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8/3/2019 Christine Submit Cra09
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Do not submit this form - Name: Christine Templeman SIN: 121 511 471 Printed: 2010/03/31
ENCFEDERAL T1 2009Tax Return Enclosures List
Please assemble your return as described below and, where appropriate, sign and date
the indicated forms.
If you are using NETFILE to submit your return, DO NOT MAIL a paper copy of the return
as well. However, be sure to keep all your slips, receipts, and supporting documents for six
years in case CRA selects the return for review.
If you are not using NETFILE, the following instructions apply:
T1 - Income Tax and Benefit Return should be signed on the bottom of page 4.
The following enclosures should be attached to the top left corner of page 3
of the T1 return:
All tax information slips (T4, T3, T5, T4E, etc.)
Official RRSP receipts (if photocopy, must be certified as true copy by issuer)
Charitable donation receipts (including all e-receipts)
Schedule 1 - Federal Tax
Schedule 4 - Statement of Investment Income
Schedule 9 - Donations and Gifts
NL428 - Newfoundland and Labrador Tax and Credits
Make sure you attach receipts for all the deductions or credits you are claiming.
Keep all other supporting documents for six years in case the Canada
Revenue Agency requests them.
Additional instructions:
If you have a correct personalized label from the CRA, affix it over
the name and address section on page 1 of the return.
Do not staple together returns of more than one taxpayer
or returns of the same taxpayer for different years.
Note: Do not submit this enclosures list with your return.
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777777770707070007373530321361000075214527335120000732125637551264007723610753176400077642573700545320752405577227457607662617164403211076024333442104550755363717472331107763735265431022077714350477131010746505162665711107726217570674510073636130311511220777777707000707777777707070700077361253337422320732201535205013007322217150270332073220353702701100712223717207233007320015170270130073200151702701300732001517027013007320015170270130073200151702701300732001517023413007760011534230574073600111702305300770703733176100007777777070007077777777070707000773730340751023007320017172250132073000351722701320732201715005031207506217336612110073220151520143120772045517443257007340457116672132073204113104127120732221717001631007324631376012114073600115702345300732001517023413007737321605710223077777770700070777777770707070007753503226177410073200151702701300732001517027013007320015170270130073200151702341300776041157023457407324415574634574072615551646310300736401443033513007265511164734021072200551246210710723111516137002107231115161370021077535032241554030777777707000707777777707070700077342101271135500732325617573044007367256535730000073272125753744000772761613133400007367256531334400073272125713300440736365653177440007772707064731111077737071657310100777270607473111107672617075731000077737070757200010772612100731374007777777070007077777777070707000733625611157023007672524315542000076352077701555720767624340475730007574150737775023072600564366613330767343426640333007773416064531101077313467255106210777610241715547007636024453015557077375252117000010721452077734422007124147333770322077777770700070777777770707070007663061040477132072025101563357000771753621071101107743426267613333074740052227175440772716454215574407454253237135444076434223325157720772720254213755007320703266157330077670617265573310773702127751676407367066522571110076630610404651130777777707000707777777707070700077225025771774410737332125711673007636124453314466076425163344711100746505633710244407161466762655773073165037751542110777151616663123207616146771544640070702266301157200776352470057550007371016462375723075340326723157730772350256515544207777777070007077777777070707000735530772251132107672602454257754072502066210157100776374210613750007272202643001175076702422543155440767362075507577707070017633115420077607400373357230773713007471545507632407406441131077767253555647260723600243011530007375035623711323077777770700070777777770707070007267206647615774076542472601135440773235211571146707262310352041331074074227300111710735214563377532207570727267513330077313423255104760762271651464331107061000372631133072500646636457310777052122351557207622352116423555072672246656257770777777707000707777777707070700077136023275156500770241117326522107744617737027445071240177334410210714643777504502107773432437570001072627020214113300766246157503545507276516446155130076605115254423020747340166626557407466266352036551075266377461265550773062123771567007777777070007066666666060606000622622022402006206226000024022062066026426224002000606246666264466006604420040026202062220642044402440644602666604406606604442462602000066260644004644200622042026442444006604642224440064066240000606602000640024262200440206026002026222240066666660600060
