Project: FIN 3020 Winter 2020 - Rosy Evans 2019 Tax Return Analysis

This document presents a comprehensive analysis of Rosy Evans' 2019 Canadian Income Tax and Benefit Return. The assignment involves completing the tax return based on the provided client information, including personal details, employment income, and rental property income. Rosy Evans, a single chef, owns a rental property with six units, and the analysis includes calculating rental income, expenses (hydro, water, gas, mortgage, property taxes, maintenance, insurance, and management fees), and net rental income. Additionally, the assignment considers other income sources such as taxable scholarships and addresses the relevant deductions. The solution demonstrates the steps to determine the total income, net income, and taxable income, leading to the final tax liability or refund calculation. The document provides a detailed breakdown of each line item, ensuring accurate tax preparation and compliance with Canadian tax regulations.

Protected B when completed
2019Income Tax and Benefit Return
ON 7
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
Identification
Print your name and address below.
First name and initial
Last name
Mailing address: Apt No. – Street No. Street name
PO Box RR
City Prov./Terr. Postal code
Email address
By providing an email address, you are registering to receive
email notifications from the CRA and agree to the Terms of use
under Step 1 in the guide.
Enter an email address:
Information about your residence
Enter your province or territory of
residence on December 31, 2019:
Enter the province or territory
where you currently reside if it is
not the same as your mailing
address above:
If you were self-employed in 2019,
enter the province or territory
where your business had a
permanent establishment:
If you became or ceased to be a resident of Canada for
income tax purposes in 2019, enter the date of:
entry
Month Day
or departure
Month Day
Information about you
Enter your social
insurance number (SIN):
Enter your date of birth:
Year Month Day
Your language of correspondence:
Votre langue de correspondance :
English Français
Is this return for a deceased person?
Ensure the SIN information above is for the deceased person.
If this return is for a
deceased person, enter the
date of death:
Year Month Day
Marital status
Tick the box that applies to your marital status on
December 31, 2019:
1 Married 2 Living common-law 3 Widowed
4 Divorced 5 Separated 6 Single
Information about your spouse or
common-law partner (if you ticked box 1 or 2 above)
Enter their SIN:
Enter their first name:
Enter their net income for 2019
to claim certain credits:
Enter the amount of universal child
care benefit (UCCB) from line 11700
of their return:
Enter the amount of UCCB repayment
from line 21300 of their return:
Tick this box if they were self-employed in 2019: 1
Do not use this area
Do not use
this area 17200 17100
5006-R Page 1
0 4 6 4 5 4 2 8 6
Rosy 1 9 8 2 1 0 1 2
Evans X
1234-Street
Roseville O N N 1 A 1 A 1
X
Ontario
Ontario
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1Yes 2No
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Yes 2No
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.
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
Electors to provide youth with educational information about the electoral process.
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. 1
If you tick the box, get and complete Form T90, Income Exempt under the Indian Act. Complete this form so that the CRA
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.
Foreign property
26600
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? .. . . . . . . . . . . . . . . . . . . . . . 1Yes 2No
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.
5006-R Page 2
X
X
X
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
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.
10100Employment income (box 14 of all T4 slips)
10105
Tax-exempt income for emergency services volunteers
(See line 10100 in the guide.)
10120Commissions included on line 10100 (box 42 of all T4 slips)
10130Wage-loss replacement contributions (See line 10100 in the guide.)
10400Other employment income +
11300Old age security pension (box 18 of the T4A(OAS) slip) +
11400CPP or QPP benefits (box 20 of the T4A(P) slip) +
11410Disability benefits included on line 11400 (box 16 of the T4A(P) slip)
11500
Other pensions and superannuation (See line 11500 in the guide and complete line 31400 in the
Worksheet for the return.) +
11600Elected split-pension amount (Get and complete Form T1032.) +
11700Universal child care benefit (UCCB) (See the RC62 slip.) +
11701UCCB amount designated to a dependant
11900Employment insurance and other benefits (box 14 of the T4E slip) +
11905
Employment insurance maternity and parental benefits and provincial
parental insurance plan benefits
12000
Taxable amount of dividends (eligible and other than eligible) from taxable Canadian corporations
(Complete the Worksheet for the return.) +
12010
Taxable amount of dividends other than eligible dividends, included on
line 12000, from taxable Canadian corporations
12100Interest and other investment income (Complete the Worksheet for the return.) +
12200Net partnership income: limited or non-active partners only +
12500Registered disability savings plan income (box 131 of the T4A slip) +
Rental income 12599Gross 12600Net +
12700Taxable capital gains (Complete Schedule 3.) +
Support payments received 12799Total 12800Taxable amount +
12900RRSP income (from all T4RSP slips) +
13000Other income Specify: +
13010Taxable scholarship, fellowships, bursaries, and artists' project grants +
Self-employment income
Business income 13499Gross 13500Net +
Professional income 13699Gross 13700Net +
Commission income 13899Gross 13900Net +
Farming income 14099Gross 14100Net +
Fishing income 14299Gross 14300Net +
14400Workers' compensation benefits (box 10 of the T5007 slip)
14500Social assistance payments +
14600Net federal supplements (box 21 of the T4A(OAS) slip) +
14700Add lines 14400, 14500, and 14600. (See line 25000 in Step 4.) =
◄ +
15000This is your total income.
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. =
5006-R Page 3
7,000 00
5,600 00
110,400 00 52,795 00
24,000 00
4,500 00
30,000 00 (5,000 00)
88,895 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Step 3 – Net income
15000Enter your total income from line 15000 from the previous page.
20600
Pension adjustment (box 52 of all T4 slips and
box 034 of all T4A slips)
20700
Registered pension plan deduction
(box 20 of all T4 slips and box 032 of all T4A slips)
20800RRSP deduction (See Schedule 7 and attach receipts.) +
20810
Pooled registered pension plan (PRPP)
employer contributions (amount from your
PRPP contribution receipts)
21000Deduction for elected split-pension amount (Get and complete Form T1032.) +
21200Annual union, professional, or like dues (receipts and box 44 of all T4 slips) +
21300Universal child care benefit repayment (box 12 of all RC62 slips) +
21400Child care expenses (Get and complete Form T778.) +
21500Disability supports deduction (Get and complete Form T929.) +
Business investment loss 21699Gross 21700Allowable deduction +
21900Moving expenses (Get and complete Form T1-M.) +
Support payments made 21999Total 22000Allowable deduction +
22100
Carrying charges and interest expenses
(Complete the Worksheet for the return.) +
22200
Deduction for CPP or QPP contributions on self-employment and other
earnings (Complete Schedule 8 or get and complete Form RC381,
whichever applies.) + •
22215
Deduction for CPP or QPP enhanced contributions on employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) + •
22400Exploration and development expenses (Get and complete Form T1229.) +
22900Other employment expenses +
23100Clergy residence deduction (Get and complete Form T1223.) +
23200Other deductions Specify: +
23300
Add lines 20700, 20800, 21000 to 21500, 21700, 21900, 22000, and
22100 to 23200. =
◄ –
23400This is your net income before adjustments.Line 15000 minus line 23300 (if negative, enter "0") =
23500
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
for line 23500 on the Worksheet for the return. Otherwise, enter "0".) – •
23600This is your net income.Line 23400 minus line 23500 (if negative, enter "0") =
5006-R Page 4
88,895 00
4,500 00
4,500 00 4,500 00
84,395 00
84,395 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Step 4 – Taxable income
24400Canadian Forces personnel and police deduction (box 43 of all T4 slips)
24900Security options deductions +
25000
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.) +
25100Limited partnership losses of other years +
25200Non-capital losses of other years +
25300Net capital losses of other years +
25400Capital gains deduction (Get and complete Form T657.) +
25500Northern residents deductions (Get and complete Form T2222.) +
25600Additional deductions Specify: +
25700Add lines 24400 to 25600. =
◄ –
26000This is your taxable income.Line 23600 minus line 25700 (if negative, enter "0") =
5006-R Page 5
84,395 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Step 5 – Federal tax (formerly Schedule 1)
Part A – Federal non-refundable tax credits
30000 1Basic personal amount claim $12,069
30100 2
Age amount (if you were born in 1954 or earlier)
(Complete the Worksheet for the return.) (maximum $7,494) +
30300 3Spouse or common-law partner amount (Complete Schedule 5.) +
30400 4Amount for an eligible dependant (Complete Schedule 5.) +
30425 5
Canada caregiver amount for spouse or common-law partner, or eligible dependant
age 18 or older (Complete Schedule 5.) +
30450 6Canada caregiver amount for other infirm dependants age 18 or older (Complete Schedule 5.) +
Canada caregiver amount for infirm children under 18 years of age
30499Enter the number of children for whom you are claiming this amount. × $ 2,230 = 30500 7+
Base CPP or QPP contributions:
30800 8
through employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) + •
31000 9
on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) + •
Employment insurance premiums:
31200 10through employment from box 18 and box 55 of all T4 slips (maximum $860.22) + •
31217 11on self-employment and other eligible earnings (Complete Schedule 13.) + •
31220 12Volunteer firefighters' amount +
31240 13Search and rescue volunteers' amount +
31260 14
Canada employment amount (Enter $1,222 or the total of your employment income you reported
on lines 10100 and 10400, whichever is less.) +
31270 15Home buyers' amount +
31285 16Home accessibility expenses (Complete the Worksheet for the return.) (maximum $10,000) +
31300 17Adoption expenses +
31400 18Pension income amount (Complete the Worksheet for the return.) (maximum $2,000) +
31600 19
Disability amount (for self)
(Claim $8,416 or if you were under 18 years of age, complete the Worksheet for the return.) +
31800 20Disability amount transferred from a dependant (Complete the Worksheet for the return.) +
31900 21Interest paid on your student loans (See Guide P105.) +
32300 22Your tuition, education, and textbook amounts (Complete Schedule 11.) +
32400 23Tuition amount transferred from a child +
32600 24Amounts transferred from your spouse or common-law partner (Complete Schedule 2.) +
33099 25
Medical expenses for self, spouse or common-law partner, and
your dependent children born in 2002 or later
26Enter $2,352 or 3% of line 23600, whichever is less. –
27Line 25 minus line 26 (if negative, enter "0") =
33199 28
Allowable amount of medical expenses for other dependants
(Complete the Worksheet for the return.) +
33200 29Add lines 27 and 28. =
◄ +
33500 30Add lines 1 to 24, and line 29. =
31Federal non-refundable tax credit rate × 15%
33800 32Multiply line 30 by line 31. =
34900 33Donations and gifts (Complete Schedule 9.) +
35000 34Total federal non-refundable tax credits
Add lines 32 and 33.
