Electors will be included in the National Register of Electors once you turn 18.
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Information from the Register of Future Electors can be shared only with provincial and territorial electoral agencies that are
allowed to collect future elector information. In addition, Elections Canada can use information in the Register of Future
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Electors to provide youth with educational information about the electoral process.
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Indian Act – Exempt income
Tick this box if you have any income that is exempt under the Indian Act.
For more information on this type of income, go to canada.ca/taxes-aboriginal-peoples.
END 1
If you tick the box, get and complete Form T90, Income Exempt under the Indian Act. Complete this form so that the CRA
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can calculate your Canada training credit limit for the 2020 tax year. The information you provide may also be used to
calculate your Canada workers benefit for the 2019 tax year, if applicable.
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Foreign property
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Did you own or hold specified foreign property where the total cost amount of all such
property, at any time in 2019, was more than CAN$100,000? .. . . . . . . . . . . . . . . . . . . . . . 26600 Yes 1 No X 2
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If yes, get and complete Form T1135, Foreign Income Verification Statement. There are substantial penalties for not
completing and filing Form T1135 by the due date. For more information, see Form T1135.
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5006-R Page 2
Attach only the documents (schedules, information slips, forms, or receipts) requested to support
any claim or deduction. Keep all other supporting documents.
Step 2 – Total income

As a resident of Canada, you have to report your income from all sources both inside and outside Canada.
The Income Tax and Benefit Guide may have additional information for certain lines.
Employment income (box 14 of all T4 slips) 10100 99,812 88
Tax-exempt income for emergency services volunteers
(See line 10100 in the guide.) 10105
Commissions included on line 10100 (box 42 of all T4 slips) 10120
Wage-loss replacement contributions (See line 10100 in the guide.) 10130
Other employment income 10400 + 582 56
Old age security pension (box 18 of the T4A(OAS) slip) 11300 +
CPP or QPP benefits (box 20 of the T4A(P) slip) 11400 +
Disability benefits included on line 11400 (box 16 of the T4A(P) slip) 11410
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Other pensions and superannuation (See line 11500 in the guide and complete line 31400 in the
Worksheet for the return.) 11500 +
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Elected split-pension amount (Get and complete Form T1032.) 11600 +
Universal child care benefit (UCCB) (See the RC62 slip.) 11700 +
UCCB amount designated to a dependant 11701
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Employment insurance and other benefits (box 14 of the T4E slip) 11900 +
Employment insurance maternity and parental benefits and provincial
parental insurance plan benefits 11905
END
Taxable amount of dividends (eligible and other than eligible) from taxable Canadian corporations
(Complete the Worksheet for the return.) 12000 + 298 08
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Taxable amount of dividends other than eligible dividends, included on
line 12000, from taxable Canadian corporations 12010
Interest and other investment income (Complete the Worksheet for the return.) 12100 +
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Net partnership income: limited or non-active partners only 12200 +

Registered disability savings plan income (box 131 of the T4A slip) 12500 +
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Rental income Gross 12599 22,800 00 Net 12600 + 427 08

Taxable capital gains (Complete Schedule 3.) 12700 + 1,860 75
Support payments received Total 12799 Taxable amount 12800 +
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RRSP income (from all T4RSP slips) 12900 +

Other income Specify: 13000 +
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Taxable scholarship, fellowships, bursaries, and artists' project grants 13010 +

Self-employment income
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Business income Gross 13499 Net 13500 +

Professional income Gross 13699 Net 13700 +
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Commission income Gross 13899 Net 13900 +

Farming income Gross 14099 Net 14100 +
Fishing income Gross 14299 Net 14300 +
Workers' compensation benefits (box 10 of the T5007 slip) 14400
Social assistance payments 14500 +
Net federal supplements (box 21 of the T4A(OAS) slip) 14600 +
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Add lines 14400, 14500, and 14600. (See line 25000 in Step 4.) = 14700 +
Add lines 10100, 10400 to 11400, 11500 to 11700, 11900, 12000,
12100 to 12500, 12600, 12700, 12800, 12900 to 13010, 13500, 13700,
13900, 14100, 14300, and 14700. This is your total income. 15000 = 102,981 35
5006-R Page 3
Step 3 – Net income
Enter your total income from line 15000 from the previous page. 15000 102,981 35
Pension adjustment (box 52 of all T4 slips and
box 034 of all T4A slips) 20600 15,027 00
Registered pension plan deduction
(box 20 of all T4 slips and box 032 of all T4A slips) 20700 11,049 52
RRSP deduction (See Schedule 7 and attach receipts.) 20800 +
Pooled registered pension plan (PRPP)
employer contributions (amount from your
PRPP contribution receipts) 20810
Deduction for elected split-pension amount (Get and complete Form T1032.) 21000 +
Annual union, professional, or like dues (receipts and box 44 of all T4 slips) 21200 + 1,663 60
Universal child care benefit repayment (box 12 of all RC62 slips) 21300 +
Child care expenses (Get and complete Form T778.) 21400 + 3,959 25
Disability supports deduction (Get and complete Form T929.) 21500 +
Business investment loss Gross 21699 Allowable deduction 21700 +
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Moving expenses (Get and complete Form T1-M.) 21900 +
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Support payments made Total 21999 Allowable deduction 22000 +
Carrying charges and interest expenses
(Complete the Worksheet for the return.) 22100 +
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Deduction for CPP or QPP contributions on self-employment and other
earnings (Complete Schedule 8 or get and complete Form RC381,
whichever applies.) 22200END + •
Deduction for CPP or QPP enhanced contributions on employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 22215 + 80 85 •
Exploration and development expenses (Get and complete Form T1229.) 22400 +
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Other employment expenses 22900 +
Clergy residence deduction (Get and complete Form T1223.) 23100 +
NO
Other deductions Specify: 23200 +

Add lines 20700, 20800, 21000 to 21500, 21700, 21900, 22000, and
◄
22100 to 23200. 23300 = 16,753 22 – 16,753 22
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Line 15000 minus line 23300 (if negative, enter "0") This is your net income before adjustments. 23400 = 86,228 13
Social benefits repayment (If you reported income at line 11900 and the amount at line 23400 is
greater than $66,375, see the repayment chart on the back of your T4E slip. If you reported income
on lines 11300 or 14600, and the amount at line 23400 is greater than $77,580, complete the chart
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for line 23500 on the Worksheet for the return. Otherwise, enter "0".) 23500 – •
Line 23400 minus line 23500 (if negative, enter "0") This is your net income. 23600 = 86,228 13
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5006-R Page 4
Step 4 – Taxable income
Canadian Forces personnel and police deduction (box 43 of all T4 slips) 24400
Security options deductions 24900 +
Other payments deduction (Claim the amount from line 14700, unless it
includes an amount at line 14600. If so, see line 25000 in the guide.) 25000 +
Limited partnership losses of other years 25100 +
Non-capital losses of other years 25200 +
Net capital losses of other years 25300 + 138 56
Capital gains deduction (Get and complete Form T657.) 25400 +
Northern residents deductions (Get and complete Form T2222.) 25500 +
Additional deductions Specify: 25600 +
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Add lines 24400 to 25600. 25700 = 138 56 – 138 56
Line 23600 minus line 25700 (if negative, enter "0") This is your taxable income. 26000 = 86,089 57
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MA
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END
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5006-R Page 5
Step 5 – Federal tax (formerly Schedule 1)
Part A – Federal non-refundable tax credits
Basic personal amount claim $12,069 30000 12,069 00 1
Age amount (if you were born in 1954 or earlier)
(Complete the Worksheet for the return.) (maximum $7,494) 30100 + 2
Spouse or common-law partner amount (Complete Schedule 5.) 30300 + 3
Amount for an eligible dependant (Complete Schedule 5.) 30400 + 4
Canada caregiver amount for spouse or common-law partner, or eligible dependant
age 18 or older (Complete Schedule 5.) 30425 + 5
Canada caregiver amount for other infirm dependants age 18 or older (Complete Schedule 5.) 30450 + 6
Canada caregiver amount for infirm children under 18 years of age
Enter the number of children for whom you are claiming this amount. 30499 × $ 2,230 = 30500 + 7
Base CPP or QPP contributions:
through employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 30800 + 2,668 05 • 8
on self-employment and other earnings
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(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 31000 + •9
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Employment insurance premiums:
through employment from box 18 and box 55 of all T4 slips (maximum $860.22) 31200 + 860 22 • 10
on self-employment and other eligible earnings (Complete Schedule 13.) 31217 + • 11
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Volunteer firefighters' amount 31220 + 12
Search and rescue volunteers' amount 31240 + 13
Canada employment amount (Enter $1,222 or the total of your employment income you reported
END
on lines 10100 and 10400, whichever is less.) 31260 + 1,222 00 14
Home buyers' amount 31270 + 15
Home accessibility expenses (Complete the Worksheet for the return.) (maximum $10,000) 31285 + 16
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Adoption expenses 31300 + 17
Pension income amount (Complete the Worksheet for the return.) (maximum $2,000) 31400 + 18
NO
Disability amount (for self)

(Claim $8,416 or if you were under 18 years of age, complete the Worksheet for the return.) 31600 + 19
Disability amount transferred from a dependant (Complete the Worksheet for the return.) +
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31800 20
Interest paid on your student loans (See Guide P105.) 31900 + 21
Your tuition, education, and textbook amounts (Complete Schedule 11.) 32300 + 22
Tuition amount transferred from a child 32400 + 23
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Amounts transferred from your spouse or common-law partner (Complete Schedule 2.) 32600 + 24
Medical expenses for self, spouse or common-law partner, and
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your dependent children born in 2002 or later 33099 25

Enter $2,352 or 3% of line 23600, whichever is less. – 2,352 00 26
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Line 25 minus line 26 (if negative, enter "0") = 27

Allowable amount of medical expenses for other dependants
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(Complete the Worksheet for the return.) 33199 + 28

Add lines 27 and 28. =
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33200 + 29
Add lines 1 to 24, and line 29. 33500 = 16,819 27 30
Federal non-refundable tax credit rate × 15% 31
Multiply line 30 by line 31. 33800 = 2,522 89 32
Donations and gifts (Complete Schedule 9.) 34900 + 33
Add lines 32 and 33.
Enter this amount on line 46 on the next page. Total federal non-refundable tax credits 35000 = 2,522 89 34
5006-R Page 6
Part B – Federal tax on taxable income
Enter your taxable income from line 26000. 86,089 57 35
Complete the
appropriate column Line 35 is more Line 35 is more Line 35 is more
depending on the Line 35 is than $47,630 but than $95,259 but than $147,667 but Line 35 is more
amount on line 35. $47,630 or less not more than not more than not more than than $210,371
Enter the amount $95,259 $147,667 $210,371
from line 35. 86,089 57 36
Line 36 minus line 37 – 0.00 – 47,630.00 – 95,259.00 – 147,667.00 – 210,371.00 37
(cannot be negative) = = 38,459 57 = = = 38
Multiply line 38 × 15% × 20.5% × 26% × 29% × 33% 39
by line 39. = = 7,884 21 = = = 40
+ 0.00 + 7,145.00 + 16,908.00 + 30,535.00 + 48,719.00 41
Add lines 40 and 41. = = 15,029 21 = = = 42
Part C – Net federal tax
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Enter the amount from line 42. 15,029 21 43
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Federal tax on split income (Get and complete Form T1206.) 40424 + • 44
Add lines 43 and 44. 40400 = 15,029 21
◄ 15,029 21 45
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Enter your total federal non-refundable tax credits
from line 34 on the previous page. 35000 2,522 89 46
Federal dividend tax credit (See line 40425 in the guide.) 40425 + 44 77 • 47
Minimum tax carryover (Get and complete Form T691.)
Add lines 46, 47, and 48.
END 40427 +
= 2,567 66
• 48
◄ – 2,567 66 49
Line 45 minus line 49 (if negative, enter "0") Basic federal tax 42900 = 12,461 55 50
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Federal foreign tax credit (Get and complete Form T2209.) 40500 – 51
Line 50 minus line 51 (if negative, enter "0") Federal tax 40600 = 12,461 55 52
NO
Total federal political contributions