Canada Revenue Agency Agence du revenu du Canada T1 GENERAL 200Income Tax and Benefit ReturnIdentification NL
Information about you
First name Your social insurance number:Christine 121 511 471
Last name Your date of birth:Templeman 1967/06/10
Mailing Address: Your language of correspondence:
Apt. No. Votre langue de correspondance :
No./Street English Franais18 Ways Rd X
PO Box, RR Marital status on December 31, 2009:P.O. Box 1069
City Bonavista 6. Sing
Prov./Terr. Postal codeNL A0C 1B0
Information about your spouse or
common-law partner (if applicable)
His or her SIN:
Information about your residence His/her first name:
Enter his or her net income for 2009 to
Province or territory of residence claim certain credits:
on December 31, 2009: Enter amount of Universal Child Care Benefit
included on line 117 of his or her return:Newfoundland
Enter the amount of Universal Child Care
Province/territory where you currently reside if not Benefit repayment included on line 213
the same as your mailing address above: of his or her return:
Tick this box if he or she wasNL
self-employed in 2009: 1
Province or territory of self-employment:
If this return is for a deceased
If you became or ceased to be a resident of Canada in 2009, person, enter the date of death:
give the date of: entry or departure: Do not use this area
Residency information for tax administration agreementsDid you reside in the Inuit communities of Rigolet, Nain, Hopedale, Makkovik, or Postville, or on Yes 1 No X
Labrador Inuit Lands, on December 31, 2009? For more information, seeHelp.
Elections Canada (see Help)
A) Are you a Canadian citizen? Yes 1 NoXAnswer the following question only if you are a Canadian citizen.
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? Yes 1 NoX
Your authorization is valid until you file your next return. Your information will only be used for purposes permitted under the Canada
Elections Actwhich includes sharing the information with provincial/territorial election agencies, Members of Parliament and registered
political parties, as well as candidates at election time.
Goods and services tax/harmonized sales tax (GST/HST) credit applicationSee Help for details.
Are you applying for the GST/HST credit (including any related provincial credit)? Yes 1 NoX
Do not use
this area 172 171
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ame: Christine Templeman SIN: 121 511 471
Please answer the following question:Did you own or hold foreign property at any time in 2009 with a total cost of more than CAN$100,000?
(see "Foreign Income" in Help for details) 266 Yes 1 No 2X
If yes, attach a completed Form T1135.
If you had dealings with a non-resident trust or corporation in 2009, see Help.
As a Canadian resident, you have to report your income from all sources both inside and outside Canada.
Total incomemployment income (box 14 on all T4 slips) 101 0042,746
Commissions included on line 101 (box 42 on all T4 slips) 102 5636,046
Other employment income 104
Old Age Security pension (box 18 on the T4A(OAS) slip) 113
CPP or QPP benefits (box 20 on the T4A(P) slip) 114
Disability benefits included on line 114
box 16 on the T4A(P) slip) 152
Other pensions or superannuation 115
lected split-pension amount (see Help and attach Form T1032) 116
niversal Child Care Benefit (see Help) 117
mployment Insurance and other benefits (box 14 on the T4E slip) 119
axable amount of dividends (eligible and other than eligible) from taxable
Canadian corporations (see the guide and attach Schedule 4) 120 44271
axable amount of dividends other than eligible dividends,
ncluded on line 120, from taxable Canadian corporations 180
nterest and other investment income (attach Schedule 4) 121 80299
et partnership income: limited or non-active partners only (attach Schedule 4) 122
Registered disability savings plan income (see Help) 125
Rental income Gross Net160 126
axable capital gains (attach Schedule 3) 127
upport payments received Total Taxable amount156 128RRSP income (from all T4RSP slips) 129
Other income Specify: 130
elf-employment income (see Help)
Business income Gross Net162 135
Professional income Gross Net164 137
Commission income Gross Net166 139
Farming income Gross Net168 141
Fishing income Gross Net170 143
Workers' compensation benefits (box 10 on the T5007 slip) 144
ocial assistance payments 145
et federal supplements (box 21 on the T4A(OAS) slip) 146
Add lines 144, 145, and 146 147
Add lines 101, 104 to 143, and 147.
This is your total income. 150 2443,317
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ame: Christine Templeman SIN: 121 511 471
Attach your Schedule 1 (federal tax) and Form 428 (provincial or territorial tax)here. Also attach here any other schedules, information slips, forms, receipts,and documents that you need to include with your return.