Enter this amount on line 46 on the next page. =
5006-R Page 6
12,069 00
6,569 00
2,000 00
5,500 00
2,352 00
26,138 00
3,920 70
4,394 50
8,315 20
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part B – Federal tax on taxable income
35Enter your taxable income from line 26000.
Complete the
appropriate column
depending on the
amount on line 35.
Line 35 is
$47,630 or less
Enter the amount
from line 35.
– 0.00Line 36 minus line 37
(cannot be negative) =
× 15%Multiply line 38
by line 39. =
+ 0.00
Add lines 40 and 41. =
Line 35 is more
than $47,630 but
not more than
$95,259
– 47,630.00
=
× 20.5%
=
+ 7,145.00
=
Line 35 is more
than $95,259 but
not more than
$147,667
– 95,259.00
=
× 26%
=
+ 16,908.00
=
Line 35 is more
than $147,667 but
not more than
$210,371
– 147,667.00
=
× 29%
=
+ 30,535.00
=
Line 35 is more
than $210,371
– 210,371.00
=
× 33%
=
+ 48,719.00
=
36
37
38
39
40
41
42
Part C – Net federal tax
43Enter the amount from line 42.
40424 44Federal tax on split income (Get and complete Form T1206.) + •
40400 45Add lines 43 and 44. =◄
35000 46
Enter your total federal non-refundable tax credits
from line 34 on the previous page.
40425 47Federal dividend tax credit (See line 40425 in the guide.) + •
40427 48Minimum tax carryover (Get and complete Form T691.) + •
49Add lines 46, 47, and 48. =◄ –
42900 50Basic federal taxLine 45 minus line 49 (if negative, enter "0") =
40500 51Federal foreign tax credit (Get and complete Form T2209.) –
40600 52Federal taxLine 50 minus line 51 (if negative, enter "0") =
40900 53
Total federal political contributions
(attach receipts)
41000 54
Federal political contribution tax credit
(Complete the Worksheet for the return.) (maximum $650) •
41200 55Investment tax credit (Get and complete Form T2038(IND).) + •
Labour-sponsored funds tax credit
(See lines 41300 and 41400 in the guide.)
41300
Net cost of shares of a
provincially registered fund 41400 56Allowable credit + •
41600 57Add lines 54, 55, and 56. =
◄ –
41700 58Line 52 minus line 57 (if negative, enter "0") =
41500 59
Canada workers benefit advance payments received
(box 10 of the RC210 slip) + •
41800 60Special taxes (See line 41800 in the guide.) +
42000 61Net federal tax
Add lines 58, 59, and 60.
Enter this amount on line 42000 on the next page. =
Step 6 – Provincial or territorial tax
Complete Form 428 to calculate your provincial tax.
5006-R Page 7
84,395 00
84,395 00
36,765 00
7,536 82
14,681 82
14,681 82
14,681 82 14,681 82
8,315 20
8,315 20 8,315 20
6,366 62
6,366 62
6,366 62
6,366 62
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
42000
Step 7 – Refund or balance owing
Net federal tax: enter the amount from line 61 from the previous page.
42100
CPP contributions payable on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) +
42120
Employment insurance premiums payable on self-employment and other eligible earnings
(Complete Schedule 13.) +
42200Social benefits repayment (amount from line 23500) +
42800Provincial or territorial tax (Attach Form 428, even if the result is "0".) +
43500This is your total payable.Add lines 42000, 42100, 42120, 42200, and 42800. = •
43700Total income tax deducted (amounts from all Canadian slips) •
44000Refundable Quebec abatement (See line 44000 in the guide.) + •
44800CPP overpayment (See line 30800 in the guide.) + •
45000Employment insurance overpayment (See line 45000 in the guide.) + •
45110Climate Action Incentive (Complete Schedule 14.) + •
45200
Refundable medical expense supplement
(Complete the Worksheet for the return.) + •
45300Canada workers benefit (CWB) (Complete Schedule 6.) + •
45400Refund of investment tax credit (Get and complete Form T2038(IND).) + •
45600Part XII.2 trust tax credit (box 38 of all T3 slips and box 209 of all T5013 slips) + •
45700Employee and partner GST/HST rebate (Get and complete Form GST370.) + •
Eligible educator school supply tax credit
46800Supplies expenses (maximum $1,000) × 15% = 46900 + •
47600Tax paid by instalments + •
47900Provincial or territorial credits (Complete Form 479, if it applies.) + •
48200These are your total credits.
Add lines 43700 to 45700, and
46900 to 47900. =
◄ –
This is your refund or balance owing.Line 43500 minus line 48200 =
If the result is negative, you have a refund. If the result is positive, you have a balance owing.
Enter the amount below on whichever line applies.
Generally, we do not charge or refund a difference of $2 or less.
◄
◄
48400Refund • 48500Balance owing •
◄
For more information on how to receive your refund by
direct deposit, see line 48400 in the guide or go to
canada.ca/cra-direct-deposit.
For more information on how to make your payment, see
line 48500 in the guide or go to canada.ca/payments.
Your payment is due no later than April 30, 2020.
Ontario opportunities fund
You can help reduce Ontario's debt by completing this area to
donate some or all of your 2019 refund to the Ontario opportunities
fund. Please see the provincial pages for details.
1Amount from line 48400 above
46500 2
Your donation to the
Ontario opportunities fund – •
46600 3Net refund (line 1 minus line 2) = •
◄
I certify that the information given on this return and in any
documents attached is correct and complete and fully discloses
all my income.
Sign here
It is a serious offence to make a false return.
Telephone number:
Date
If this return was completed by a tax professional, tick the
applicable box and provide the following information:
49000 Was a fee charged? 1Yes 2No
48900 EFILE number (if applicable):
Name of tax professional:
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
this area 48700 48800 • 48600 •
5006-R Page 8 Canada Revenue Agency Approval # : RC-19-107
6,366 62
4,152 45
10,519 07
224 00
12,000 00
12,224 00 12,224 00
(1,704 93)
1,704 93
1,704 93
1,704 93
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Number Name of corp. and class of shares
10699 10700Total Gain (or loss)
Address or legal description Prov./Terr.
10999 11000 +
Mortgage foreclosures and conditional
sales repossessions – address or legal
description
Prov./Terr.
12399 12400 +Total Gain (or loss)
Number Name of fund/corp. and class of shares
SEE SUPPLMENTARY STATEMENT ON PAGE 4
13199 13200
From T5008 slips
From T1170
Total Gain (or loss)
Address or legal description Prov./Terr.
13599 13800Total Gain (or loss)
Page 1 of 4
From T3/T5013 slips
From T3/T5013 slips
Total Gain (or loss)
From T5013 slips
+
+
5000-S3
Protected B when completed
T1-2019 Schedule 3Capital Gains (or Losses) in 2019
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.
Note: If you have a business investment
loss, see Guide T4037.
(1)
Year of
acquisition
(2)
Proceeds of
disposition
(3)
Adjusted cost
base
(4)
Outlays and
expenses (from
dispositions)
(5)
Gain (or loss)
(column 2 minus
columns 3 and 4)
1. Qualified small business
corporation shares
(If you realized a gain on a disposition, you may be able to claim a capital gains
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.)
2. Qualified farm or fishing
property
(If you realized a gain on a disposition, you may be able to claim a capital gains
deduction on line 25400 of your return.)
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,
report them on line 17400 or line 17600.)
4. Real estate, depreciable property, and other properties (see the next page for a principal residence)
10,000.00 (2,000.00)
200,000.00 150,000.00 50,000.00
200,000.00 50,000.00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Address or legal description Prov./Terr.
15499 15500Total Gain (or loss)
15800
-
15900
Gain only
Face value Maturity date Name of issuer
15199 15300
From T1170
Total Gain (or loss)
Page 2 of 4
+
+
7. Personal-use property (provide a full description) (see the next page for a principal residence)
8. Listed personal property (LPP) (provide a full description)
Note: You can apply LPP
losses only against LPP gains.
Subtract: unapplied LPP losses from other years
Net gain only
+
+
A
Total of gains (or losses) of qualified
properties and other properties
Add lines 10700, 11000, 12400, 13200, 13800, 15300, 15500,
15800, and 15900. Enter this amount on line B on the next page.
Continue on the next page.
5000-S3
=
6. Other mortgage foreclosures and conditional sales repossessions
5. Bonds, debentures, promissory notes, and other similar properties
Protected B when completed
Capital Gains (or Losses) in 2019
48,000.00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
BEnter the amount from line A on the previous page.
16100 C
Capital gains deferral from qualifying dispositions of eligible small business corporation shares
(included on line 13200 in item 3 on the previous page) –
DLine B minus line C =
17400 ET5, T5013, and T4PS information slips – Capital gains (or losses) +
17600 FT3 information slips – Capital gains (or losses) +
GAdd lines D, E, and F =
17800 HCapital loss from a reduction in your business investment loss –
19100 ITotal of all gains (or losses) before reserves: line G minus line H =
19200 JReserves from line 67060 of Form T2017 (if negative, show it in brackets and subtract it) +
19700 KTotal capital gains (or losses): line I plus line J =
19900
Taxable capital gains
(or net capital loss) in 2019
Multiply the amount on line 19700 by 50%. If the result is
positive, enter it on line 12700 of your return. If negative (loss),
read the instructions below. =
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
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.
You can carry forward your net capital losses indefinitely and apply them against your taxable capital gains in the future.
Principal residence
Complete this section if you disposed of a property (or properties) in 2019 that you are claiming a principal residence
exemption for.
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.
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:
• 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
may reduce the amount of the principal residence exemption or eliminate it. For more information, call the CRA at
1-800-959-8281.
Principal residence designation
Tick the box that applies to your designation.
17900
1
I designate the property described on Form T2091(IND) or Form T1255 to have been my principal
residence for all years owned or for all years owned except one year in which I replaced my principal
residence.
2 I designate the property described on Form T2091(IND) or Form T1255 to have been my principal residence
for some but not all years owned.
3 I designate the properties described on Form T2091(IND) or Form T1255 to have been my principal
residences for some or all of the years owned.
See the privacy notice on your return.
5000-S3 Page 3 of 4
48,000 00
48,000 00
48,000 00
48,000 00
48,000 00
24,000 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

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)
Page 4 of 45000-S3
10,000.00 12,000.00 (2,000.00)
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
T1-2019 Schedule 5Amounts for Spouse or Common-Law
Partner and Dependants
Complete this schedule and attach it to your return to claim an amount on line 30300, 30400, 30425, or 30450 of your return.
For more information, see the corresponding line number in the Federal Income Tax and Benefit Guide.
Line 30300 – Spouse or common-law partner amount
Did your marital status change to other than married or common-law in 2019?
55220If yes, tick this box and enter the date of the change.