(attach receipts) 40900 53
Federal political contribution tax credit
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(Complete the Worksheet for the return.) (maximum $650) 41000 • 54

Investment tax credit (Get and complete Form T2038(IND).) 41200 + • 55
Labour-sponsored funds tax credit
(See lines 41300 and 41400 in the guide.)
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Net cost of shares of a

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provincially registered fund 41300 Allowable credit 41400 + • 56

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Add lines 54, 55, and 56. 41600 = – 57
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Line 52 minus line 57 (if negative, enter "0") 41700 = 12,461 55 58

Canada workers benefit advance payments received
(box 10 of the RC210 slip) 41500 + • 59
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Special taxes (See line 41800 in the guide.) 41800 + 60

Add lines 58, 59, and 60.
Enter this amount on line 42000 on the next page. Net federal tax 42000 = 12,461 55 61
Step 6 – Provincial or territorial tax

Complete Form 428 to calculate your provincial tax.
5006-R Page 7
Step 7 – Refund or balance owing
Net federal tax: enter the amount from line 61 from the previous page. 42000 12,461 55
CPP contributions payable on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 42100 +
Employment insurance premiums payable on self-employment and other eligible earnings
(Complete Schedule 13.) 42120 +
Social benefits repayment (amount from line 23500) 42200 +
Provincial or territorial tax (Attach Form 428, even if the result is "0".) 42800 + 6,209 27
Add lines 42000, 42100, 42120, 42200, and 42800. This is your total payable. 43500 = 18,670 82 •
Total income tax deducted (amounts from all Canadian slips) 43700 19,862 28 •
Refundable Quebec abatement (See line 44000 in the guide.) 44000 + •
CPP overpayment (See line 30800 in the guide.) 44800 + •
Employment insurance overpayment (See line 45000 in the guide.) 45000 + •
Climate Action Incentive (Complete Schedule 14.) 45110 + •
Refundable medical expense supplement
(Complete the Worksheet for the return.) 45200 + •
Canada workers benefit (CWB) (Complete Schedule 6.) 45300 + •
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Refund of investment tax credit (Get and complete Form T2038(IND).) 45400 + •
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Part XII.2 trust tax credit (box 38 of all T3 slips and box 209 of all T5013 slips) 45600 + •
Employee and partner GST/HST rebate (Get and complete Form GST370.) 45700 + •
Eligible educator school supply tax credit
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Supplies expenses (maximum $1,000) 46800 × 15% = 46900 + •
Tax paid by instalments 47600 + •
Provincial or territorial credits (Complete Form 479, if it applies.)
Add lines 43700 to 45700, and
END 47900 + •
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46900 to 47900. These are your total credits. 48200 = 19,862 28 – 19,862 28
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Line 43500 minus line 48200 This is your refund or balance owing. = (1,191 46)
If the result is negative, you have a refund. If the result is positive, you have a balance owing.
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Enter the amount below on whichever line applies.

Generally, we do not charge or refund a difference of $2 or less.
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Refund 48400 1,191 46 • Balance owing 48500 •
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For more information on how to receive your refund by For more information on how to make your payment, see
direct deposit, see line 48400 in the guide or go to line 48500 in the guide or go to canada.ca/payments.
canada.ca/cra-direct-deposit. Your payment is due no later than April 30, 2020.
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Ontario opportunities fund Amount from line 48400 above 1,191 46 1

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Your donation to the

You can help reduce Ontario's debt by completing this area to Ontario opportunities fund
donate some or all of your 2019 refund to the Ontario opportunities
46500 – • 2
fund. Please see the provincial pages for details. Net refund (line 1 minus line 2) 46600 = 1,191 46 • 3
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I certify that the information given on this return and in any If this return was completed by a tax professional, tick the
documents attached is correct and complete and fully discloses applicable box and provide the following information:
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all my income.
49000 Was a fee charged? Yes 1 No 2
Sign here
It is a serious offence to make a false return. 48900 EFILE number (if applicable):
Telephone number: 416 525-2702 Name of tax professional:
Date Telephone number:
Personal information (including the SIN) is collected for the purposes of the administration or enforcement of the Income Tax Act and related programs and
activities including administering tax, benefits, audit, compliance, and collection. The information collected may be used or disclosed for purposes of other
federal acts that provide for the imposition and collection of a tax or duty. It may also be disclosed to other federal, provincial, territorial or foreign government
institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties or other actions. Under the Privacy Act,
individuals have the right to access their personal information, request correction, or file a complaint to the Privacy Commissioner of Canada regarding the
handling of the individual’s personal information. Refer to Personal Information Bank CRA PPU 005 on Info Source at canada.ca/cra-info-source.
Do not use • 48600 •

this area 48700 48800
5006-R Page 8 Canada Revenue Agency Approval # : RC-19-107
T1-2019 Capital Gains (or Losses) in 2019 Schedule 3
Complete this schedule and attach it to your return to report your capital gains (or losses) on line 12700 of your return.
For more information, see Guide T4037, Capital Gains. If you need more space, attach a separate sheet.
(1) (2) (3) (4) (5)
Note: If you have a business investment Outlays and Gain (or loss)
loss, see Guide T4037. Year of Proceeds of Adjusted cost
acquisition disposition baseexpenses (from (column 2 minus
dispositions) columns 3 and 4)
1. Qualified small business (If you realized a gain on a disposition, you may be able to claim a capital gains
corporation shares deduction on line 25400 of your return.)
(Report, in section 3 below, publicly traded shares, mutual fund units, deferral of eligible small business corporation
shares, and other shares.)
Number Name of corp. and class of shares
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From T3/T5013 slips
Total 10699 Gain (or loss) 10700
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2. Qualified farm or fishing (If you realized a gain on a disposition, you may be able to claim a capital gains
property deduction on line 25400 of your return.)
END
Address or legal description Prov./Terr.
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NO
From T3/T5013 slips

Total 10999 Gain (or loss) 11000 +
Mortgage foreclosures and conditional Prov./Terr.
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sales repossessions – address or legal

description
From T5013 slips

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3. Publicly traded shares, mutual fund units, deferral of eligible small business corporation
shares, and other shares
(Note: If you have capital gains (or losses) on your T5, T5013, T4PS, and T3 information slips,
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report them on line 17400 or line 17600.)

Number Name of fund/corp. and class of shares
SEE SUPPLMENTARY STATEMENT ON PAGE 4
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From T5008 slips 9,314.50 5,593.00 3,721.50

From T1170
Total 13199 9,314.50 Gain (or loss) 13200 + 3,721.50
4. Real estate, depreciable property, and other properties (see the next page for a principal residence)

5000-S3 Page 1 of 4
Capital Gains (or Losses) in 2019
5. Bonds, debentures, promissory notes, and other similar properties

Face value Maturity date Name of issuer
From T1170
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6. Other mortgage foreclosures and conditional sales repossessions
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7. Personal-use property (provide a full description) (see the next page for a principal residence)
END
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Gain only 15800 +
NO
8. Listed personal property (LPP) (provide a full description)

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Note: You can apply LPP Subtract: unapplied LPP losses from other years -
losses only against LPP gains. Net gain only 15900 +
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Add lines 10700, 11000, 12400, 13200, 13800, 15300, 15500, Total of gains (or losses) of qualified
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15800, and 15900. Enter this amount on line B on the next page. properties and other properties = 3,721.50 A
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Continue on the next page.
Page 2 of 4
5000-S3
Enter the amount from line A on the previous page. 3,721 50 B

Capital gains deferral from qualifying dispositions of eligible small business corporation shares
(included on line 13200 in item 3 on the previous page) 16100 – C
Line B minus line C = 3,721 50 D
T5, T5013, and T4PS information slips – Capital gains (or losses) 17400 + E
T3 information slips – Capital gains (or losses) 17600 + F
Add lines D, E, and F = 3,721 50 G
Capital loss from a reduction in your business investment loss 17800 – H
Total of all gains (or losses) before reserves: line G minus line H 19100 = 3,721 50 I
Reserves from line 67060 of Form T2017 (if negative, show it in brackets and subtract it) 19200 + J
Total capital gains (or losses): line I plus line J 19700 = 3,721 50 K
Multiply the amount on line 19700 by 50%. If the result is
positive, enter it on line 12700 of your return. If negative (loss), Taxable capital gains
read the instructions below. (or net capital loss) in 2019 19900 = 1,860 75
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If the result is negative (loss) do not report the amount on line 12700 of your return (the loss will show on your latest notice of
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assessment or reassessment). This helps you keep track of your net capital losses, which you may be able to use to reduce
your taxable capital gains of other years.
If you have a net capital loss in 2019 and would like to apply it against taxable capital gains you reported on your 2016, 2017,
or 2018 return, get and complete Form T1A, Request for Loss Carryback.
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You can carry forward your net capital losses indefinitely and apply them against your taxable capital gains in the future.
Principal residence
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Complete this section if you disposed of a property (or properties) in 2019 that you are claiming a principal residence
exemption for.
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In all cases, you have to get and complete Form T2091(IND), Designation of a property as a principal residence by an
individual, or Form T1255, Designation of a Property as a Principal Residence by the Legal Representative of a Deceased
Individual, whichever applies.
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Even if you do not sell your property, you may have a deemed disposition you must report. A deemed disposition occurs
when you are considered to have disposed of property, even though you did not actually sell it. For example, a deemed
disposition may occur when you change how you use your principal residence, such as:
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• you change all or part of your principal residence to a rental or business operation
• you change all or part of your rental or business operation to a principal residence
If you were not a resident of Canada for the entire time you owned the designated property, your period of non-residence
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may reduce the amount of the principal residence exemption or eliminate it. For more information, call the CRA at
1-800-959-8281.
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Principal residence designation

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Tick the box that applies to your designation.

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17900 I designate the property described on Form T2091(IND) or Form T1255 to have been my principal
1 residence for all years owned or for all years owned except one year in which I replaced my principal
residence.
I designate the property described on Form T2091(IND) or Form T1255 to have been my principal residence
2 for some but not all years owned.
I designate the properties described on Form T2091(IND) or Form T1255 to have been my principal
3 residences for some or all of the years owned.
See the privacy notice on your return.
5000-S3 Page 3 of 4
Schedule 3 - Supplementary Statement S3-SUPP
Publicly traded shares, mutual fund units, deferral of eligible small business
corporation shares, and other shares (continued)
# of Name of fund/corporation Year of Proceeds of Adjusted Outlays and Gain

Shares and class of shares acquisition Disposition Cost Base Expenses (or loss)
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BY
END
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NO
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5000-S3 Page 4 of 4
T1-2019 Canada Pension Plan
Contributions and Overpayment for 2019 Schedule 8
The Canada Pension Plan (CPP) was amended to provide for the enhancement of pensions. The government of Quebec also
adopted legislative amendments to enhance the Quebec Pension Plan (QPP) in a similar way to the federal plan. The
enhancements are funded by additional enhanced contributions beginning in January 2019.
As an employee, your employer will already have deducted the contributions from your salary and wages. The contributions
consist of a base and an enhanced amount. As a self-employed individual, you will calculate your required contributions
(if any) on this schedule, which will include the base and the enhanced amounts.
Complete this schedule and attach it to your return to calculate your required Canada Pension Plan (CPP) contributions or
overpayment for 2019 if you were a resident of a province or territory other than Quebec on December 31, 2019, and have
no earned income from the province of Quebec.
Do not use this schedule if any of your T4 slips have Quebec Pension Plan (QPP) contributions. Instead get and complete
Form RC381, Inter-Provincial Calculation for CPP and QPP Contributions and Overpayments for 2019.
Part 1 – Complete this part if you are electing to stop contributing to the CPP or revoking a prior election.
Part 2 – Complete this part to determine the number of months for the CPP contributions calculation.
Part 3 – Complete this part if you are reporting employment income.
Part 4 – Complete this part if you are reporting only self-employment income or other earnings you are electing to pay CPP
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contributions on.
Part 5 – Complete this part if you are reporting employment income and self-employment income or other earnings you are
MA
electing to pay CPP contributions on. You must first complete Part 3.
For more information, see lines 22200, 22215, 30800, and 31000 in the guide.
BY
Part 1 – Election to stop contributing to the Canada Pension Plan
or revocation of a prior election
END
If in 2019 you were 60 to 70 years of age, you received a CPP or QPP retirement pension, and you had employment and/
or self-employment income, you were considered a CPP working beneficiary and you were required to make CPP
contributions. However, if you were at least 65 years of age but under 70, you can elect to stop paying CPP contributions.
TS
If you have employment income for 2019 and elected in 2019 to stop paying CPP contributions or revoked in 2019 an
election made in a prior year, you should have already completed Form CPT30, Election to Stop Contributing to the
Canada Pension Plan, or Revocation of a Prior Election, and sent it to us and your employer(s).
NO
If you had only self-employment income for 2019 and elect in 2019 to stop paying CPP contributions on your
self-employment earnings, enter the month in 2019 for which you choose to start this election in box 50372 below. The
date cannot be earlier than the month you turn 65 and you are receiving a CPP or QPP retirement pension. For example,
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if you turn 65 in June, you can choose any month from June to December. If you choose the month of June, enter 06 in
box 50372 because June is the sixth month of the year. If in 2019 you are revoking an election made in a prior year on
contributions on self-employment earnings, enter the month in 2019 for which you choose to revoke this election in box
50374 below. Your election remains valid until you revoke it or you turn 70. If you start receiving employment income
(other than employment income earned in Quebec) in a future year, you will have to complete Form CPT30 in that year for
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your election to remain valid.

CA
If you had both employment income and self-employment income in 2019 and wanted to elect to stop paying CPP
contributions in 2019, or to revoke in 2019 an election made in a prior year, you should have completed Form CPT30 in
2019. An election filed using Form CPT30 applies to all income from pensionable earnings, including
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self-employment earnings, as of the first day of the month after the date you gave this form to your employer. If you
completed and submitted Form CPT30 when you became employed in 2019 but your intent was to elect in 2019 to stop
paying CPP contributions or revoke an election made in a prior year on your self-employment income before you became
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employed, enter the month you want to stop contributing in box 50372 below, or if you want to revoke in 2019 an election
made in a prior year, enter the month you want to resume contributing in box 50374 below. If you did not complete and
submit Form CPT30 for 2019 when you became employed, you cannot elect to stop paying CPP contributions or revoke
an election made in a prior year on your self-employment earnings for 2019 on this schedule.
To be valid, an election or revocation that begins in 2019 must be filed on or before June 15, 2021.
I elect to stop contributing to the Canada Pension Plan on my self-employment earnings on the first Month
day of the month that I entered in box 50372. 50372
I want to revoke an election made in a prior year to stop contributing to the Canada Pension Plan on
my self-employment earnings and resume contributing on the first day of the month that I entered in Month
box 50374. 50374
5000-S8
Part 2 – Determine the number of months for the CPP contributions calculation
Enter 12 in box A unless any of the situations below apply:
• if you turned 18 years of age in 2019, enter the number of months in the year after the month you turned 18
• if for all of 2019 you were receiving a CPP or QPP disability pension, enter "0". If you started or stopped receiving a CPP
or QPP disability pension in 2019, enter the number of months during which you were not receiving a disability pension
• if you were 65 to 70 years of age in 2019, you were receiving a CPP or QPP retirement pension, and you elected to stop
paying CPP contributions in 2019, enter the number of months in the year up to and including the month you made the
election. If you had self-employment income in 2019 and have an entry in box 50372 of Part 1, enter the number of
months in the year prior to the month you entered in box 50372 of Part 1
• if you were 65 to 70 years of age in 2019, you were receiving a CPP or QPP retirement pension, you elected to stop
paying CPP contributions in a prior year, and you have not revoked that election, enter "0"
• if you were 65 to 70 years of age in 2019, you were receiving a CPP or QPP retirement pension, you elected to stop
paying CPP contributions in a prior year, and you revoked that election in 2019, enter the number of months in the year
after the month you revoked the election. If you had self-employment income in 2019 and have an entry in box 50374 of
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Part 1, enter the number of months in the year after and including the month you entered in box 50374 of Part 1
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• if you turned 70 years of age in 2019 and you did not elect to stop paying CPP contributions, enter the number of
months in the year up to and including the month you turned 70 years of age
• if for all of 2019 you were 70 years of age or older, enter "0"
BY
• if the individual died in 2019, enter the number of months in the year up to and including the month the individual died
Enter the number of months during which the CPP applies in 2019. END 12 A
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Monthly proration table for 2019
NO
Applicable Applicable
Maximum CPP Maximum basic Maximum CPP Maximum basic
number of number of
pensionable earnings CPP exemption* pensionable earnings CPP exemption*
months months
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1 $4,783.33 $291.67 7 $33,483.33 $2,041.67

2 $9,566.67 $583.33 8 $38,266.67 $2,333.33
3 $14,350.00 $875.00 9 $43,050.00 $2,625.00
4 $19,133.33 $1,166.67 10 $47,833.33 $2,916.67
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5 $23,916.67 $1,458.33 11 $52,616.67 $3,208.33

6 $28,700.00 $1,750.00 12 $57,400.00 $3,500.00
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* If you started receiving CPP retirement benefits in 2019, your basic exemption may be prorated by the CRA.
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5000-S8
Part 3 – Calculating your CPP contributions and overpayment on employment income

Enter your yearly maximum CPP pensionable earnings
(see the monthly proration table on the previous page to find the amount
that corresponds to the number of months entered in box A of Part 2). (maximum $57,400) 57,400 00 1
Total CPP pensionable earnings:
Enter the total of box 26 of all your T4 slips (maximum $57,400 per slip).
If box 26 is blank, enter the amount from box 14. 50339 57,400 00 2
Enter the amount from line 1 or the amount from line 2, whichever is less. 57,400 00 3
Enter your maximum basic CPP exemption
(see the monthly proration table on the previous page to find the amount
that corresponds to the number of months entered in box A of Part 2). (maximum $3,500) – 3,500 00 4
Earnings subject to CPP contributions:
Line 3 minus line 4 (if negative, enter "0") (maximum $53,900) = 53,900 00 5
Actual total contributions on CPP pensionable earnings:
Enter the total CPP contributions deducted from box 16 of all your T4 slips. 50340 2,748 90 • 6
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Actual base contributions on CPP pensionable earnings:
Multiply the amount from line 6 by 97.0588%. – 2,668 05 7
MA
Actual enhanced contributions on CPP pensionable earnings:
Line 6 minus line 7 = 80 85 8
Required base contributions on CPP pensionable earnings:
BY
Multiply the amount from line 5 by 4.95%. (maximum $2,668.05) 2,668 05 9
Required enhanced contributions on CPP pensionable earnings:
Multiply the amount from line 5 by 0.15%.
Total required contributions on CPP pensionable earnings:
Add lines 9 and 10.
END (maximum $80.85) +
–
80 85 10
2,748 90 11
TS
If you are self-employed or you are electing to pay additional CPP contributions on other earnings, continue with
NO
Part 5. You may be able to make additional CPP contributions if the calculated amount from line 12 is negative.
See Form CPT20, Election To Pay Canada Pension Plan Contributions.
Otherwise, the deduction and tax credit on employment income should be reported as follows:
- DO
• Enter the amount, in dollars and cents, from line 7 or line 9, whichever is less, on line 30800 of your return.
If applicable, also enter this amount, in dollars and cents, on line 58240 of your Form 428.
• Enter the amount, in dollars and cents, from line 8 or line 10, whichever is less, on line 22215 of your return.
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• If the amount on line 12 is positive, enter the amount, in dollars and cents, on line 44800 of your return.
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5000-S8
Part 4 – CPP contributions on self-employment income and

other earnings only (no employment income)
Pensionable net self-employment earnings*
(amounts from lines 12200, 13500, 13700, 13900, 14100, and 14300 of your return) 1
Employment earnings not shown on a T4 slip on which you elect to pay additional
CPP contributions (Get and complete Form CPT20.) 50373 + 2
Add lines 1 and 2 (if negative enter "0"). CPP pensionable earnings (maximum $57,400)*= 3
Basic exemption (maximum $3,500)* – 4
Line 3 minus line 4 (maximum $53,900) = 5
CPP rate × 10.2% 6
Total CPP contributions payable on self-employment and other earnings:
Multiply line 5 by line 6. Enter this amount on line 42100 of your return. = 7
Deduction and tax credit for CPP contributions on self-employment and other earnings
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Required base contributions on CPP pensionable earnings:
MA
Multiply the amount from line 7 by 97.0588%. – 8
Required enhanced contributions on CPP pensionable earnings:
Line 7 minus line 8 = 9
BY
Multiply line 8 by 50%. Enter this amount, in dollars and cents, on line 31000 of your return. + 10
Add lines 9 and 10. Enter this amount, in dollars and cents, on line 22200 of your return. = 11
END
* Self-employment earnings, CPP pensionable earnings, and the basic exemption should be prorated according to the number of months entered in
box A of Part 2. See the monthly proration table under Part 2 to find the amount that corresponds to the number of months entered in box A of Part 2.
Do not prorate the self-employment earnings if the individual died in 2019.
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NO
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5000-S8
Part 5 – CPP contributions on self-employment income and other earnings

when you have employment income
Pensionable net self-employment earnings*
(amounts from lines 12200, 13500, 13700, 13900, 14100, and 14300 of your return) 1
Employment earnings not shown on a T4 slip on which you elect to pay additional CPP
contributions (Get and complete Form CPT20.) 50373 + 2
Employment earnings shown on a T4 slip on which you elect to pay additional CPP contributions
(Get and complete Form CPT20.) 50399 + 3
Add lines 1, 2, and 3. = 4
Enter the amount from line 6 of Part 3. Actual total CPP contributions 5
If the amount on line 12 of Part 3 is positive, complete lines 6 to 8.