◄ Month Day
1Base amount 12,069.00
51090 2
If you are entitled to the Canada caregiver amount for your spouse or common-law partner,
enter $2,230. (see the "Canada caregiver amount" under Step 5 in the guide and line 30425 below). +
3Add lines 1 and 2. =
4Spouse's or common-law partner's net income from page 1 of your return –
5Line 3 minus line 4 (if negative, enter "0"). Enter this amount on line 30300 of your return. =
Line 30400 – Amount for an eligible dependant
Did your marital status change to married or common-law in 2019?
55290If yes, tick this box and enter the date of the change.
◄ Month Day
Provide the requested information and complete the following calculation for this dependant.
First and last name:
Address:
Year of birth Relationship to you Is this dependant physically
or mentally infirm?
Yes No
1Base amount 12,069.00
51100 2
If you are entitled to the Canada caregiver amount for your dependant (other than your infirm
child under 18 years of age), enter $2,230 (See "Canada caregiver amount" under Step 5 in the
guide, read the note below, and see line 30425 below.) +
3Add lines 1 and 2. =
51106 4Dependant's net income (line 23600 of their return) –
5Line 3 minus line 4 (if negative, enter "0"). Enter this amount on line 30400 of your return. =
Note: If the dependant is your or your spouse's or common-law partner's infirm child under 18 years of age, you must
claim the Canada caregiver amount on line 30500, not on line 51100.
Line 30425 – Canada caregiver amount for spouse or common-law partner,
or your eligible dependant age 18 or older
Complete this calculation only if you entered $2,230 on line 51090 or line 51100 of this schedule
for a person whose net income is between $7,159 and $23,906.
1Base amount 23,906.00
2Net income of this person (line 23600 of their return) –
3(maximum $7,140)Line 1 minus line 2 (if negative, enter "0") =
4If you claimed this person on line 30300 or 30400 of your return, enter the amount you claimed. –
5
Allowable amount for this person: line 3 minus line 4 (if negative, enter "0")
Enter this amount on line 30425 of your return. =
Continue on the next page.
5000-S5
12,069 00
Rose Evans
1234-Street, Roseville ON N1A1A1 1 9 3 2 Mother X
12,069 00
5,500 00
6,569 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Line 30450 – Canada caregiver amount for other infirm dependants age 18 or older
(Attach a separate sheet if you need more space)
Provide the requested information and complete the following calculation for each dependant.
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
Enter on line 30450 of your return the total amount you are claiming for all dependants.
51120Enter the total number of dependants for whom you are claiming an amount at line 30450 of your return.
See the privacy notice on your return.5000-S5
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
First and last name:
Address:
Year of birth Relationship to you
1Base amount
2Infirm dependant's net income (line 23600 of their return) –
3Allowable amount for this dependant: line 1 minus line 2 (if negative, enter "0") (maximum $7,140) =
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

T1-2019 Schedule 9Donations and Gifts
Complete this schedule and attach it to your return to claim an amount on line 34900 of your return.
For more information, see Pamphlet P113, Gifts and Income Tax.
Eligible amount of charitable donations
Include at lines 1 to 4 all the eligible amounts of donations you want to claim this year. This includes the eligible amount of
donations that either you or your spouse or common-law partner made in 2019 or in any of the previous 5 years that have
not been claimed before. Remember, you may have charitable donations shown on your T4 and T4A slips. If you are
claiming gifts made to a charity in the United States, see Pamphlet P113.
1
Donations made to registered charities, registered Canadian amateur athletic associations,
and registered Canadian low-cost housing corporations for the aged
32900 2
Donations made to government bodies (government of Canada, a province, a territory, registered
municipalities in Canada, or registered municipal or public bodies performing a function of
government in Canada) +
33300 3Donations made to registered universities outside Canada +
33400 4
Donations made to the United Nations, its agencies, and certain
registered foreign charitable organizations +
5Total eligible amount of charitable donationsAdd lines 1 to 4. =
Donations limit
6Enter your net income from line 23600 of your return. × 75% = 7
If line 5 is less than line 7, enter the amount from line 5 on line 13 below and continue on line 14.
Otherwise, complete lines 8 to 12, before continuing on line 13.
33700 8
Gifts of depreciable property
(from Chart 2 in Pamphlet P113)
33900 9
Gifts of capital property
(from Chart 1 in Pamphlet P113) +
10Add lines 8 and 9. = × 25% = 11+
12Total donations limit
Enter the total of lines 7 and 11 or the amount on line 23600
of your return, whichever is less. =
Donations and gifts
34000 13
Allowable charitable donations. If you did not complete lines 8 to 12, enter the amount from line 5.
Otherwise, enter the amount from line 5 or line 12, whichever is less.
34200 14Eligible amount of cultural and ecological gifts (See Pamphlet P113.) +
15Add lines 13 and 14. =
16Enter $200 or the amount from line 15, whichever is less. –
17Line 15 minus line 16. =
Continue on the next page.
5000-S9
Protected B when completed
15,250 00
15,250 00
84,395 00 63,296 25
63,296 25
15,250 00
15,250 00
200 00
15,050 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
If your taxable income is less than $210,371, enter "0" on line 26 and continue on line 28.
Otherwise, complete lines 18 to 27, before continuing on line 28.
18Enter the amount from line 17 from the previous page.
34210 19
Total of your donations made before 2016 included on
lines 5 and 14, to a maximum of the amount on line 15
from the previous page. –
20Line 18 minus line 19 (if negative, show it in brackets) =
21
Enter the amount from line 16 or line 19,
whichever is less. +
22Add lines 20 and 21. =
23
Enter your taxable income from line 26000 of
your return.
24Income threshold – 210,371.00
25Line 23 minus line 24 (if negative enter "0") =
26
If you did not complete lines 18 to 25, enter "0".
Otherwise, enter the amount from line 22 or line 25,
whichever is less. × 33% = 27+
28
If you did not complete lines 18 to 27, enter the amount
from line 17. Otherwise, enter the result of line 17
minus line 26. × 29% = 29+
30Enter the amount from line 16. × 15% = 31+
32Donations and Gifts
Add lines 27, 29, and 31.
Enter this amount on line 34900 of your return. =
See the privacy notice on your return.
5000-S9
15,050 00 4,364 50
200 00 30 00
4,394 50
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

T1-2019
Protected B when completed
Schedule 11Federal Tuition, Education, and Textbook Amounts
Only the student must complete this schedule and attach it to their return. If the student is transferring an amount to another
person, the other person should not attach this schedule to their return.
If you are a student, complete this schedule to determine:
• your tuition, education, and textbook amounts
• the tuition amount you can transfer to a designated individual
• the unused amount, if any, you can carry forward to a future year
Use your completed designated forms (T2202, TL11A, and/or TL11C) or other official tuition tax receipts to complete this
schedule.
For more information, see Guide P105, Students and Income Tax.
Tuition, education, and textbook amounts claimed by the student for 2019
1
Unused federal tuition, education, and textbook amounts from your 2018 notice of assessment or
notice of reassessment
32000 2
Eligible tuition fees paid to Canadian educational institutions for 2019 from the forms noted
above or your official tuition tax receipts. To qualify, the fees you paid to attend each institution
must be more than $100. Also complete the 2019 enrolment information below. +
32001 3
Eligible tuition fees paid to foreign educational institutions for 2019 from the forms noted above or
your official tuition tax receipts. To qualify, the fees you paid to attend each institution must be more
than $100. Also complete the 2019 enrolment information below. +
4Total available tuition, education, and textbook amounts for 2019Add lines 1, 2, and 3. =
5
Enter the amount of your taxable income from line 26000 of your return if it is
$47,630 or less. Otherwise, complete Part B in Step 5 of your return and enter
the result of the following calculation: amount from line 43 in Part C of your
return divided by 15%.
6Total of lines 1 to 20 in Step 5 of your return –
7Line 5 minus line 6 (if negative, enter "0") =
8
Unused tuition, education, and textbook amounts you are claiming for 2019.
Amount from line 1 or line 7, whichever is less –
◄
9Line 7 minus line 8 =
10
2019 tuition amount you are claiming for 2019
Enter the amount of line 2 plus line 3, or the amount from line 9, whichever is less. +
11
Total tuition, education, and textbook
amounts claimed by the student for 2019
Add lines 8 and 10.
Enter this amount on line 32300 of your return. =
2019 enrolment information
The CRA needs the following information to administer federal programs, such as the Canada workers benefit, scholarship
exemption, lifelong learning plan, and various provincial and territorial programs.
32005
Tick this box if you were eligible for the disability tax credit or you had, in the year, a mental or
physical impairment and a doctor has certified that you cannot reasonably be expected to be enrolled
as a full-time student because of the effects of your impairment.
32010
Enter the number of months you were enrolled as a part-time student
from box 24 of Form T2202, or column B of forms TL11A and TL11C. (maximum 12)
32020
Enter the number of months you were enrolled as a full-time student
from box 25 of Form T2202, or column C of forms TL11A and TL11C. (maximum 12)
Continue on the next page.
5000-S11
5,500 00
5,500 00
97,878 80
20,638 00
77,240 80
77,240 80
5,500 00
5,500 00
8
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Transfer or carryforward of unused amount
Complete this section if you are transferring a current-year amount or if you have an unused amount to carry forward to future years.
12Amount from line 4 from the previous page
13Amount from line 11 from the previous page –
14Total unused amountLine 12 minus line 13 =
If you are transferring an amount to another individual, continue on line 15.
Otherwise, enter the amount from line 14 on line 19.
15Enter the amount of line 2 plus line 3 from the previous page. (maximum $5,000)
16Amount from line 10 from the previous page –
17Maximum transferableLine 15 minus line 16 (if negative, enter "0") =
You can transfer all or part of the amount on line 17 to your spouse or common-law partner, to their parent or grandparent, or to
your parent or grandparent. To do this, you have to designate the individual and specify the federal amount that you are
transferring to them on your Form T2202, TL11A, or TL11C. Enter the amount on line 18 below.
Note: If your spouse or common-law partner is claiming an amount for you on line 30300 or line 32600 of their return, you
cannot transfer an amount to your parent or grandparent or to your spouse's or common-law partner's parent or
grandparent.
32700 18Federal tuition amount transferredEnter the amount you are transferring (cannot be more than line 17). –
19Unused federal amount available to carry forward to a future yearLine 14 minus line 18 =
Complete the provincial or territorial Schedule (S11) to calculate your provincial or territorial amounts.
5000-S11
See the privacy notice on your return.
5,500 00
5,500 00
5,000 00
5,500 00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

T1-2019
Protected B when completed
Schedule 14Climate Action Incentive
The climate action incentive (CAI) consists of a basic amount and a supplement for residents of small and rural communities.