Otherwise, enter "0" on line 8 and continue on line 9.
Enter the amount from line 5. 6
Enter the amount from line 11 of Part 3. – 7
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Ż
Line 6 minus line 7 (if negative, enter "0") = – 8
MA
Multiply the amount from line 9 by 19.60784. = 10
Enter the amount from line 1 of Part 3. CPP pensionable earnings (maximum $57,400) 11
BY
Enter the amount from line 4 of Part 3. Basic exemption (maximum $3,500) – 12
Line 11 minus line 12 (if negative, enter "0") (maximum $53,900) = 13
Enter the amount from line 10. END – 14
Enter the amount from line 4 or line 15, whichever is less. 16
TS
If the amount on line 2 of Part 3 is less than the amount on line 4 of Part 3, complete lines 17 to 19.
Otherwise, enter "0" on line 19 and continue on line 20.
NO
Line 4 of Part 3 minus line 2 of Part 3 17

Line 4 minus line 13 (if negative, enter "0") – 18
- DO
Ż
Line 17 minus line 18 (if negative, enter "0") = – 19
Earnings subject to contributions:
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Multiply the amount from line 20 by 10.2%. = 21

Multiply the amount from line 12 of Part 3 (if positive only) by 2. – 22
CA
Line 21 minus line 22 (if negative, enter the amount as a positive amount on line 30 on the next
page and enter "0" on line 23) = 23
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* Self-employment earnings should be prorated according to the number of months entered in box A of Part 2.
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Do not prorate the self-employment earnings if the individual died in 2019.
5000-S8
Part 5 – CPP contributions on self-employment income and other earnings

when you have employment income (continued)
Deductions and tax credits for CPP contributions
Enter the amount from line 7 of Part 3. 24

Line 24 minus line 25 (if negative enter "0") = 26
Enter the amount, in dollars and cents, from line 24 or line 25, whichever is less, on line 30800 of your return.
Enter the amount from line 8 of Part 3. 27

Line 27 minus line 28 (if negative enter "0") = 29
Enter the amount, in dollars and cents, from line 27 or line 28, whichever is less, on line 22215 of your return.
If the calculated amount on line 23 from the previous page is negative, complete lines 30 to 35 below.
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If the calculated amount on line 23 from the previous page is positive, complete lines 36 to 42 below.
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Otherwise, if the calculated amount on line 23 from the previous page is zero, enter the amount, in
dollars and cents, from line 26 on line 31000 of your return, and enter the amount, in dollars and
cents, from line 29 on line 22200 of your return.
BY
Multiply the amount from line 30 by 50%.
Enter this amount, in dollars and cents, on line 44800 of your return.
END
Enter the calculated amount from line 23 from the previous page as a positive amount. = 30
= 31
Multiply the amount on line 31 by 97.0588%. – 32
TS
Line 26 minus line 32. Enter this amount, in dollars and cents, on line 31000 of your return. = 34
NO
Line 29 minus line 33. Enter this amount, in dollars and cents, on line 22200 of your return. = 35
- DO
Enter the amount, in dollars and cents, from line 23 from the previous page.
Enter this amount, in dollars and cents, on line 42100 of your return. 36
Multiply the amount on line 36 by 97.0588%. – 37
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Multiply the amount on line 37 by 50%. + 39
CA
Add lines 38 and 39. = 40

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5000-S8
Form ON428
Ontario Tax 2019
This is Step 6 in completing your return. Complete this form and attach a copy to your return.
Claim only the credits that apply to you.
Part A – Ontario non-refundable tax credits

For internal use only 56050
Basic personal amount Claim $10,582 58040 10,582 00 1
Age amount (if born in 1954 or earlier)
(use Worksheet ON428) (maximum $5,166) 58080 + 2
Spouse or common-law partner amount
Base amount 9,883.00 3
Your spouse's or common-law partner's
net income from line 23600 of their return – 133,230 52 4
Ż
Line 3 minus 4 (if negative, enter "0") = (maximum $8,985) 58120 + 5
Amount for an eligible dependant
IL
Base amount 9,883.00 6
MA
Your eligible dependant's net income
from line 23600 of their return – 7
Ż
Line 6 minus line 7 (if negative, enter "0") = (maximum $8,985) 58160 + 8
BY
Add lines 1, 2, 5, and 8. = 10,582 00 9
Ontario caregiver amount
(use Worksheet ON428)
CPP or QPP contributions:
END 58185 + 10
Amount from line 30800 of your return 58240 + 2,668 05 • 11

Amount from line 31000 of your return 58280 + • 12
TS
Employment insurance premiums:
Amount from line 31200 of your return 58300 + 860 22 • 13
NO
Amount from line 31217 of your return 58305 + • 14

Adoption expenses (maximum $12,910) 58330 + 15
- DO
Pension income amount (maximum $1,463) 58360 + 16

Disability amount (for self)
(Claim $8,549, or if you were under 18 years of age, use Worksheet ON428.) 58440 + 17
Disability amount transferred from a dependant
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(use Worksheet ON428) 58480 + 18

Interest paid on your student loans
CA
(amount from line 31900 of your return) 58520 + 19

Your unused tuition and education amounts
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(attach Schedule ON(S11)) 58560 + 20

Amounts transferred from your spouse or common-law partner
(attach Schedule ON(S2)) 58640 + 21
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Add lines 9 to 21. = 14,110 27 22

5006-C (Ce formulaire est disponible en français.)

Part A – Ontario non-refundable tax credits (continued)
Enter the amount from line 22 of the previous page 14,110 27 23
Medical expenses:
(Read line 58689 of your income tax package.) 58689 24
Enter whichever is less:
$2,395 or 3% of the amount on line 23600 of your return – 2,395 00 25
Allowable amount of medical expenses for other dependants
(use Worksheet ON428) 58729 + 27
Ż
Add lines 26 and 27. 58769 = + 28
Add lines 23 and 28. 58800 = 14,110 27 29
Ontario non-refundable tax credit rate × 5.05% 30
Multiply line 29 by line 30. 58840 = 712 57 31
Donations and gifts:

Amount from line 16
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of your federal Schedule 9 × 5.05% = 32
MA
Amount from line 17
of your federal Schedule 9 × 11.16% = + 33
Ż
Add lines 32 and 33. 58969 = + 34
BY
Enter this amount on line 47. Ontario non-refundable tax credits 61500 = 712 57 35
Part B – Ontario tax on taxable income

Enter your taxable income from line 26000 of your return.
END 86,089 57 36
TS
Use the amount from line 36 to decide which column to complete.
Line 36 is more Line 36 is more Line 36 is more
than $43,906 than $87,813 than $150,000
NO
Line 36 is but not more but not more but not more Line 36 is more
$43,906 or less than $87,813 than $150,000 than $220,000 than $220,000
Amount from line 36 86,089 57 37
- DO
Line 37 minus line 38 – 0.00 – 43,906.00 – 87,813.00 – 150,000.00 – 220,000.00 38

(cannot be negative) = = 42,183 57 = = = 39
× 5.05% × 9.15% × 11.16% × 12.16% × 13.16% 40
TE
Multiply line 39 by line 40. = = 3,859 80 = = = 41

Add lines 41 and 42. + 0.00 + 2,217.00 + 6,235.00 + 13,175.00 + 21,687.00 42
CA
Ontario tax on
taxable income = = 6,076 80 = = = 43
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5006-C
Part C – Ontario tax
Enter your Ontario tax on taxable income from line 43 of the previous page. 6,076 80 44
Enter your Ontario tax on split income from Form T1206. 61510 + • 45
Add lines 44 and 45. = 6,076 80 46
Enter your Ontario non-refundable tax credits from line 35 of the previous page. – 712 57 47
Line 46 minus line 47 (if negative, enter "0") = 5,364 23 48
Ontario minimum tax carryover

Amount from line 48 above 5,364 23 49
Enter the Ontario dividend tax credit calculated for line 61520
from your Worksheet ON428. – 29 81 50
Amount from line 40427 of your return × 33.67% = 52
Enter whichever is less: amount from line 51 or 52. 61540 – • 53

Line 48 minus line 53 (if negative, enter "0") =
IL
5,364 23 54
MA
Ontario surtax
Amount from line 54 above 5,364 23 55
Amount from line 45 above – 56
BY
Complete lines 58 to 60 if the amount on line 57 is more than $4,740.

If the amount is less than $4,740, enter "0" on line 60 and continue on line 61. END
(Line 57 5,364 23 – $4,740) × 20% (if negative, enter "0") = 124 85 58
(Line 57 5,364 23 – $6,067) × 36% (if negative, enter "0") = + 59
TS
Ż
Add lines 58 and 59. = 124 85 + 124 85 60
Add lines 54 and 60. = 5,489 08 61
NO
Ontario dividend tax credit

Amount from line 50 above 61520 – 29 81 • 62
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Ontario additional tax for minimum tax purposes

If you entered an amount on line 98 of Form T691, enter the additional tax for minimum tax
purposes calculated for line 64 from your Worksheet ON428.
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+ • 64
Add lines 63 and 64. = 5,459 27 65
CA

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5006-C
Part C – Ontario tax (continued)
Enter the amount from line 65 of the previous page. 5,459 27 66
Ontario tax reduction

Enter "0" on line 73 if any of the following applies to you:
• You were not a resident of Canada at the beginning of the year.
• You were not a resident of Ontario on December 31, 2019.
• There is an amount on line 64.
• The amount on line 66 is "0".
• Your return is filed for you by a trustee in bankruptcy.
• You are not claiming an Ontario tax reduction.
If none of the above applies to you, complete lines 67 to 73 to calculate your Ontario tax reduction.
Basic reduction 244.00 67
IL
If you had a spouse or common-law partner on December 31, 2019, only
the individual with the higher net income can claim the amounts
MA
on lines 68 and 69.
Reduction for dependent children born in 2001 or later
Number of dependent children 60969 × $452 = + 68
BY
Reduction for dependants with a mental or physical impairment
Number of dependants 60970 × $452 = + 69
Add lines 67, 68, and 69. END = 244 00 70
Amount from line 70 above 244 00 × 2 = 488 00 71

Amount from line 66 above – 5,459 27 72
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Ż
Line 71 minus line 72 (if negative, enter "0") Ontario tax reduction = – 73
NO
Ontario foreign tax credit

Credit calculated from Form T2036 – 75
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Low-income individuals and families tax credit

Credit calculated from Schedule ON428–A 62140 – • 77
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Community food program donation tax credit for farmers

CA
Enter the amount of qualifying donations that have also

been claimed as a charitable donation. 62150 × 25% = – 79
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Ontario health premium

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Use the chart on the next page to calculate this amount. + 750 00 81
Enter the result on line 42800 of your return. Ontario tax = 6,209 27 82
5006-C
Part C – Ontario tax (continued)
Ontario Health Premium

Enter your taxable income from line 36 of page 2. 86,089 57 83
Go to the line on the chart below that corresponds to your taxable income from line 83 to determine
your Ontario Health Premium.
Enter the result on line 81 of the previous page.
Taxable income Ontario health premium

Ż Ż Ż
not more than $20,000 $0
more than $20,000, but not more than $25,000 – $20,000 = × 6% =

Ż Ż Ż
more than $25,000, but not more than $36,000 $300
more than $36,000, but not more than $38,500 – $36,000 = × 6% = + $300 =
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Ż Ż Ż
MA
BY
Ż Ż Ż
more than $72,600, but not more than $200,000

Ż
END Ż Ż
$750
TS
Ż Ż Ż
more than $200,600 $900
NO

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5006-C
Statement of Real Estate Rentals
• Use this form if you own and rent real estate or other property. It relates mainly to renting real estate but also covers some other types of rental
property such as farmland. This form will help you determine your gross rental income, the expenses you can deduct, and your net rental income or loss for
the year.
• To determine whether your rental income is from property or a business, consider the number and types of services you provide for your tenants:
– If you rent space and only provide basic services such as heating, lighting, parking, laundry facilities, you are earning an income from renting property.
– If you provide additional services such as cleaning, security, and meals, you may be conducting a business.
• For more information about how to determine if your rental income comes from property or a business, see Interpretation Bulletin IT-434R, Rental of Real
Property by Individual, and its Special Release.
• If you are a co-owner of a property, you have to determine if a partnership exists before filling in the Identification part below. To determine if you are in a
partnership, see Income Tax Folio S4-F16-C1, What is a Partnership?
• For information on how to fill out this form, see Guide T4036, Rental Income.
Part 1 – Identification
Your name Your Social Insurance Number
Lisa Volpe 5 0 6 4 0 6 9 5 8
Your address City Prov./Terr. Postal code
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Fiscal period Date (YYYYMMDD) Year Month Day
MA
from to Was this the final year of your rental operation? Yes No X
2 0 1 9 0 1 0 1 2 0 1 9 1 2 3 1
Your percentage of Tax shelter identification number (8 characters) Partnership business number
the partnership 50.00 % Industry code 5 3 1 1 1 1
BY
Name of person or firm preparing this form Business number/Account number
Address of person or firm preparing this form City Prov./Terr. Postal code
Part 2 – Details of other co-owners and partners

END
TS
Co-owner or partner's Ivano Volpe Share of net Percentage
name and address income (loss) $ 427.07 of ownership 50.00 %
127 Kellington Trail Stouffville, ON L4A 1X6
Co-owner or partner's Share of net Percentage
%
NO
name and address income (loss) $ of ownership

Co-owner or partner's Share of net Percentage
%
name and address income (loss) $ of ownership
- DO
Part 3 – Income
In most cases, you calculate your rental income using the accrual method. If you have no amounts receivable and no expenses outstanding at the end
of the year, you can use the cash method.
TE
List the addresses of your rental properties Number of units Gross rents
71 Northglen Boulevard 1 22,800.00 1
CA
Clarington ON L1C 0R2 2

3
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Enter the total of your gross rents in the year you receive them (amount 1 plus amount 2 plus amount 3). . . . . . . . . . . . . . . . . . . 8141 22,800.00
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Other income (for example, premiums and leases, sharecropping) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8230
Total gross rental income – Enter this amount on your Income Tax and Benefit Return on line 12599 (line 8141 plus line 8230) 8299 22,800.00
T776 E (19) (Ce formulaire est disponible en français.) Page 1 of 4

Part 4 – Expenses
Total expenses Personal portion
8521
Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8690 582.12
Interest and bank charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8710 13,916.05
8810
Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8860
Professional fees (includes legal and accounting fees) . . . . . . . . . . . . . .
8871
Management and administration fees . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8960 487.02
9060
Salaries, wages, and benefits (including employer's contributions) . . . . .
Property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9180 4,784.58
Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9200 276.08
9220
Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9281
Motor vehicle expenses (not including capital cost allowance) . . . . . . . . .
Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9270 1,900.00
Total expenses (add the lines listed under "Total expenses") . . . . . . 21,945.85 A
Total for personal portion (add the lines listed under "Personal portion") . . . . . . . . . . . . . 9949
IL
Deductible expenses (total expenses from amount A minus total personal portion on line 9949) . . . . . . . . . . . . . . . . . . . . . . . . . . 21,945.85 4
MA
Net income (loss) before adjustments (total gross rental income from line 8299 minus deductible expenses from amount 4) 9369 854.15
Co-owner – calculate your share of net income from line 9369. Enter your result on amount 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427.08 5
BY
Other expenses of the co-owner – other deductible expenses you have as a co-owner which you did not deduct elsewhere 9945
Subtotal (amount 5 minus line 9945) 427.08 6

END
Recaptured capital cost allowance (co-owners – enter your share of the amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9947
Subtotal (amount 6 plus line 9947) 427.08 7

TS
Terminal loss (co-owners – enter your share of the amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9948
NO
Subtotal (amount 7 minus line 9948) 427.08 8
Total capital cost allowance claim for the year (amount i from Area A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9936
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Net income (loss) (amount 8 minus line 9936) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427.08 9
If you are a sole proprietor or a co-owner enter this amount on line 9946.
TE
Partnerships
427.08 10
CA
Partners – your share of amount 9, or the amount from your T5013 slip, Statement of Partnership Income . . . . . . . . . . . . . . . . . .
Partners – GST/HST rebate for partners received in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9974

PLI
Partners – other expenses of the partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9943

DU
Your net income (loss) – For sole proprietors or co-owners, enter this amount on your income tax and benefit return
on line 12600. For partnerships, enter the result of amount 10 plus line 9974 minus line 9943. Enter this amount on your
Income Tax and Benefit Return on line 12600 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9946 427.08
Page 2 of 4
The capital cost allowance (CCA) you can claim depends on the type of rental property you own and the date you acquired it. Group the depreciable property you Protected B when completed
own into the appropriate classes. A specific rate of CCA generally applies to each class.
Area A – Calculation of capital cost allowance (CCA) claim

1 2 3 4 5 6* 7 8 9 10 11 12 13
Class Undepreciated Cost of additions Cost of additions Proceeds of UCC after additions Proceeds of UCC adjustment Adjustment for Base amount CCA CCA for the year UCC at the end of
number capital cost (UCC) in the year from column 3 dispositions and dispositions dispositions for current-year current-year for CCA Rate (col. 10 multiplied the year
at the start of the (see Area B and C which are for AIIP in the year (see (col. 2 plus col. 3 available to reduce additions of AIIP additions subject to (col. 6 plus col. 8 % by col. 11 or a (col. 6 minus col.
year below) or one or more Area D and E minus col. 5) additions of AIIP and ZEV (col. 4 the half year-rule minus col. 9) lower amount) 12)
zero-emission below) and ZEV (col. 5 minus col. 7) 1/2 multiplied by
vehicles (ZEV) minus col. 3, plus multiplied by the (col. 3 minus col. 4
(new property must col. 4). If negative, relevant factor. If minus col. 5). If
DU be available for enter "0" negative, enter "0" negative, enter "0"
use in the year)
Note 1 Note 2 Note 3
PLI
CA
TE
Total CCA claim for the year**: Total of column 12 (enter the amount on line 9936 of Part 4,
Ź i
amount i minus any personal part and any CCA for business-use-of-home expenses***)
* If you have a negative amount in column 6, add it to income as a recapture under 'Recaptured capital cost allowance' on line 9947. If no property is left in the class and there is a positive amount in the column, deduct the amount from your
- DO
income as a terminal loss under 'Terminal loss' on line 9948. For more information, read Chapter 3 of Guide T4036.
** For information on CCA for "Calculation of business-use-of-home expenses," see "Special situations" in Chapter 4 of Guide T4002. To help you calculate the capital cost allowance claim, see the calculation charts in Areas B to F.
*** Sole proprietors and partnerships - enter the total CCA claim for the year from amount i on line 9936.
NO
Co-owners - enter only your share of the total CCA claim for the year from amount i on line 9936.
Note 1: Columns 4, 7, and 8 apply only to accelerated investment incentive properties (AIIPs) (see Regulation 1104(4) of the Income Tax Regulations for the definition), zero-emission vehicles, and zero-emission passenger vehicles. In this
chart ZEV represents both zero-emission vehicles and zero-emission passenger vehicles. An AIIP is a property (other than ZEV) that you acquired after November 20, 2018 and became available for use before 2028. A ZEV is a motor
vehicle included in Class 54 or 55 that you acquired after March 18, 2019 and became available for use before 2028. For more information on AIIP and ZEV, see guide T4036.
TS
Note 2: The proceeds of disposition of a zero-emission passenger vehicle (ZEPV) that has been included in Class 54 and that is subject to the $55,000 capital cost limit will be adjusted based on a factor equal to the capital cost limit of $55,000
as a proportion of the actual cost of the vehicle. For dispositions after July 29, 2019, the government proposes that the actual cost of the vehicle be adjusted for any payments or repayments of government assistance that you may have
received or repaid in respect of the vehicle. For more information on proceeds of disposition, read Class 54 in guide T4036.
Note 3: The relevant factors for properties available for use before 2024 are 2 1/3 (classes 43.1 and 54), 1 1/2 (class 55), 1 (classes 43.2 and 53), 0 (classes 12 and 13), and 1/2 for the remaining accelerated investment incentive properties.
END
For more information on AIIP and ZEV, see Guide T4036 or go to canada.ca/taxes-accelerated-investment-income.
List all equipment or other property you acquired or improved in the current tax year, and group them into the appropriate classes. Equipment includes appliances
BY
such as a washer and dryer; maintenance equipment such as a lawn mower or a snow blower; and other property such as furniture and some fixtures you
acquired to use in your rental operation.
Area B – Equipment additions in the year

MA
1 2 3 4 5
Class Property details Total cost Personal portion Rental portion
number (if applicable) (col. 3 minus
IL col. 4)
Total equipment additions in the year (total of column 5) 9925

List all building or leasehold interest additions you acquired or improved in the current tax year. Group the depreciable property you own into the appropriate classes.
Page 3 of 4
Area C – Building additions in the year
1 2 3 4 5
Class Property details Total cost Personal portion Rental portion
number (if applicable) (col. 3 minus
col. 4)
Total building additions in the year (total of column 5) 9927
Area D – Equipment dispositions in the year

1 2 3 4 5
Class Property details Proceeds of Personal portion Rental portion
number disposition (should not (if applicable) (col. 3 minus
be more than the col. 4)
capital cost)
Total equipment dispositions in the year (total of column 5) 9926
Area E – Building dispositions in the year
IL
1 2 3 4 5
Class Property details Proceeds of Personal portion Rental portion
number disposition (should not (if applicable) (col. 3 minus
MA
be more than the col. 4)
capital cost)
BY
Total building dispositions in the year (total of column 5) 9928
Area F – Land additions and dispositions in the year END

Total cost of all land additions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9923
TS
Total proceeds from all land dispositions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9924
NO

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TE
CA
PLI
DU
Page 4 of 4
Child Care Expenses Deduction for 2019

Before you fill out this form, read the attached information sheet.
Part A – Total child care expenses

First and last name and date of birth of all your eligible children, even if you did not pay child
care expenses for all of them.
Year Month Day
Jake, Volpe 2 0 1 0 0 4 1 8
First name of each Child care expenses Name of the child care organization or name and social insurance Number of weeks for
eligible child for paid (read note below) number of the individual who received the payments boarding schools or
whom payments overnight camps
were made
Jake 3,959 25 Upper Canada Child Care 564 498 160
+
IL
+
MA
+
+
Total 67950 = 3,959 25
Note
BY
The maximum you can claim for expenses that relate to a stay in a boarding school (other than education costs) or an overnight
camp (including an overnight sports school) is any of the following amounts:
• $200 per week for a child included on line 1 in Part B END
• $275 per week for a child included on line 2
• $125 per week for a child included on line 3
Enter the amount of expenses included above that were incurred in 2019 for a child who was 6 or
TS
younger at the end of the year. 67954
NO
Part B – Basic limit for child care expenses

Number of eligible children born in 2013 or later, for whom the disability
amount cannot be claimed × $8,000 = 1
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Number of eligible children born in 2019 or earlier, for whom the disability
amount can be claimed * × $11,000 = 67960 + 2
Number of eligible children born in 2003 to 2012, (and born in 2002 or
earlier, with an impairment in physical or mental function, for whom the
TE
disability amount cannot be claimed) 1 × $5,000 = + 5,000 00 3

Add lines 1, 2, and 3. = 5,000 00 4
CA
Enter the amount from line 67950 in Part A. 3,959 25 5
Enter your earned income. 100,395 44 × 2 = 66,930 29 6

3
PLI
Enter the amount from line 4, 5, or 6, whichever is least. 3,959 25 7

If you are the person with the higher net income, go to Part C. Leave lines 8 and 9 blank.
DU
Enter the amount that the other person with the higher net income deducted on line 21400 of his or
her 2019 return. – 8
Line 7 minus line 8. If you attended school in 2019 and you are the only
person making a claim, also go to Part D. Otherwise, enter this amount
on line 21400 of your return. Allowable deduction = 3,959 25 9
* Attach Form T2201, Disability Tax Credit Certificate. If this form has already been filed for the child, attach a note to your return
showing the name and social insurance number of the person who filed the form and the tax year for which it was filed.
T778 E (19) (Ce formulaire est disponible en français.)