You cannot claim the CAI if any of the following applies to you:
• you were a non-resident of Canada at any time in 2019
• you were confined to a prison or a similar institution for a period of at least 90 days during 2019
• you were exempt from income tax in Canada at any time in 2019 because you were an officer or servant of the government of
another country, such as a diplomat, or a family member who resided with such a person, or an employee of such a person
• you were a person for whom a children's special allowance (CSA) was payable at any time in 2019
Note: If you are completing a return for a person who died before April 1, 2020, you cannot claim the CAI for that person for the
2019 tax year.
Complete this schedule and attach it to your return to claim the CAI if, on December 31, 2019, you were a resident of
Ontario and you met any of the following conditions:
• you were 18 years of age or older
• you had a spouse or a common-law partner
• you were a parent who lived with your child
Note: If you were married or living in a common-law relationship but your spouse or common-law partner was not an eligible
spouse or common-law partner for the purpose of the CAI or you did not have a qualified dependant, complete this
schedule using the instructions as if you did not have an eligible spouse or common-law partner or a qualified
dependant.
Eligible spouse or common-law partner
For the purpose of the CAI, an eligible spouse or common-law partner is a person who meets all of the following conditions:
• was your spouse or common-law partner on December 31, 2019
• was a resident of Canada throughout 2019
• was not confined to a prison or a similar institution for a period of at least 90 days during 2019
• was not exempt from income tax in Canada at any time in 2019 because they were an officer or servant of the government
of another country, such as a diplomat, or a family member who resided with such a person, or an employee of such a
person
• was not a person for whom a CSA was payable at any time in 2019
• did not die before April 1, 2020
Notes: Either you or your spouse or common-law partner may claim the CAI for the family, but not both of you.
When two individuals in the family reside in different locations, the province of residence for the individual making the
claim will be used when calculating the CAI for the family.
Qualified dependant
For the purpose of the CAI, a qualified dependant is a person who meets all of the following conditions:
• was your cohabiting spouse's or your common-law partner's child or a person dependent on either one of you for supp ort
on December 31, 2019
• resided with you on December 31, 2019
• was under 18 years of age on December 31, 2019
• was a resident of Canada throughout 2019
• was not married or living with a common-law partner on December 31, 2019
• was not a parent who lived with their child on December 31, 2019
• was not confined to a prison or a similar institution for a period of at least 90 days during 2019
• was not exempt from income tax in Canada at any time in 2019 because they were an officer or servant of the government of
another country, such as a diplomat or a family member who resided with such a person, or an employee of such a person
• was not a person for whom a CSA was payable at any time in 2019
• did not die before April 1, 2020
5006-S14
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Single parents of a qualified dependant
For the purpose of the CAI, if, on December 31, 2019, you did not have a spouse or a common-law partner but you had a
dependant who met all of the conditions for a qualified dependant, claim an amount for that dependant on line 60102. If you
had more than one qualified dependant, enter the number of remaining qualified dependants on line 60103.
Shared custody
Only one claim can be made per child. You cannot split the amount for a qualified dependant with another person.
Supplement for residents of small and rural communities
To claim the CAI supplement for residents of small and rural communities, you must have resided outside of a census
metropolitan area (CMA) on December 31, 2019, as defined by Statistics Canada in the last census they published before
2019.
Therefore, you cannot claim the supplement for residents of small and rural communities if your principal place of
residence was located in one of the following Ontario CMAs: Barrie, Belleville, Brantford, Greater Sudbury, Guelph,
Hamilton, Kingston, Kitchener-Cambridge-Waterloo, London, Oshawa, the Ontario part of Ottawa-Gatineau, Peterborough,
St. Catharines-Niagara, Thunder Bay, Toronto, or Windsor.
For more information on how to determine if you resided outside a CMA, go to canada.ca/census-metropolitan-areas.
Step 1 – Calculating your basic climate action incentive
60100 1Base amount claim $224.00
60101 2Amount for an eligible spouse or common-law partner claim $112.00 +
60102 3Amount for a single parent's qualified dependant claim $112.00 +
60103 4
Amount for qualified dependants
(Do not include the qualified dependant
claimed on line 60102 above, if applicable.)
Number of qualified
dependants × $56.00 = +
5Add lines 1 to 4. =
Step 2 – Calculating your supplement for residents of small and rural communities
60104
Did you reside outside of a census metropolitan area on
December 31, 2019, as defined by Statistics Canada? 1Yes 2No
If yes, continue on line 6. Otherwise, enter the amount from
line 5 on line 7 below.
6Enter the amount from line 5. × 10% = +
Step 3 – Calculating your total climate action incentive
7
Add lines 5 and 6.
Enter this amount on line 45110 of your return. =
See the privacy notice on your return.
5006-S14
224 00
224 00
X
224 00
224 00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Form ON-BEN
2019
Protected B when completed
Application for the 2020 Ontario Trillium Benefit
and Ontario Senior Homeowners'
Property Tax Grant
• To find out if you are eligible for the Ontario trillium benefit and the Ontario senior homeowners' property tax grant, see the
"Information for residents of Ontario" section of your 2019 Income tax package.
• Complete the application areas that apply to you and attach this form to your return.
• To estimate the amount of Ontario trillium benefit and Ontario senior homeowners' property tax grant you may be entitled to,
use the calculator at canada.ca/child-family-benefits-calculator.
• The payments for these benefits will be issued separately from your tax refund.
• If you had a spouse or common-law partner on December 31, 2019, the same spouse or common-law partner has to apply for
the Ontario energy and property tax credit, the Northern Ontario energy credit, and the Ontario senior homeowners’ property
tax grant for both of you. If only one of you is 64 years of age or older on December 31, 2019, that spouse or common-law
partner has to apply for these credits and the grant for both of you.
• For a description of principal residence for the purposes of the Ontario energy and property tax credit and the Northern
Ontario energy credit, or the Ontario senior homeowners' property tax grant, see the "Information for residents of Ontario"
section of your tax package.
Ontario trillium benefit (OTB)
Ontario sales tax credit (OSTC)
You do not need to apply for the OSTC when you file your tax return. The Canada Revenue Agency will determine your
eligibility and tell you if you are entitled to receive the credit. For families, the OSTC is paid to the person whose return is
assessed first.
Application for the Ontario energy and property tax credit (OEPTC)
You may qualify for the OEPTC if, on December 31, 2019, you resided in Ontario, and any of the following applies:
• Rent or property tax for your principal residence was paid by or for you for 2019.
• You lived in a student residence.
• You lived in a long-term care home and an amount for accommodation was paid by or for you in 2019.
• You lived on a reserve and home energy costs were paid by or for you for your principal residence on the reserve for 2019.
61020If you meet any of these conditions and are applying for the 2020 OEPTC, tick this box.
Complete Parts A and B of this form.
Application for the Northern Ontario energy credit (NOEC)
You may qualify for the NOEC if, on December 31, 2019, you resided in Northern Ontario (see the definition in the
"Information for residents of Ontario" section of your tax package), and any of the following applies:
• Rent or property tax for your principal residence in Northern Ontario was paid by or for you for 2019.
• You lived in a long-term care home in Northern Ontario and an amount for accommodation was paid by or for you in 2019.
• You lived on a reserve in Northern Ontario and home energy costs were paid by or for you for your principal residence
on the reserve for 2019.
61040If you meet any of these conditions and are applying for the 2020 NOEC, tick this box.
Complete Parts A and B of this form.
Choice for delayed single OTB payment
61060
By ticking the box on line 61060, you are choosing to wait until June 2021 to get your 2020 OTB
entitlement. This means you will get your OTB in one payment at the end of the benefit year
(June 2021) instead of receiving it monthly from July 2020 to June 2021.
Continue on the next page.
5006-TG (Ce formulaire est disponible en français.)
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Application for the Ontario senior homeowners' property tax grant (OSHPTG)
You may qualify for the OSHPTG if, on December 31, 2019, both of the following conditions applied:
• You were 64 years of age or older.
• You owned and occupied a principal residence in Ontario that you, or someone on your behalf, paid property tax on for 2019.
61070If you meet these conditions and are applying for the 2020 OSHPTG, tick this box.
Enter the total amount of property tax paid on line 61120 in Part A and complete Part B of this form.
Part A – Amount paid for a principal residence for 2019
61080
If, on December 31, 2019, you and your spouse or common-law partner occupied separate
principal residences for medical reasons and you are choosing to apply individually for
the OEPTC, the NOEC, or the OSHPTG, tick the box on line 61080 and enter your spouse's or
common-law partner's address in Part C of this form.
61100
Enter the total amount of rent paid for your principal residence (including a private long-term care
home) in Ontario for 2019. (Do not enter rent paid for a principal residence that was not subject to
property tax. If you lived in a subsidized housing unit, check with your landlord to find out if property
tax was paid for your unit before entering an amount.)
61120
Enter the total amount of property tax paid for your principal residence in Ontario for 2019.
(If your municipality let you defer all or some of your 2019 property tax, you should enter
only the amount of property tax actually paid to the municipality for the year.)
61140
Did you reside in a designated student residence in Ontario in 2019?
If yes, tick this box.
61210
Enter the total amount of home energy costs paid for your principal residence on a reserve in
Ontario for 2019.
61230
Enter the total amount paid for your accommodation in a public long-term care home or
non-profit long-term care home in Ontario for 2019.
Continue on the next page.
5006-TG
8,000 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Complete Part B if you are applying for the OEPTC, the NOEC, or the OSHPTG.
Part B – Declaration
Enter the amounts paid for rent, property tax, home energy costs on a reserve, and accommodation in a public long-term
care home or a non-profit long-term care home in the column "Amount paid for 2019".
I declare the following information about my principal residences in Ontario during 2019:
(If you need more space, attach a separate sheet of paper.)
Address Postal
code
Number of
months
resident in 2019
Amount
paid for 2019
Check this box
if this is a long-term
care home
Name of landlord,
municipality, or supplier
payment was made to,
as applicable
Part C – Involuntary separation
If, on December 31, 2019, you and your spouse or common-law partner occupied separate principal residences in Ontario
for medical reasons and you are choosing to apply individually for the OEPTC, the NOEC, or the OSHPTG, enter your
spouse's or common-law partner's address below.
Address of your spouse or common-law partner:
See the privacy notice on your return.