Part C – Are you the person with the higher net income?
Fill out this part and tick the boxes that apply if, in 2019, another person with lower net income was in a situation described below.
Name of person with lower net income Social insurance number Net income
a) The other person attended school and was enrolled in a part-time educational program.
b) The other person attended school and was enrolled in a full-time educational program.
c) The other person was not capable of caring for children because of an impairment in physical or mental function. That
person must have been confined for a period of at least two weeks to a bed or wheelchair, or as a patient in a hospital, or
other similar institution. Attach a statement from the attending physician certifying this information.
d) The other person was not capable of caring for children because of an impairment in physical or mental function, and this
situation is likely to continue for an indefinite period. Attach a statement from the attending physician certifying this
information.
e) The other person was confined to a prison or similar institution for a period of at least two weeks.
f) You and your spouse or common-law partner were, due to a breakdown in your relationship, living separate and apart at
the end of 2019 and for a period of at least 90 days beginning in 2019, but you reconciled before
March 1, 2020.
IL
Enter the amount from line 4 in Part B. × 2.5% = 10
MA
Multiply the amount on line 10 by the number of months in 2019 that the situation in a) existed
(other than a month that includes a week that any of the situations in b) to f) existed). 11
Multiply the amount on line 10 by the number of weeks in 2019 that any of the situations in b) to f)
BY
existed. + 12
Add lines 11 and 12. 67980 = 13
Enter the amount from line 7 in Part B or line 13, whichever is less. END
If you attended school in 2019, go to Part D.
Otherwise, enter this amount on line 21400 of your return. Allowable deduction 14
Part D – Were you enrolled in an educational program in 2019?

TS
Fill out this part if, at any time in 2019, either of the following situations applied to you:
• You were the only person supporting the eligible child, line 7 equals line 6 in Part B, and you were enrolled in an
NO
educational program.
• You were the person with the higher net income, line 7 equals line 6 in Part B, and, at the same time in 2019, you and
another person were enrolled in an educational program. But first, fill out Part C.
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Part D does not apply to the person with the lower net income, since the other person will claim this part of the deduction for
both of them.
Enter the amount from line 4 in Part B. 5,000 00 × 2.5% = 125 0015
TE
Multiply the amount on line 15 by the number of weeks in 2019 during which you were enrolled in a
full-time educational program. If there was another person, they must also have been enrolled in a
full-time educational program during the same weeks. 16
CA
Multiply the amount on line 15 by the number of months (other than any month that includes a week
used to calculate the amount on line 16) in 2019 during which one of the following applies:
PLI
• there was no other person and you were enrolled in a part-time educational program
• you and the other person were enrolled in a full-time or part-time educational program during
the same months
DU
+ 17
Add lines 16 and 17. 67990 = 18
Line 4 in Part B minus line 9 in Part B or line 14 in Part C, whichever applies to you 1,040 7519
Line 5 in Part B minus line 9 in Part B or line 14 in Part C, whichever applies to you 20
Enter your net income 2
(not including amounts on lines 21400 and 23500). 90,268 23 × = 60,178 8221
3
If you filled out Part C: Line 13 in Part C minus line 6 in Part B 22
Enter the amount from line 18, 19, 20, 21, or (if it applies) 22, whichever is least. 23
Enter the amount from line 9 in Part B or the amount from line 14 in Part C, whichever applies to you. + 24
Add lines 23 and 24. Enter this amount on line 21400 of your return. Allowable deduction = 25

Calculation of Cumulative Net Investment Loss (CNIL) to December 31, 2019

• Use this form if you had any investment income or investment expenses for 2019.
• Your CNIL reduces the amount of your cumulative gains limit for the year and may affect the allowable amount of your
capital gains deduction.
• Even if you are not claiming a capital gains deduction in 2019, you should still complete this form if you had any
investment income or expenses in 2019.
• Because the balance in your CNIL account is a cumulative total, you may need this information in a future year. Keep a
copy for your records and attach another to your return.
• For more information, call 1-800-959-8281.
Note
If you have capital gains other than from the disposition of qualified farm or fishing property or qualified small business
corporation shares in 2019, first complete Chart A page 3 of this form to determine if you have additional investment
income to include when you calculate your CNIL.
IL
MA
Part 1 – Investment expenses claimed on your 2019 return
Carrying charges and interest expenses (from line 22100) 1
Net rental losses (from line 12600) + 2
BY
Limited or non-active partnership losses (from line 12200) other than
allowable capital losses + 3
Limited partnership losses of other years after 1985 (from line 25100)
50% of exploration and development expenses (from line 22400)
END +
+
4
5
TS
Any other investment expenses claimed in 2019 to earn property income
(see the list of other investment expenses below) 68080 + 6
NO
Additional investment expenses: If you did not complete Chart A on the

back of this form, enter "0". Otherwise, enter the lesser of line 14 in Chart
A or the amount you claimed on line 25300 of your return + 138 56 7
- DO
Total investment expenses claimed in 2019 (total of lines 1 to 7) = 138 56

Ż
138 56 A
Part 2 – Investment income reported on your 2019 return

TE
Investment income (from lines 12000 and 12100) 298 08 8
Net rental income, including recaptured capital cost allowance (from line 12600)
CA
+ 427 08 9
Net income from limited or non-active partnership (from line 12200) other
than taxable capital gains +
PLI
10
Any other property income reported in 2019 (see the list of other property
income below),including annuity payments taxable under paragraph
DU
56(1)(d) minus the capital portion deducted under paragraph 60(a) 68100 + 11
50% of income from the recovery of exploration and development
expenses (from line 13000) 68110 + 12
Additional investment income: If you did not complete Chart A on page 3
of this form, enter "0." Otherwise, enter the amount from line 14 in Chart A + 1,860 75 13
Total investment income reported in 2019 (total of lines 8 to 13) = 2,585 91
Ż
2,585 91 B
Do not use this area

68130
T936 E (19) (Ce formulaire est disponible en français.)

Other investment expenses

Include: • repayments of inducements
• repayments of refund interest
• the uncollectible portion of proceeds from dispositions of depreciable property (except passenger vehicles
that cost more than $30,000)
• sale of agreement for sale or mortgage included in proceeds of disposition in a previous year under
subsection 20(5)
• foreign non-business tax under subsections 20(11) and 20(12)

• life insurance premiums deducted from property income
• capital cost allowance claimed on certified films and videotapes
• farming or fishing losses claimed by a non-active partner or a limited partner
Do not include: • expenses incurred to earn business income
• repayment of shareholders' loans deducted under paragraph 20(1)(j)
IL
• interest paid on money borrowed to:
MA
i) buy an income averaging annuity contract
ii) pay a premium under a registered retirement savings plan
BY
iii) make a contribution to a registered pension plan
iv) make a contribution to a deferred profit-sharing plan
END
Other property income
Include: • amounts from insurance proceeds for the recapture of capital cost allowance (other than amounts already
TS
included on line 9)
• home insulation or energy conversion grants under paragraph 12(1)(u)

NO
• payments received as an inducement or reimbursement

• income from the appropriation of property to a shareholder
- DO
• farming and fishing income reported by a non-active or a limited partner

• other income from a trust
• allowable capital losses included in partnership losses of other years after 1985
TE
• amounts withdrawn from AgriInvest Fund 2

CA
• CPP or QPP death benefit payments reported on your T1 return

Do not include: • income amounts that relate to business income
PLI
• payments received from an income averaging annuity contract

• payments received from an annuity contract bought under a deferred profit-sharing plan
DU
• shareholders' loans included in income under subsection 15(2)

Part 3 – Cumulative net investment loss (CNIL)

Total investment expenses claimed in 2019 (from line A in Part 1) 138 56 14
Total investment expenses claimed in previous years (after 1987):
Enter the amount from line 16 in Part 3 of Form T936 for 2018. If you did
not complete Form T936 for 2018, see note 1 below + 15
Cumulative investment expenses (total of lines 14 and 15) = 138 56
Ż
138 56 16
Total investment income reported in 2019 (from line B in Part 2) 2,585 91 17
Total investment income reported in previous years (after 1987):

Enter the amount from line 19 in Part 3 of Form T936 for 2018. If you did
not complete Form T936 for 2018, see note 2 below + 2,635 16 18
Cumulative investment income (total of lines 17 and 18) = 5,221 07
Ż
– 5,221 07 19
Cumulative net investment loss (CNIL) to December 31, 2019

(line 16 minus line 19; if negative, enter "0") = C
IL
If you are claiming a capital gains deduction on your 2019 return, enter the amount
from line C on line 28 of Form T657 for 2019.
MA
Notes
1. To calculate your total investment expenses from previous years, complete Part 1 of Form T936 for each year from 1988 to 2018 in
BY
which you had investment expenses (do not complete line 7 for 1988 to 1991). Add the amounts from line A and enter the total on line
15 above.
2. To calculate your total investment income from previous years, complete Part 2 of Form T936 for each year from 1988 to 2018 in
END
which you had investment income (do not complete line 13 for 1988 to 1991). Add the amounts from line B and enter the total on line
18 above.
Chart A
TS
Enter the amount from line 19900 of Schedule 3 (if negative, show it in
brackets) If the amount on this line is zero, do not complete lines 4 to 13,
and enter "0" on line 14
NO
1,860 75 1
Amount from line 10700 of Schedule 3 2
Amount from line 11000 of Schedule 3 +
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3
Amount from line 12400 of Schedule 3 + 4
Add lines 2 to line 4 (if negative, show it in brackets) = 5
TE
If you reported an amount on line 19200 of Schedule 3, enter the total of

the amounts from lines C and D on Form T2017. Otherwise, enter the
CA
amount from line 5 on line 7 + 6

Line 5 plus line 6 (if negative, enter "0") = 7
PLI
Enter 1/2 of line 7 – 8

Line 1 minus line 8 (if negative, enter "0"). If the amount on this line is zero, do not complete
DU
lines 10 to 13, and enter "0" on line 14. If the amount on this line includes an amount from a T3 slip,
complete lines 10 to 12 below. Otherwise, enter "0" on line 13 = 1,860 75 9
Enter the amount from box 21 of all 2019 T3 slips 68140 10

Enter the amount from box 30 of all 2019 T3 slips – 11
Line 10 minus line 11 68150 = 12
Enter 1/2 of line 12 – 13
Additional investment income (line 9 minus line 13; if negative, enter "0") = 1,860 75 14

LossNetCap
Net capital losses
After May 22 1985,
Before May 23,
and In 1988 and 1989
1985
before 1988
A Unapplied net capital losses
B Adjustment factor 1 1 3
4
C Adjusted net capital losses (A x B)
D Adjusted net capital losses applied in 2019
E Current year loss
F Subtotal (C - D)
G Adjustment factor 1 1 4
3
H Net capital losses carryforward (F x G)
After 1989 and
2000 After 2000 Totals
before 2000
A Unapplied net capital losses 138 56 138 56
B Adjustment factor 2 1
IL
3 (2 x IR)
C Adjusted net capital losses (A x B) 138 56
MA
D Adjusted net capital losses applied in 2019 138 56 138 56
E Current year loss
F Subtotal (C - D + E)
BY
G Adjustment factor 3 (2 x IR) 1
2
H Net capital losses carryforward (F x G)
Inclusion rate for 2000 (IR) = 50.0000 %

END
Step 1 - Pre - 1986 capital loss balance available for 2019
Balance of unapplied net capital losses you had before May 23, 1985 1
TS
Capital gains deductions you claimed:
Before 1988
NO
In 1988 and 1989 x 3/4 = +

In 1990 - 1999 x 2/3 = +
In 2000 x 1/(2xIR) = +
- DO
After 2000 +
Total capital gains deductions after adjustment = 2
Pre - 1986 capital loss balance available for 2019 (line 1 minus line 2) 3
TE
Step 2 - Deduction for net capital losses of other years

Total unapplied adjusted net capital losses of other years (total of line C from table) 138 56 4
CA
Taxable capital gains (line 12700), net of capital gains deduction claimed (line 25400) 1,860 75 5
Amount applied against taxable capital gains (line 4 or line 5, whichever is less) 138 56 6
PLI
Balance of unapplied adjusted net capital losses of other years not used to reduce taxable capital gains (line 4
minus line 6) 7
Amount from line 7 8
DU
Amount from line 3 9

Pre-1986 deductible amount 2,000 00 10
Amount applied against other income (Line 8, 9, or 10, whichever is less) 11
Deduction in 2019 for net capital losses of other years (line 6 plus line 11) 138 56 12
Enter this amount on line 25300 of your return.
Page 1 of 2
LossNetCap
Net capital losses
Net capital losses applied against other income in the year of death
Unapplied net capital losses from previous years:
Before May 23, 1985
After May 22, 1985 and before 1988
In 1988 and 1989
After 1989 and before 2000
2000
After 2000
Total unapplied net capital losses
Capital gains deduction claimed to date
Claimed against current year NCL
Net capital losses applied to other income in the year of death

Minus : net capital losses to be applied to the previous year
Enter this amount on line 25300 of your return
IL
MA
BY
END
TS
NO
- DO
TE
CA
PLI
DU
Page 2 of 2
Other credits
Age amount - line 30100
Maximum claim 1
Your net income from line 23600 of your return 2
Base amount 37,790 00 3
Line 2 minus line 3 (if negative, enter "0") 4
Multiply line 4 by 15% 5
Line 1 minus line 5 (if negative, enter "0"). Enter this amount on line 30100 of your return. 6
Adoption expenses - line 31300

Name of child
IL
MA
Fees paid to an adoption agency licensed by a provincial or territorial government 1
Court, legal and administrative expenses 2
BY
Reasonable travel and living expenses:
Travel expenses of a child 3
Travel and living expenses of the adoptive parents END 4
Travel expenses of an escort, if the adoptive parents did not accompany the child 5
Document translation fees 6
Mandatory expenses paid for the child’s immigration 7
TS
Expenses arising from a requirement imposed by government authority respecting the adoption of a child 8
Other expenses 9
NO
Total adoption expenses (maximum : $16,255 per child) 10

Amount claimed by the other adoptive parent 100.00 % 11
Subtract line 11 from line 10. 12
- DO
Carry the result to line 31300 of your return.

TE
Pension income amount - line 31400

Amount from line 11500 of your return 1
CA
Foreign pension income included on line 11500 and deducted on line 25600 2
Income from a U.S. individual retirement account (IRA) included on line 11500 3
Amounts from a RRIF or PRPP included on line 11500 and
PLI
transferred to an RRSP, RRIF, PRPP or an annuity 4

Ineligible pension income included in T4A 5
DU
Add lines 2, 3, 4, 5. 6
Line 1 minus line 6 7
Annuity payments from line 12900 of your return (box 16 of your T4RSP slip) only if you were age 65 or older on
December 31, 2019, or you received the payments because of the death of your spouse or common-law partner. 8
Add lines 7 and 8. A
Enter on line 31400 of your return, $2,000 or the amount on line A, whichever is less. However, if you and your
spouse or common-law partner are electing to split your eligible pension income, enter the amount from line A on
line A of Form T1032, Joint Election to Split Pension Income. Follow the instructions at Step 4 on Form T1032 to
calculate the pension income amount to enter on line 31400 of your and your spouse's or common-law partner's
tax return.
Page 1 of 4
Disability amount - line 31600 Other credits

(supplement calculation if you were under 18 years of age on December 31, 2019)
Maximum supplement 1
Total expenses for child care and attendant care claimed for you by anyone 2
Base amount - 2,875 00 3
Line 2 minus line 3 (if negative, enter "0") = - 4
Enter, on line 31600 of your return, $8,416 plus the amount on line 5 (maximum claim $13,325),
unless you are completing this chart to calculate the amount at line 31800.
Volunteer firefighters’ amount – line 31220

Do you wish to claim this credit? Yes No
Volunteer firefighters’ amount
Home buyers' amount - line 31270 and line 58357

Do you qualify for the home buyers' amount? Yes No
IL
Saskatchewan Federal
MA
Home buyers' credit
Amount claimed by another individual
Home buyers' amount
BY
Search and rescue volunteers’ amount – line 31240
Do you wish to claim this credit? END Yes No
Search and rescue volunteers’ amount
Federal political contribution tax credit - lines 40900/41000

TS
Federal political contributions from T5013 1
Other federal political contributions 2
NO
Total of lines 1 and 2 (Enter on line 40900 of your return) 3

Available credit:
75% of the first $400 4
- DO
50% of the next $350 5

33.33% of contributions over $750 6
Available credit to a maximum of $650 7
Enter this amount on line 41000 of your return.
TE
Total income tax deducted - line 43700

CA
T4 slips 19,862 28
T4A slips
PLI
T4A (OAS) slip

T4A (P) slip
T4A (RCA) slip
DU
T4E slip
T4RIF slips
T4RSP slips
T5013 slips
T1032 line P - Pension Transferee
Québec tax deducted (if not filing Québec return)
Subtotal 19,862 28
Less: T1032 line P - Pensioner
Total 19,862 28
Page 2 of 4
Tax transfer for residents of Québec - line 43800 Other credits

Income tax deducted by employers outside Québec
Multiply by 45%. Enter this amount on line 43800 of your return.
Refundable medical expense supplement - line 45200

Your net income from line 23600 of your return 1
Net income of your spouse or common-law partner from page 1 of your return 2
Add lines 1 and 2. 3
Universal Child Care Benefit (UCCB) (line 11700 of your return) or the benefit of your spouse
or common-law partner from page 1 of your return 4
Registered disability savings plan (RDSP) income (line 12500 of your and your spouse's
or common-law partner's return) 5
Line 3 minus line 6 7
Universal Child Care Benefit repayment (line 21300 of your return) plus the UCCB repayment
of your spouse or common-law partner from page 1 of your return 8
RDSP income repayment (included in the amount of line 23200 of your and your spouse's or
IL
common-law partner's return) 9
MA
Adjusted family net income: add lines 7 and 10. 11
Base amount 27,639 00 12
Line 11 minus line 12 (if negative, enter "0") 13
BY
Enter the lesser of :
- $1,248
- x 25% = END 14
(25 % of the total of line 21500 of your return and line 33200 of your return)
Multiply the amount on line 13 by 5%. 15
Line 14 minus line 15 (if negative, enter "0"). Enter this amount on line 45200 of your return. 16
TS
Eligible educator school supply tax credit - line 46900
NO
Total eligible teaching supplies (Maximum $1,000)

15 00
Eligible educator school supply tax credit
- DO
Tax paid by instalments - line 47600

Payment date Description Amount
TE
CA
PLI
DU
Total tax paid by instalments

MB residents only:
Claiming the MB fitness amount for yourself? X Yes No
Claiming the MB fitness amount for your spouse/partner (if applicable)? X Yes No
Eligible fitness expense
Page 3 of 4
Other credits
Home Accessibility Expenses - line 31285
Complete this chart if you had eligible home accessibility expenses and you are claiming this credit.
For more information, go to line 31285 in the guide.
Date of Description Amount paid
Supplier or contractor
sales slip (including all
or contract Name GST/HST No. applicable taxes)
(if applicable)
IL
MA
BY
END
TS
NO
- DO
TE
CA
PLI
DU
Total eligible expenses = 1
Enter $10,000 or the amount from line 1, whichever is less. 2

Enter the amount claimed by other qualifying individuals and eligible individuals living
in the same eligible dwelling from line 31285 of their return.. - 3
Line 2 minus line 3 Home accessibility
Enter this amount on line 31285 of your return. expenses = 4
Page 4 of 4
Other deductions
Annual union, professional or like dues - line 21200
Union name
Union dues reported on T4 slips 1,493 60
Professional liability insurance
Taxable annual union or professional dues
Non-taxable annual union or professional dues

Ontario College of Teachers 170 00
Total 1,663 60
Carrying charges and interest expenses - line 22100

Accounting fees
IL
Management or safe custody fees
Investment counsel fees
MA
Reported on T5013 slips
BY
END
TS
NO
- DO
Legal fees paid to collect, establish or increase the amount of support payments
Interest on money borrowed to earn interest, dividend, and royalty income
Interest on money borrowed to acquire an interest in a limited partnership or a partnership in which you are not an
active partner
TE
Enter this amount on line 22100 of your return. 22100

CA
Other employment expenses - line 22900

Legal expenses to obtain/collect salary or wages
PLI
Repayments of worker's compensation benefits

Employment expenses for forestry workers
Employment expenses reported on Form T777
DU
Meals and lodging expenses reported on Form TL2

T4PS Box 36 - forfeited amounts
Reimbursement of salaries, wages or wage loss insurance benefits
RC359 Line 7 - Excess EPSP
Total
Page 1 of 3
Other deductions
Other deductions - line 23200
Refund of undeducted RRSP contributions - withdrawal made using Form T3012A