5006-TG
Ontario 12
8,000.00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Form ON428
2019
Protected B when completed
Ontario Tax
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 56050For internal use only
58040 1Basic personal amount Claim $10,582
58080 2
Age amount (if born in 1954 or earlier)
(use Worksheet ON428) (maximum $5,166) +
Spouse or common-law partner amount
3Base amount
4
Your spouse's or common-law partner's
net income from line 23600 of their return –
58120 5Line 3 minus 4 (if negative, enter "0") = (maximum $8,985)
Ż +
Amount for an eligible dependant
6Base amount
7
Your eligible dependant's net income
from line 23600 of their return –
58160 8Line 6 minus line 7 (if negative, enter "0") = (maximum $8,985)
Ż +
9Add lines 1, 2, 5, and 8. =
58185 10
Ontario caregiver amount
(use Worksheet ON428) +
CPP or QPP contributions:
58240 11•Amount from line 30800 of your return +
58280 12•Amount from line 31000 of your return +
Employment insurance premiums:
58300 13•Amount from line 31200 of your return +
58305 14•Amount from line 31217 of your return +
58330 15Adoption expenses (maximum $12,910) +
58360 16Pension income amount (maximum $1,463) +
58440 17
Disability amount (for self)
(Claim $8,549, or if you were under 18 years of age, use Worksheet ON428.) +
58480 18
Disability amount transferred from a dependant
(use Worksheet ON428) +
58520 19
Interest paid on your student loans
(amount from line 31900 of your return) +
58560 20
Your unused tuition and education amounts
(attach Schedule ON(S11)) +
58640 21
Amounts transferred from your spouse or common-law partner
(attach Schedule ON(S2)) +
22Add lines 9 to 21. =
Continue on the next page.
5006-C (Ce formulaire est disponible en français.)
9,883.00
9,883.00
10,582 00
5,500 00
4,383 00 4,383 00
14,965 00
1,463 00
16,428 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part A – Ontario non-refundable tax credits (continued)
23Enter the amount from line 22 of the previous page
Medical expenses:
58689 24(Read line 58689 of your income tax package.)
25
Enter whichever is less:
$2,395 or 3% of the amount on line 23600 of your return –
26Line 24 minus line 25 (if negative, enter "0") =
58729 27
Allowable amount of medical expenses for other dependants
(use Worksheet ON428) +
58769 28Add lines 26 and 27. =
Ż +
58800 29Add lines 23 and 28. =
30Ontario non-refundable tax credit rate ×
58840 31Multiply line 29 by line 30. =
Donations and gifts:
32
Amount from line 16
of your federal Schedule 9 × 5.05% =
33
Amount from line 17
of your federal Schedule 9 × 11.16% = +
58969 34Add lines 32 and 33. =
Ż +
61500 35Ontario non-refundable tax credits
Add lines 31 and 34.
Enter this amount on line 47. =
Part B – Ontario tax on taxable income
36Enter your taxable income from line 26000 of your return.
Use the amount from line 36 to decide which column to complete.
Line 36 is
$43,906 or less
Amount from line 36
–Line 37 minus line 38
(cannot be negative) =
×
Multiply line 39 by line 40. =
Add lines 41 and 42. +
Ontario tax on
taxable income =
Line 36 is more
than $43,906
but not more
than $87,813
–
=
×
=
+
=
Line 36 is more
than $87,813
but not more
than $150,000
–
=
×
=
+
=
Line 36 is more
than $150,000
but not more
than $220,000
–
=
×
=
+
=
Line 36 is more
than $220,000
–
=
×
=
+
=
37
38
39
40
41
42
43
Continue on the next page.
5006-C
5.05%
0.00
5.05%
0.00
43,906.00
9.15%
2,217.00
87,813.00
11.16%
6,235.00
150,000.00
12.16%
13,175.00
220,000.00
13.16%
21,687.00
16,428 00
2,395 00
16,428 00
829 61
200 00 10 10
15,050 00 1,679 58
1,689 68 1,689 68
2,519 29
84,395 00
84,395 00
40,489 00
3,704 74
5,921 74
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part C – Ontario tax
44Enter your Ontario tax on taxable income from line 43 of the previous page.
61510 45•Enter your Ontario tax on split income from Form T1206. +
46Add lines 44 and 45. =
47Enter your Ontario non-refundable tax credits from line 35 of the previous page. –
48Line 46 minus line 47 (if negative, enter "0") =
Ontario minimum tax carryover
49Amount from line 48 above
50
Enter the Ontario dividend tax credit calculated for line 61520
from your Worksheet ON428. –
51Line 49 minus line 50 (if negative, enter "0") =
52Amount from line 40427 of your return × 33.67% =
61540 53•Enter whichever is less: amount from line 51 or 52. –
54Line 48 minus line 53 (if negative, enter "0") =
Ontario surtax
55Amount from line 54 above
56Amount from line 45 above –
57Line 55 minus line 56 (if negative, enter "0") =
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.
58(Line 57 – $4,740) × 20% (if negative, enter "0")=
59(Line 57 – $6,067) × 36% (if negative, enter "0")= +
60Add lines 58 and 59. =
Ż +
61Add lines 54 and 60. =
61520 62•Amount from line 50 above –
63Line 61 minus line 62 (if negative, enter "0") =
Ontario dividend tax credit
Ontario additional tax for minimum tax purposes
64•
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. +
65Add lines 63 and 64. =
Continue on the next page.
5006-C
5,921 74
5,921 74
2,519 29
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part C – Ontario tax (continued)
66Enter the amount from line 65 of the previous page.
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.
67Basic reduction
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
on lines 68 and 69.
68
Reduction for dependent children born in 2001 or later
60969Number of dependent children × $452 = +
69
Reduction for dependants with a mental or physical impairment
60970Number of dependants × $452 = +
70Add lines 67, 68, and 69. =
71Amount from line 70 above × 2 =
72Amount from line 66 above –
73Ontario tax reductionLine 71 minus line 72 (if negative, enter "0") =
Ż –
74Line 66 minus line 73 (if negative, enter "0") =
Ontario foreign tax credit
75Credit calculated from Form T2036 –
76Line 74 minus line 75 (if negative, enter "0") =
Low-income individuals and families tax credit
62140 77•Credit calculated from Schedule ON428–A –
78Line 76 minus line 77 (if negative, enter "0") =
Community food program donation tax credit for farmers
62150 79
Enter the amount of qualifying donations that have also
been claimed as a charitable donation. × 25% = –
80Line 78 minus line 79 (if negative, enter "0") =
Ontario health premium
81Use the chart on the next page to calculate this amount. +
82Ontario tax
Add lines 80 and 81.
Enter the result on line 42800 of your return. =
Continue on the next page.
5006-C
244.00
3,402 45
244 00
244 00 488 00
3,402 45
3,402 45
3,402 45
3,402 45
3,402 45
750 00
4,152 45
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part C – Ontario tax (continued)
Ontario Health Premium
83Enter your taxable income from line 36 of page 2.
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
not more than $20,000
ŻŻŻ $0
more than $20,000, but not more than $25,000 – $20,000 = × 6% =
more than $25,000, but not more than $36,000
ŻŻŻ $300
more than $36,000, but not more than $38,500 – $36,000 = × 6% = + $300 =
more than $38,500, but not more than $48,000
ŻŻŻ $450
more than $48,000, but not more than $48,600 – $48,000 = × 25% = + $450 =
more than $48,600, but not more than $72,000
ŻŻŻ $600
more than $72,000, but not more than $72,600 – $72,000 = × 25% = + $600 =
more than $72,600, but not more than $200,000
ŻŻŻ $750
more than $200,000, but not more than $200,600 – $200,000 = × 25% = + $750 =
more than $200,600
ŻŻŻ $900
See the privacy notice on your return.
5006-C
84,395 00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
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
Your address City Prov./Terr.Postal code
Fiscal period
from Date (YYYYMMDD) to Year Month Day Was this the final year of your rental operation? Yes No
Your percentage of
the partnership % Industry code
Tax shelter identification number (8 characters) Partnership business number
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
Co-owner or partner's
name and address
Share of net
income (loss) $ Percentage
of ownership %
Co-owner or partner's
name and address
Share of net
income (loss) $ Percentage
of ownership %
Co-owner or partner's
name and address
Share of net
income (loss) $ Percentage
of ownership %
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.
1
List the addresses of your rental properties Number of units Gross rents
2
3
8141Enter the total of your gross rents in the year you receive them (amount 1 plus amount 2 plus amount 3). . . . . . . . . . . . . . . . . . .
8230Other income (for example, premiums and leases, sharecropping) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8299Total gross rental income – Enter this amount on your Income Tax and Benefit Return on line 12599 (line 8141 plus line 8230)
T776 E (19) (Ce formulaire est disponible en français.) Page 1 of 4
5 3 1 1 1 1
Rosy Evans 0 4 6 4 5 4 2 8 6
2 0 1 9 0 1 0 1 2 0 1 9 1 2 3 1 X
100.00
1234 St Mary's Street 6 86,400.00
Roseville ON N1A 1A1
86,400.00
24,000.00
110,400.00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part 4 – Expenses
Total expenses Personal portion
8521Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8690
Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8710
Interest and bank charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8810Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8860
Professional fees (includes legal and accounting fees) . . . . . . . . . . . . . .
8871
Management and administration fees . . . . . . . . . . . . . . . . . . . . . . . . . . .
8960Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9060
Salaries, wages, and benefits (including employer's contributions) . . . . .
9180
Property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9200Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9220
Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9281
Motor vehicle expenses (not including capital cost allowance) . . . . . . . . .
9270Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ATotal expenses (add the lines listed under "Total expenses") . . . . . .
9949Total for personal portion (add the lines listed under "Personal portion") . . . . . . . . . . . . .
4Deductible expenses (total expenses from amount A minus total personal portion on line 9949) . . . . . . . . . . . . . . . . . . . . . . . . . .
9369Net income (loss) before adjustments (total gross rental income from line 8299 minus deductible expenses from amount 4)
5Co-owner – calculate your share of net income from line 9369. Enter your result on amount 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9945Other expenses of the co-owner – other deductible expenses you have as a co-owner which you did not deduct elsewhere
6Subtotal (amount 5 minus line 9945)
9947Recaptured capital cost allowance (co-owners – enter your share of the amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7Subtotal (amount 6 plus line 9947)
9948Terminal loss (co-owners – enter your share of the amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8Subtotal (amount 7 minus line 9948)
9936Total capital cost allowance claim for the year (amount i from Area A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9Net income (loss) (amount 8 minus line 9936) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If you are a sole proprietor or a co-owner enter this amount on line 9946.
Partnerships
10Partners – your share of amount 9, or the amount from your T5013 slip, Statement of Partnership Income . . . . . . . . . . . . . . . . . .
9974Partners – GST/HST rebate for partners received in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9943Partners – other expenses of the partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9946
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Page 2 of 4
6,200.00
14,585.00
5,400.00
6,200.00
7,200.00
11,245.00
3,275.00
3,500.00
57,605.00
57,605.00
52,795.00
52,795.00
52,795.00
52,795.00
52,795.00
52,795.00
52,795.00
52,795.00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completedThe 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
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
Class
number
2
Undepreciated
capital cost (UCC)
at the start of the
year
3
Cost of additions
in the year
(see Area B and C
below)
4
Cost of additions
from column 3
which are for AIIP
or one or more
zero-emission
vehicles (ZEV)
(new property must
be available for
use in the year)
Note 1
5
Proceeds of
dispositions
in the year (see
Area D and E
below)
6*
UCC after additions
and dispositions
(col. 2 plus col. 3
minus col. 5)
7
Proceeds of
dispositions
available to reduce
additions of AIIP
and ZEV (col. 5
minus col. 3, plus
col. 4). If negative,
enter "0"
Note 2
8
UCC adjustment
for current-year
additions of AIIP
and ZEV (col. 4
minus col. 7)
multiplied by the
relevant factor. If
negative, enter "0"
Note 3
9
Adjustment for
current-year
additions subject to
the half year-rule
1/2 multiplied by
(col. 3 minus col. 4
minus col. 5). If
negative, enter "0"
10
Base amount
for CCA
(col. 6 plus col. 8
minus col. 9)
11
CCA
Rate
%
12
CCA for the year
(col. 10 multiplied
by col. 11 or a
lower amount)
13
UCC at the end of
the year
(col. 6 minus col.
12)
iTotal CCA claim for the year**: Total of column 12 (enter the amount on line 9936 of Part 4,
amount i minus any personal part and any CCA for business-use-of-home expenses***) Ź
* 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
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.
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.
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.
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
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
1
Class
number
2
Property details
3
Total cost
4
Personal portion
(if applicable)
5
Rental portion
(col. 3 minus
col. 4)
9925Total equipment additions in the year (total of column 5)
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
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Protected B when completed
Area C – Building additions in the year
1
Class
number
2
Property details
3
Total cost
4
Personal portion
(if applicable)
5
Rental portion
(col. 3 minus
col. 4)
9927Total building additions in the year (total of column 5)
Area D – Equipment dispositions in the year
1
Class
number
2
Property details
3
Proceeds of
disposition (should not
be more than the
capital cost)
4
Personal portion
(if applicable)
5
Rental portion
(col. 3 minus
col. 4)
9926Total equipment dispositions in the year (total of column 5)
Area E – Building dispositions in the year
1
Class
number
2
Property details
3
Proceeds of
disposition (should not
be more than the
capital cost)
4
Personal portion
(if applicable)
5
Rental portion
(col. 3 minus
col. 4)
9928Total building dispositions in the year (total of column 5)
Area F – Land additions and dispositions in the year
9923Total cost of all land additions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9924Total proceeds from all land dispositions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See the privacy notice on your return.
Page 4 of 4
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Disability Supports Deduction
Use this form to calculate the amount to enter on line 21500 of your tax return.
For more information, see "General information" on the back of this form.
Step 1 – Calculate your net disability supports expenses
Column 1 – Device or service Column 2 – Amount paid
Column 3 – Amount reimbursed or
assistance received (if applicable).
See "Amounts you cannot claim" on
the back of this form.
1
Enter the total of all amounts in column 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
2
Enter the total of all amounts in column 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
3
Subtract line 2 from line 1. This amount is your net disability supports expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
If you need more space, use a separate sheet of paper and attach it to this form.
Step 2 – Calculate your disability supports deduction
4
Enter your earned income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
If you attended a designated educational institution or a secondary school at which you were enrolled in
an educational program, fill in lines 5 to 12. Otherwise, enter "0" on line 10 and go to line 11.
5
Enter your net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
6
Enter your earned income from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
– $
7
Line 5 minus line 6 (if negative, enter "0") . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
8Enter the number of weeks in the year that you attended the institution or
secondary school . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
×
9
Line 8 multiplied by $375 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
10
Enter the amount from line 7 or line 9, or $15,000, whichever is the least . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+ $
11
Add lines 4 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
= $
12
Enter the amount from line 3 or line 11, whichever is less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Enter the amount from line 12 on line 21500 of your tax return.
T929 E (19) (Ce formulaire est disponible en français.)
$375
Dental for Mom 3,500.00
Scooter for mom 8,500.00 4,250.00
Medical and premium 3,550.00
15,550 00
4,250 00
11,300 00
4,500 00
88,895 00
4,500 00
84,395 00
4,500 00
4,500 00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
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.
Part 1 – Investment expenses claimed on your 2019 return
1Carrying charges and interest expenses (from line 22100)
2Net rental losses (from line 12600) +
3
Limited or non-active partnership losses (from line 12200) other than
allowable capital losses +
4Limited partnership losses of other years after 1985 (from line 25100) +
550% of exploration and development expenses (from line 22400) +
68080 6
Any other investment expenses claimed in 2019 to earn property income
(see the list of other investment expenses below) +
7
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 +
ATotal investment expenses claimed in 2019 (total of lines 1 to 7) =
Ż
Part 2 – Investment income reported on your 2019 return
8Investment income (from lines 12000 and 12100)
9Net rental income, including recaptured capital cost allowance (from line 12600) +
10
Net income from limited or non-active partnership (from line 12200) other
than taxable capital gains +
68100 11
Any other property income reported in 2019 (see the list of other property
income below),including annuity payments taxable under paragraph
56 (1)(d) minus the capital portion deducted under paragraph 60(a) +
68110 12
50% of income from the recovery of exploration and development
expenses (from line 13000) +
13
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 +
BTotal investment income reported in 2019 (total of lines 8 to 13) =
Ż
68130
Do not use this area
T936 E (19) (Ce formulaire est disponible en français.)
5,600 00
52,795 00
24,000 00
82,395 00 82,395 00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
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)
• interest paid on money borrowed to:
i) buy an income averaging annuity contract
ii) pay a premium under a registered retirement savings plan
iii) make a contribution to a registered pension plan
iv) make a contribution to a deferred profit-sharing plan
Other property income
Include: • amounts from insurance proceeds for the recapture of capital cost allowance (other than amounts already
included on line 9)
• home insulation or energy conversion grants under paragraph 12(1)(u)
• payments received as an inducement or reimbursement
• income from the appropriation of property to a shareholder
• 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
• amounts withdrawn from AgriInvest Fund 2
• CPP or QPP death benefit payments reported on your T1 return
Do not include: • income amounts that relate to business income
• payments received from an income averaging annuity contract
• payments received from an annuity contract bought under a deferred profit-sharing plan
• shareholders' loans included in income under subsection 15(2)
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Part 3 – Cumulative net investment loss (CNIL)
14Total investment expenses claimed in 2019 (from line A in Part 1)
15
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 +
16Cumulative investment expenses (total of lines 14 and 15) =
Ż
17Total investment income reported in 2019 (from line B in Part 2)
18
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 +
19Cumulative investment income (total of lines 17 and 18) =
Ż –
C
Cumulative net investment loss (CNIL) to December 31, 2019
(line 16 minus line 19; if negative, enter "0") =
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.
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
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
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
1
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
2Amount from line 10700 of Schedule 3
3Amount from line 11000 of Schedule 3 +
4Amount from line 12400 of Schedule 3 +
5Add lines 2 to line 4 (if negative, show it in brackets) =
6
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
amount from line 5 on line 7 +
7Line 5 plus line 6 (if negative, enter "0") =
8Enter 1/2 of line 7 –
9
Line 1 minus line 8 (if negative, enter "0"). If the amount on this line is zero, do not complete
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 =
68140 10Enter the amount from box 21 of all 2019 T3 slips
11Enter the amount from box 30 of all 2019 T3 slips –
68150 12Line 10 minus line 11 =
13Enter 1/2 of line 12 –
14Additional investment income (line 9 minus line 13; if negative, enter "0") =
See the privacy notice on your return.
82,395 00
82,395 00 82,395 00
24,000 00
24,000 00
24,000 00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
T2125 E (19) (Ce formulaire est disponible en français.) Page 1 of 6
Statement of Business or Professional Activities
• Use this form to calculate your self-employment business and professional income.
• For each business or profession, fill in a separate Form T2125.
• Fill in this form and send it with your income tax and benefit return.
• For more information on how to fill in this form, see guide T4002, Self-employed Business, Professional, Commission, Farming, and Fishing Income.
Part 1 – Identification
Your name Your social insurance number
Business name Business number
Business address City Prov./Terr. Postal code
Fiscal
period From
Date (YYYYMMDD)
to
Date (YYYYMMDD) Was this your last year of business? Yes No
Main product or service Industry code
(see the appendix in Guide T4002)
Accounting method
(commission only) Cash Accrual Partnership business number Your percentage
of the partnership %
Name and address of person or firm preparing this form
Part 2 – Internet business activities
If your web pages or websites generate business or professional income, fill in this part of the form.
How many Internet web pages and websites does your business earn income from? Enter "0" if none . . . . . . . . . . . . . . . . . . . . . . . . .
Provide up to five main web page or website addresses, also known as uniform resource locator (URL):
http://
http://
http://
http://
http://
%
Percentage of your gross income generated from the web pages and websites.
(If no income was generated from the Internet, enter "0".) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
R T
Tax shelter identification number
Evans, Rosy 0 4 6 4 5 4 2 8 6
My Own Business
Roseville O N N 1 A 1 A 1
2 0 1 9 0 1 0 1 2 0 1 9 1 2 3 1 X
X 100.00
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Page 2 of 6
Part 3A – Business income
Fill in this part only if you have business income. If you have professional income, leave this part blank and fill in Part 3B.
If you have both business and professional income, you have to fill out a separate Form T2125 for each.
Part 3B – Professional income
Fill in this part only if you have professional income. If you have business income, leave this part blank and fill in Part 3A.
If you have both business and professional income, you have to fill out a separate Form T2125 for each.
Note: New rules allow you to include your work in progress (WIP) progressively if you elected to use billed basis accounting for the last tax year that started
before March 22, 2017. Generally, for the first tax year that starts after March 21, 2017, you must include 20% of the lesser of the cost and the fair market value
of WIP. The inclusion rate increases to 40% in the second tax year that starts after March 21, 2017, 60% in the third year, 80% in the fourth year, and 100% in
the fifth and all subsequent tax years. For more information, see chapter 2 of guide T4002.
Part 3A – Business income 3A
Gross sales, commissions, or fees (include GST/HST collected or collectible) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3BGST/HST, provincial sales tax, returns, allowances, discounts, and GST/HST adjustments (included in amount 3A) . . . . . . . . . . . . . . .
3CSubtotal: Amount 3A minus amount 3B
3D
If you are using the quick method for GST/HST – Government assistance calculated as follows:
GST/HST collected or collectible on sales, commissions and fees eligible for the quick method . . . . . .
3E
GST/HST remitted, (calculated on sales, commissions, and fees eligible for the quick method) plus
GST/HST collected or collectible multiplied by the applicable quick method remittance rate . . . . . . . .