Refund of undeducted RRSP contributions - withdrawal made without Form T3012A
Legal expenses to appeal a tax assessment
*Legal expenses to make child-support non-taxable
Legal expenses to obtain/collect a retiring allowance or pension
Repayments of Employment Insurance benefits
Repayments of Old Age Security
Repayment of research grants, scholarships or any similar financial assistance
Repayment of the apprenticeship incentive research grant
Repayment of income from a RDSP
Repayments of CPP/QPP benefits received in a previous year
Repayments of shareholder loans
Foreign tax deduction under subsection 20(11)
Foreign tax deduction under subsection 20(12)
IL
Split income
T4RIF Box 22 - other deductions
MA
T4RIF Box 24 - excess amount transferred to a RRIF
T4RSP Box 22 - commutation payments transferred to a RRIF
T4RSP Box 28 - other deductions
BY
RRSP / RRIF losses after death (on deceased return)
CCA on Canadian certified films and productions
RCA deductions under subsection 60(t) and 60(u) END
Depletion allowances
Deduction for amounts transferred to a registered disability savings plan (RDSP)
Status Indian T4A(P) exempt income
TS
NO
- DO
TE
CA
Total
PLI
* Legal fees paid to collect late support payments, to establish the amount of support payments or to try to get an increase in support payments
should be claimed on line 22100. Please see Schedule 4 to enter these amounts.
DU
Page 2 of 3
Other deductions
Stock option and shares deductions - line 24900
T4 Box 39 - 110(1)(d) deduction
T4 Box 41 - 110(1)(d.1) deduction
Form T1212 deduction
Additional deduction for donation of shares acquired under a stock-option plan
Deduction for shares received as a prospector or grubstaker
Deduction related to subsection 147(10.4) income inclusion for disposition of DPSP shares
Total
Additional deductions - line 25600

15% of U.S. social security benefits reported on line 11500
50% of U.S. social security benefits that started before 1996 and reported on line 11500
Other foreign pensions exempt under a tax treaty
Foreign support payments reported on line 12800
IL
T5013/T5013A - income exempt under a tax treaty
MA
Foreign capital gains exempt from Canadian tax Total: x 50% =
Other income exempt under a tax treaty
Employment with a prescribed international organization
Vow of perpetual poverty
BY
Adult basic education tuition assistance (T4A box 196 and T4E box 21)
Deduction for foreign farm workers
END
TS
NO
Total
- DO
TE
CA
PLI
DU
Page 3 of 3
Other income
Wage-loss replacement plan benefits - lines 10100 and 10130
Wage-loss replacement plan benefits received (reported on T4 box 14)
Contributions you made to the plan that have not been previously reported -
Net Wage-loss replacement plan benefits =
Other employment income - line 10400

Tips not included on slips
Employment income not reported on slips
Foreign employment income
Clergy housing allowance
GST/HST rebate on prior year employment expenses (excludes CCA):
Prior year line 1 of GST 370 (x 5/105)
IL
MA
BY
Prior year line 13 of GST 370 (x10/110)
Less: GST rebate recognized on line 9974 of your business statements
END
QST rebate on prior year employment expenses (excludes CCA)
T4A Box 107 - wage-loss replacement plan benefits
TS
Less: premiums paid to wage-loss replacement plan
NO
T4A Box 104 - research grants

Research expenses. Specify:
Net research grants
- DO
T4A Box 119 - group term life-insurance premiums 582 56

T4A Box 118 - medical premiums
T4A Box 127 - veterans' benefits
T4A Box 132 - wage earner protection program
TE
T4A Box 152 - SUBP qualified under ITA

T4A Box 156 - bankruptcy settlement
CA
T4A Other employment income

T4PS Box 35 - other income
T5 Box 17 - royalties from your work or invention
PLI
Recapture of capital cost allowance

DU
Total 582 56
Page 1 of 5
Other income
Other pensions - line 11500
U.S. social security benefits (started after 1995)
U.S. Social security benefits (started before 1996)
Foreign pensions exempt under a tax treaty
Income from a U.S. individual retirement account (IRA)
Other foreign pensions
T3 Box 31 - eligible pension income
T4A Box 016 - pension or superannuation
T4A Box 024 - annuities
T4A Box 133 - variable pension benefits
T4A Box 194 - 65 and over and/or received on death of spouse
T4RIF Box 16 - taxable amounts from a RRIF
T4RIF Box 20 - deemed receipt on deregistration of RRIF
T4RIF Box 22 - Other income due to annuitant's death
T5 Box 19 - annuities
IL
T2205 - amounts from a spousal RRIF
MA
BY
Total END
Taxable amount of dividends from taxable Canadian corporations - line 12010
Taxable amount of dividends other than eligible dividends (specify):
TS
NO
- DO
TE
CA
PLI
DU
Page 2 of 5
Other income
Taxable amount of dividends from taxable Canadian corporations - lines 12000
Taxable amount of eligible dividends (specify):
Scotia Capital Inc. (50.0% of 596.16) ** 298 08
IL
MA
BY
Enter this amount on line 12000 of your return. 12000 298 08
Interest and other investment income - line 12100

Specify:
END
TS
NO
- DO
TE
CA
PLI
DU
Income from foreign sources (specify):
Page 3 of 5
Other income
Net Partnership income (loss) - line 12200

Reported on T5013 slips
Reported on Resource form
Net income (loss) from certified films and productions
IL
MA
RRSP income - line 12900
BY
T4RSP Box 16 - annuity payments
T4RSP Box 18 - refund of premiums
T4RSP Box 20 - refund of excess contributions END
T4RSP Box 22 - withdrawal payments
T4RSP Box 22 - commutation payments transferred to RRSP
T4RSP Box 22 - commutation payments transferred to RRIF
T4RSP Box 25 - LLP withdrawal (excess amount)
TS
T4RSP Box 26 - deemed receipt on deregistration
T4RSP Box 27 - HBP withdrawal (excess amount)
NO
T4RSP Box 28 - other income

T4RSP Box 34 - deemed receipt on death
T2205 - amount from a spousal or common-law partner RRSP or RRIF
- DO
HBP - required repayment for 2019

HBP - balance due in the year of death or departure from Canada
HBP - other income
LLP - required repayment for 2019
TE
LLP - balance due in the year of death or departure from Canada

LLP - other income
CA
Total
PLI
DU
Page 4 of 5
Other income
Other income - line 13000
T3 Box 22 - lump-sum pension benefits
T3 Box 26 - other income (net of box 31, box 35, box 46 and 47)
T3 Box 35 and T4A Box 106 - eligible death benefits (gross minus 10,000 00 ) net
T3 Box 46 - pension income
T4 Boxes 66-67, T3 Box 47 - Qualifying retiring allowances
T4A Box 018 - lump-sum payments
T4A Box 024 - annuities
T4A Box 030 - taxable patronage allocations
T4A Box 040 - RESP accumulated income payments
T4A Box 042 - RESP educational assistance payments
T4A Box 105 - scholarships, bursaries, fellowships
Less: Tax exemption for full-time education
Less: Tax exemption for part-time education
Less: Tax exemption for elementary/secondary school award
IL
Less: Basic $500 exemption 500 00
Taxable portion of scholarships
MA
T4A Box 109 - periodic payment from unregistered plan
T4A Box 117 - loan benefit
T4A Box 123 - payments from a revoked DPSP
BY
T4A Box 125 - disability benefit from a pension plan
T4A Box 129 - tax deferred coop shares
T4A Box 130 - apprenticeship incentive grant END
T4A Box 130 - apprenticeship completion grant
T4A Box 133 - variable pension benefits
T4A Box 136 - Federal Income Support for Parents of Murdered or Missing Children grant
T4A Box 150 - labour adjustment benefits
TS
T4A Box 154 - cash award or prize from payer
T4A Box 194 - under 65 and not received on death of spouse
NO
T4A - other income

T4A(P) Box 18 - death benefit
T4ARCA - statement of distribution from an RCA
- DO
T4RIF Box 16 - taxable amounts from a RRIF

T4RIF Box 18 - deemed receipt on death
T4RIF Box 20 - deemed receipt on deregistration of RRIF
T4RIF Box 22 - other income
TE
T5013 Box 30 - other income

T2205 - amounts from a spousal RRIF
CA
AgriInvest Fund #2 taxable withdrawals

Foreign income
PLI
Recovery of exploration and development expenses

Additional income related to the disposition of tools for an apprentice mechanic
DU
Total
Scholarships, fellowships, bursaries, and artists project grants - line 13010

Taxable scholarship, fellowships, bursaries, and artists' project grants
Page 5 of 5

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Name: Lisa Volpe SIN:506 406 958 Printed on:2020/04/05 09:21 EDT

Protected B when completed

Income Tax and Benefit Return 2019

Step 1 – Identification and other information

Enter the province or territory Enter their SIN: 5 1 0 0 7 9 4 9 4

If you became or ceased to be a resident of Canada for of their return:

from line 21300 of their return:

Do not use this area

Please answer the following questions.

Step 2 – Total income

Net partnership income: limited or non-active partners only 12200 +

Rental income Gross 12599 22,800 00 Net 12600 + 427 08

RRSP income (from all T4RSP slips) 12900 +

Taxable scholarship, fellowships, bursaries, and artists' project grants 13010 +

Business income Gross 13499 Net 13500 +

Commission income Gross 13899 Net 13900 +

Other deductions Specify: 23200 +

Disability amount (for self)

your dependent children born in 2002 or later 33099 25

Line 25 minus line 26 (if negative, enter "0") = 27

(Complete the Worksheet for the return.) 33199 + 28

Add lines 40 and 41. = = 15,029 21 = = = 42

Part C – Net federal tax

Total federal political contributions

(Complete the Worksheet for the return.) (maximum $650) 41000 • 54

Net cost of shares of a

provincially registered fund 41300 Allowable credit 41400 + • 56

Line 52 minus line 57 (if negative, enter "0") 41700 = 12,461 55 58

Special taxes (See line 41800 in the guide.) 41800 + 60

Step 6 – Provincial or territorial tax

Enter the amount below on whichever line applies.

Ontario opportunities fund Amount from line 48400 above 1,191 46 1

Your donation to the

Do not use • 48600 •

From T3/T5013 slips

sales repossessions – address or legal

From T5013 slips

Total 12399 Gain (or loss) 12400 +

report them on line 17400 or line 17600.)

From T5008 slips 9,314.50 5,593.00 3,721.50

Total 13599 Gain (or loss) 13800 +

5. Bonds, debentures, promissory notes, and other similar properties

Total 15499 Gain (or loss) 15500 +

8. Listed personal property (LPP) (provide a full description)

Continue on the next page.

Enter the amount from line A on the previous page. 3,721 50 B

Principal residence designation

Tick the box that applies to your designation.

See the privacy notice on your return.

Schedule 3 - Supplementary Statement S3-SUPP

# of Name of fund/corporation Year of Proceeds of Adjusted Outlays and Gain

your election to remain valid.

1 $4,783.33 $291.67 7 $33,483.33 $2,041.67

5 $23,916.67 $1,458.33 11 $52,616.67 $3,208.33

Part 3 – Calculating your CPP contributions and overpayment on employment income

Part 4 – CPP contributions on self-employment income and

Part 5 – CPP contributions on self-employment income and other earnings

If the amount on line 12 of Part 3 is positive, complete lines 6 to 8.

Line 4 of Part 3 minus line 2 of Part 3 17

Multiply the amount from line 20 by 10.2%. = 21

Do not prorate the self-employment earnings if the individual died in 2019.

Continue on the next page.

Part 5 – CPP contributions on self-employment income and other earnings