3FSubtotal: Amount 3D minus amount 3E
3GAdjusted gross sales: Amount 3C plus amount 3F (enter on line 8000 of Part 3C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part 3B – Professional income 3HGross professional fees including work-in-progress (WIP) and GST/HST collected or collectible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3I
GST/HST, provincial sales tax, returns, allowances, discounts, and GST/HST adjustments (included in amount 3H) and any WIP at the
end of the year you elected to exclude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3JSubtotal: Amount 3H minus amount 3I
3K
If you are using the quick method for GST/HST – Government assistance calculated as follows:
GST/HST collected or collectible on professional fees eligible for the quick method . . . . . . . . . . . . . . .
3L
GST/HST remitted, calculated on (professional fees eligible for the quick method plus GST/HST
collected or collectible) multiplied by the applicable quick method remittance rate . . . . . . . . . . . . . . .
3MSubtotal: Amount 3K minus amount 3L
3NWork-in-progress (WIP), start of the year, per election to exclude WIP (see Guide T4002, Chapter 2) . . . . . . . . . . . . . . . . . . . . . . . . . . .
3OAdjusted professional fees: Amount 3J plus amount 3M plus amount 3N (enter on line 8000 of Part 3C) . . . . . . . . . . . . . . . . . . . . . .
Part 3C – Gross business or professional income 8000
Adjusted gross sales (amount 3G) or adjusted professional fees (amount 3O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8290
Reserves deducted last year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8230
Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3PSubtotal: Line 8290 plus line 8230 Ź
8299
Gross business or professional income: Line 8000 plus amount 3P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Report the gross business or professional income from line 8299 on the applicable line of your income tax and benefit return
as indicated below:
• business income on line 13499
• professional income on line 13699
• commission income on line 13899
For Parts 3D, 4, and 5, if GST/HST has been remitted or an input tax credit has been claimed, do not include GST/HST when you calculate the cost
of goods sold, expenses, or net income (loss).
Part 3D – Cost of goods sold and gross profit
If you have business income, fill in this part. Enter only the business part of the costs.
3Q
Gross business income (line 8299 of Part 3C). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8300 3R
Opening inventory (include raw materials, goods in process, and finished goods). . . . . . . . . . .
8320 3S
Purchases during the year (net of returns, allowances, and discounts) . . . . . . . . . . . . . . . . . . .
8340 3TDirect wage costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8360 3USubcontracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8450 3V
Other costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3WSubtotal: Add amounts 3R to 3V
8500
Closing inventory (include raw materials, goods in process, and finished goods) . . . . . . . . . . .
8518Cost of goods sold: Amount 3W minus line 8500 Ź
8519
Gross profit (or loss): Amount 3Q minus line 8518. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30,000.00
30,000.00
30,000.00
30,000.00
30,000.00
30,000.00
30,000.00
DUPLICATE - DO NOT SEN
Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Page 3 of 6
Part 4 – Net income (loss) before adjustments 4AGross business or professional income (line 8299 of Part 3C) or Gross profit (line 8519 of Part 3D). . . . . . . . . . . . . . . . . . . . . . . . .
Expenses (enter only the business part) 8521 4BAdvertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8523 4C
Meals and entertainment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8590 4DBad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8690 4EInsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8710 4F
Interest and bank charges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8760 4GBusiness taxes, licences, and memberships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8810 4HOffice expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8811 4I
Office stationery and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8860 4JProfessional fees (includes legal and accounting fees). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8871 4KManagement and administration fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8910 4L
Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8960 4MRepairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9060 4NSalaries, wages, and benefits (including employer's contributions). . . . . . . . . . . . . . . . . . . . . . . .
9180 4O
Property taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9200 4PTravel expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9220 4QUtilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9224 4R
Fuel costs (except for motor vehicles). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9275 4SDelivery, freight, and express . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9281 4T
Motor vehicle expenses (not including CCA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9936 4U
Capital cost allowance (CCA). Enter amount i of Area A minus any personal part and any
CCA for business-use-of-home expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9270 4VOther expenses (specify):
9368Total expenses: Total of amounts 4B to 4V Ź
9369
Net income (loss) before adjustments: Amount 4A minus line 9368 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part 5 – Your net income (loss) 5AYour share of line 9369 or the amount from your T5013 slip, Statement of Partnership Income . . . . . . .
9974
Plus: GST/HST rebate for partners received in the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5BTotal: Amount 5A plus line 9974 Ź
9943
Other amounts deductible from your share of the net partnership income (loss) (amount 6F). . . . . . . . . . . . . . . . . . . . . . . . . . . .
5CNet income (loss) after adjustments: Amount 5B minus line 9943 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9945
Business-use-of-home expenses (amount 7P) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9946
Your net income (loss): Amount 5C minus line 9945 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Report the net income amount from line 9946 on the applicable line of your income tax and benefit return as indicated below:
• business income on line 13500
• professional income on line 13700
• commission income on line 13900
30,000.00
8,000.00
23,000.00
4,000.00
35,000.00 35,000.00
(5,000.00)
(5,000.00)
(5,000.00) (5,000.00)
(5,000.00)
(5,000.00)
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Name: Rosy Evans SIN:046 454 286 Printed on:2020/04/19 06:33 EDT

Protected B when completed
Page 4 of 6
Part 6 – Other amounts deductible from your share of the net partnership income (loss)
Claim expenses you incurred that were not included in the partnership statement of income and expenses, and for which the
partnership did not reimburse you. These claims must not be included in the claims already calculated for the partnership.
List details of expenses: Expense amounts
6A
6B
6C
6D
6E
6F
Total other amounts deductible from your share of the net partnership income (loss): Add amounts 6A to 6E
(enter this on line 9943 of Part 5)
Part 7 – Calculation of business-use-of-home expenses 7AHeat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7BElectricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7CInsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7DMaintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7EMortgage interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7FProperty taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7GOther expenses (specify):
7HSubtotal: Add amounts 7A to 7G
7IPersonal-use part of the business-use-of-home expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7JSubtotal: Amount 7H minus amount 7I
7K
Capital cost allowance (business part only), which means amount i of Area A minus any portion of
CCA that is for personal use or entered on line 9936 of Part 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7LAmount carried forward from previous year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7MSubtotal: Add amounts 7J to 7L
7NNet income (loss) after adjustments (amount 5C) (if negative, enter "0"). . . . . . . . . . . . . . . . . . . . . . . . . . .
7O
Business-use-of-home expenses available to carry forward: Amount 7M minus amount 7N
(if negative, enter "0") . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7PAllowable claim: The lesser of amount 7M and 7N above (enter your share of this amount on line 9945 of Part 5) . . . . . . . . . . . . . . .
Part 8 – Details of other partners
Do not fill in this chart if you must file a partnership information return.
Name of partner
Address Share of net income or (loss)
$
Percentage of partnership
%
Name of partner
Address Share of net income or (loss)
$
Percentage of partnership
%
Name of partner
Address Share of net income or (loss)
$
Percentage of partnership
%
Name of partner
Address Share of net income or (loss)
$
Percentage of partnership
%
Part 9 – Details of equity 9931
Total business liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9932Drawings in the current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9933Capital contributions in the current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Protected B when completed
Page 5 of 6
Area A – Calculation of capital cost allowance (CCA) claim
1
Class
number
2
Undepreciated
capital cost (UCC)
at the start of the year
3
Cost of additions
in the year
(see Area B and C
below)
4
Cost of additions from
column 3 which are
AIIP or zero-emission
vehicles (ZEV) (new
property must be
available for use in
the year)
Note 1
5
Proceeds of
dispositions
in the year (see
Area D and E below)
6*
UCC after additions
and dispositions
(col. 2 plus col. 3
minus col. 5)
7
Proceeds of
dispositions available
to reduce additions of
AIIP and ZEV (col. 5
minus col. 3 plus
column 4). If negative,
enter "0"
Note 2
8
UCC adjustment for
current-year additions
of AIIP and ZEV
(col. 4 minus col. 7)
multiplied by the
relevant factor. If
negative, enter "0".
Note 3
9
Adjustment for
current-year additions
subject to the half-year
rule
1/2 multiplied by
(col. 3 minus col. 4
minus col. 5).
If negative, enter "0."
10
Base amount
for CCA
(col. 6 plus col. 8
minus col. 9)
11
CCA
Rate
%
12
CCA for the year
(col. 10 multiplied by
col. 11 or a lower
amount)
13
UCC at the end of
the year
(col. 6 minus col. 12)
iTotal CCA claim for the year: Total of column 12 (enter the amount on line 9936 of Part 4,
amount i minus any personal part and any CCA for business-use-of-home expenses **) Ź
* If you have a negative amount in column 6, add it to income as a recapture in Part 3C on line 8230. If no property is left in the class and there is a positive amount in the column, deduct the amount from income as a terminal loss in
Part 4 on line 9270. Recapture and terminal loss do not apply to a class 10.1 property. For more information, read Chapter 3 of guide T4002.
** 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.
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 T4002.
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 T4002.
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, 13, 14, 15), and 1/2 for the remaining accelerated investment incentive properties.
For more information on accelerated investment incentive properties, see guide T4002 or go to canada.ca/taxes-accelerated-investment-income .
Area B – Equipment additions in the year
1
Class
number
2
Property
description
3
Total cost
4
Personal part
(if applicable)
5
Business part
(column 3 minus
column 4)
9925Total equipment additions in the year: Total of column 5
Area C – Building additions in the year
1
Class
number
2
Property
description
3
Total cost
4
Personal part
(if applicable)
5
Business part
(column 3 minus
column 4)
9927Total of building additions in the year: Total of column 5
Area D – Equipment dispositions in the year
1
Class
number
2
Property
description
3
Proceeds of disposition
(should not be more than
the capital cost)
4
Personal part
(if applicable)
5
Business part
(column 3 minus
column 4)
9926Total equipment dispositions in the year: Total of column 5
Note: If you disposed of property in the year, see Chapter 3 of Guide T4002 for information about your proceeds of disposition.
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Protected B when completed
Page 6 of 6
Area E – Building dispositions in the year
1
Class
number
2
Property
description
3
Proceeds of disposition
(should not be more than
the capital cost)
4
Personal part
(if applicable)
5
Business part
(column 3 minus
column 4)
9928Total building dispositions in the year: Total of column 5
Note: If you disposed of property in the year, see Chapter 3 of guide T4002 for information about your proceeds of disposition.
Area F – Land additions and dispositions in the year
9923
Total cost of all land additions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9924
Total proceeds from all land dispositions in the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note: You cannot claim capital cost allowance on land. For more information, see Chapter 3 of Guide T4002.
See the privacy notice on your return.
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Charitable donations
Donations
Charitable donations details
Name of organization Amount paid
Reported on slips Claim:
Total current year donations
Donations to U.S. organizations
Name of organization Amount paid
Total current year donations
Charitable donations summary
+ +
= =
= =
+ +
= =
+ +
= =
-
= =
Charitable donation carryforward - Canadian
Year Beginning balance Claimed in 2019 Ending balance
2014
2019
2015
2016
2017
Totals
Page 1 of 3
U.S. Canadian Total
Total current year donations
Unclaimed donations from 2015 - 2018
Unclaimed donations from 2014
Total charitable donations A
Net income B
75% of line B C
Gifts of depreciable property D
Taxable capital gains minus capital gains
deduction on gifts of capital property E
Add lines D and E F
25% of line F G
Add lines C and G H
Allowable U.S. donations I
Total donations limit J
Allowable charitable donations
(least of lines A, J or amount required to
reduce federal tax to zero)
Charitable donations available for carryforward
SEE PAGE 2 FOR SUMMARY
SEE PAGE 2 FOR SUMMARY
2018
Protected B when completed
Other gifts
Other gifts
Donations made to government entities
Donations made to prescribed universities outside Canada.
Donations made to the United Nations, its agencies, and
certain charitable organizations outside Canada.
Donations made to a registered museum or cultural organization.
A donation of food products (Farmers)
a gift of a public work of art which can be increased by 50%
a gift of a public work of art which can be increased by 25%
a gift of a work of art to a Québec museum (not included in Line 3 of schedule V)
a gift of a building situated in Québec for cultural purposes
15,250 00
15,250 00
15,250 00 15,250 00
84,395 00
63,296 25
63,296 25
63,296 25 63,296 25
15,250 00 15,250 00
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Charitable Donations - Itemized Receipt List Donations
Canadian
Charity Donations
Charity US Donations
Total US Donations Page 2 of 3
Protected B when completed
United Ways 15,250 00
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Protected B when completed
Donations
Page 3 of 3
Cultural and ecological gifts (pre-February 11, 2014) carryforward
Year Beginning balance Claimed in 2019 Ending balance
Ecological gifts (post-February 10, 2014) carryforward
Beginning balance Claimed in 2019 Ending balance
+
+
+
+
+
=
Cultural and ecological gifts
Unclaimed cultural and gift amounts (pre- Feb 11, 2014)
Unclaimed cultural and gift amounts (post- Feb 10, 2014)
Cultural and ecological gifts donated
Ecological gifts made (T5013 box 183)
Works of art (Québec residents only)
Other current year gifts
Total cultural and ecological gifts
Allowable gifts
Cultural and ecological gifts available for carryforward
2014
2015
2016
2017
2018
2019
Totals
Year
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Totals
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Other credits
Age amount - line 30100
Adoption expenses - line 31300
Name of child
Pension income amount - line 31400
Amounts from a RRIF or PRPP included on line 11500 and
transferred to an RRSP, RRIF, PRPP or an annuity
Page 1 of 4
Maximum claim 1
Your net income from line 23600 of your return 2
Base amount 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
Fees paid to an adoption agency licensed by a provincial or territorial government 1
Court, legal and administrative expenses 2
Reasonable travel and living expenses:
Travel expenses of a child 3
Travel and living expenses of the adoptive parents 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
Expenses arising from a requirement imposed by government authority respecting the adoption of a child 8
Other expenses 9
Total adoption expenses (maximum : $16,255 per child) 10
Amount claimed by the other adoptive parent % 11
Subtract line 11 from line 10. 12
Carry the result to line 31300 of your return.
Amount from line 11500 of your return 1
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
4
Ineligible pension income included in T4A 5
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.
37,790 00
7,000 00
7,000 00
7,000 00
2,000 00
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=
Volunteer firefighters’ amount – line 31220
Home buyers' amount - line 31270 and line 58357
Search and rescue volunteers’ amount – line 31240
Federal political contribution tax credit - lines 40900/41000
Total income tax deducted - line 43700
T4 slips
T4A slips
T4A (OAS) slip
T4A (P) slip
T4A (RCA) slip
T4E slip
T4RIF slips
T4RSP slips
T5013 slips
T1032 line P - Pension Transferee
Québec tax deducted (if not filing Québec return)
Page 2 of 4
Line 1 minus line 4 (if negative, enter "0") 5
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.
Do you wish to claim this credit? Yes No
Volunteer firefighters’ amount
Do you qualify for the home buyers' amount? Yes No
Saskatchewan Federal
Home buyers' credit
Amount claimed by another individual
Home buyers' amount
Do you wish to claim this credit? Yes No
Search and rescue volunteers’ amount
Federal political contributions from T5013 1
Other federal political contributions 2
Total of lines 1 and 2 (Enter on line 40900 of your return) 3
Available credit:
75% of the first $400 4
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.
Subtotal
Less: T1032 line P - Pensioner
Total
Disability amount - line 31600
-
= -
(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 3
Line 2 minus line 3 (if negative, enter "0") 4
Other credits
2,875 00
X
X
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Registered disability savings plan (RDSP) income (line 12500 of your and your spouse's
or common-law partner's return)
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
RDSP income repayment (included in the amount of line 23200 of your and your spouse's or
common-law partner's return)
Tax paid by instalments - line 47600
Payment date Description Amount
Total tax paid by instalments
Page 3 of 4
5
Add lines 4 and 5. 6
Line 3 minus line 6 7
8
9
Add lines 8 and 9. 10
Adjusted family net income: add lines 7 and 10. 11
Base amount 12
Line 11 minus line 12 (if negative, enter "0") 13
Enter the lesser of :
14
- $1,248
- x 25% =
(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
Refundable medical expense supplement - line 45200
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
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
4
Other credits
Eligible educator school supply tax credit - line 46900
Total eligible teaching supplies (Maximum $1,000)
Eligible educator school supply tax credit
Tax transfer for residents of Québec - line 43800
Income tax deducted by employers outside Québec
Multiply by 45%. Enter this amount on line 43800 of your return.
MB residents only:
Claiming the MB fitness amount for yourself?
Claiming the MB fitness amount for your spouse/partner (if applicable)?
Eligible fitness expense
Yes No
Yes No
27,639 00
15 00
12,000 00
12,000 00
X
X
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Home Accessibility Expenses - line 31285
Date of
sales slip
or contract
Supplier or contractor Description Amount paid
(including all
applicable taxes)Name GST/HST No.
(if applicable)
Total eligible expenses =
Enter the amount claimed by other qualifying individuals and eligible individuals living
in the same eligible dwelling from line 31285 of their return.. -
Line 2 minus line 3 Home accessibility
Enter this amount on line 31285 of your return. expenses =
Page 4 of 4
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.
1
Enter $10,000 or the amount from line 1, whichever is less. 2
3
4
Other credits
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Other income
Wage-loss replacement plan benefits - lines 10100 and 10130
-
=
Other employment income - line 10400
Page 1 of 5
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
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)
Prior year line 5 of GST 370 (x 12/112)
Prior year line 5 of GST 370 (x 13/113)
Prior year line 5 of GST 370 (x 14/114)
Prior year line 5 of GST 370 (x 15/115)
Prior year line 14 of GST 370 (x 1/101)
Prior year line 14 of GST 370 (x 2/102)
Prior year line 14 of GST 370 (x 3/103)
Prior year line 13 of GST 370 (x 7/107)
Prior year line 13 of GST 370 (x 8/108)
Prior year line 14 of GST 370 (x 9/109)
Prior year line 13 of GST 370 (x10/110)
Less: GST rebate recognized on line 9974 of your business statements
QST rebate on prior year employment expenses (excludes CCA)
T4A Box 107 - wage-loss replacement plan benefits
Less: premiums paid to wage-loss replacement plan
T4A Box 104 - research grants
Research expenses. Specify:
Net research grants
T4A Box 119 - group term life-insurance premiums
T4A Box 118 - medical premiums
T4A Box 127 - veterans' benefits
T4A Box 132 - wage earner protection program
T4A Box 152 - SUBP qualified under ITA
T4A Box 156 - bankruptcy settlement
T4A Other employment income
T4PS Box 35 - other income
T5 Box 17 - royalties from your work or invention
Recapture of capital cost allowance
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Other income
Taxable amount of dividends from taxable Canadian corporations - line 12010
Taxable amount of dividends other than eligible dividends (specify):
12010
Page 2 of 5
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
T2205 - amounts from a spousal RRIF
Total
Enter this amount on line 12010 of your return.
7,000 00
7,000 00
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Other income
12000
Interest and other investment income - line 12100
Specify:
Income from foreign sources (specify):
12100
Page 3 of 5
Enter this amount on line 12000 of your return.
Enter this amount on line 12100 of your return.
Taxable amount of dividends from taxable Canadian corporations - lines 12000
Taxable amount of eligible dividends (specify):
RBC 3,300 00
Interest 2,300 00
5,600 00
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Other income
Net Partnership income (loss) - line 12200
12200
RRSP income - line 12900
Page 4 of 5
Reported on T5013 slips
Reported on Resource form
Net income (loss) from certified films and productions
Enter this amount on line 12200 of your return.
T4RSP Box 16 - annuity payments
T4RSP Box 18 - refund of premiums
T4RSP Box 20 - refund of excess contributions
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)
T4RSP Box 26 - deemed receipt on deregistration
T4RSP Box 27 - HBP withdrawal (excess amount)
T4RSP Box 28 - other income
T4RSP Box 34 - deemed receipt on death
T2205 - amount from a spousal or common-law partner RRSP or RRIF
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
LLP - balance due in the year of death or departure from Canada
LLP - other income
Total
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Other income
Other income - line 13000
Scholarships, fellowships, bursaries, and artists project grants - line 13010
Page 5 of 5
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 ) 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
Less: Basic $500 exemption
Taxable portion of scholarships
T4A Box 109 - periodic payment from unregistered plan
T4A Box 117 - loan benefit
T4A Box 123 - payments from a revoked DPSP
T4A Box 125 - disability benefit from a pension plan
T4A Box 129 - tax deferred coop shares
T4A Box 130 - apprenticeship incentive grant
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
T4A Box 154 - cash award or prize from payer
T4A Box 194 - under 65 and not received on death of spouse
T4A - other income
T4A(P) Box 18 - death benefit
T4ARCA - statement of distribution from an RCA
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
T5013 Box 30 - other income
T2205 - amounts from a spousal RRIF
AgriInvest Fund #2 taxable withdrawals
Foreign income
Recovery of exploration and development expenses
Additional income related to the disposition of tools for an apprentice mechanic
Total
Taxable scholarship, fellowships, bursaries, and artists' project grants
10,000 00
5,000 00
500 00
4,500 00 4,500 00
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