Net Incomenter your total income from line 150. 150 2443,317
ension adjustment
box 52 on all T4 slips and box 34 on all T4A slips) 206
Registered pension plan deduction (box 20 on all T4 slips and box 32 on all T4A slips) 207
RRSP deduction (see Schedule 7 and attach receipts) 208 005,304
askatchewan Pension Plan deduction (maximum $600) 209
Deduction for elected split-pension amount (see Help and attach Form T1032) 210
nnual union, professional, or like dues (box 44 on all T4 slips, and receipts) 212
niversal Child Care Benefit repayment (box 12 on all RC62 slips) 213
Child care expenses (attach Form T778) 214
Disability supports deduction 215
usiness investment loss
Gross Allowable deduction228 217
Moving expenses 219
upport payments made
Total Allowable deduction230 220
Carrying charges and interest expenses (attach Schedule 4) 221
Deduction for CPP or QPP contributions on self-employment and other earnings
attach Schedule 8) 222
xploration and development expenses (attach Form T1229) 224
Other employment expenses 229
Clergy residence deduction 231
Other deductions Specify: 232
Add lines 207 to 224, 229, 231, and 232. 233 005,304 005,304
Line 150 minus line 233 (if negative, enter "0"). This is your net income before adjustments. 234 2438,013
ocial benefits repayment (if you reported income on line 113, 119, or 146, see Help).se the federal worksheet to calculate your repayment. 235
Line 234 minus line 235 (if negative, enter "0"). If you have a spouse or common-law partner, see Help.
This is your net income. 236 2438,013
Taxable incomeCanadian Forces personnel and police deduction (box 43 on all T4 slips) 244
mployee home relocation loan deduction (box 37 on all T4 slips) 248
ecurity options deductions 249
Other payments deduction
f you reported income on line 147, see line 250 in Help) 250
imited partnership losses of other years 251
on-capital losses of other years 252et capital losses of other years 253
Capital gains deduction 254
orthern residents deductions (attach Form T2222) 255
dditional deductions Specify: 256
Add lines 244 to 256. 257
Line 236 minus line 257 (if negative, enter "0")
This is your taxable income. 260 2438,013
Use your taxable income to calculate your federal tax on Schedule 1 and your provincial orterritorial tax on Form 428.
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ame: Christine Templeman SIN: 121 511 471
Refund or balance owing
et federal tax: enter the amount from line 55 of Schedule 1 (attach Schedule 1, even if the result is "0") 420 293,223
CPP contributions payable on self-employment and other earnings (attach Schedule 8) 421
ocial benefits repayment (enter the amount from line 235) 422
rovincial or territorial tax (attach Form 428, even if the result is "0") 428 402,279
Add lines 420 to 428
This is your total payable. 435 695,502
otal income tax deducted (see Help) 437 778,444
Refundable Qubec abatement 440
CPP overpayment (enter your excess contributions) 448
mployment Insurance overpayment (enter your excess contributions) 450
Refundable medical expense supplement 452
Working Income Tax Benefit (WITB) (attach Schedule 6) 453
Refund of investment tax credit (attach Form T2038(IND)) 454
art XII.2 trust tax credit (box 38 on all T3 slips) 456
mployee and partner GST/HST rebate (attach Form GST370) 457
ax paid by instalments 476
rovincial or territorial credits (attach Form 479 if it applies) 479
Add lines 437 to 479.
These are your total credits. 482 778,444 778,444
Line 435 minus line 482 08)(2,942
Generally, we do not charge or refund a difference of $2 or less.
Refund Balance owing484 082,942 485
Amount enclosed 486
Attach to page 1 a cheque or money order payable to the Receiver General. Your payment is due no later than April 30, 2010.
Direct Deposit - Start or change (see Help)
You do not have to complete this area every year. Do not complete it this year if your direct deposit information has not changed.
Refund, GST/HST credit, WITB advance payments, and any other deemed overpayment of tax To start direct deposit or tochange account information only, attach a "void" cheque or complete lines 460, 461, and 462.
Notes: To deposit your CCTB payments (including certain related provincial or territorial payments) into the same account, also tick
box 463. To deposit your UCCB payments into the same account, also tick box 491.
Branch number Institution number Account number CCTB UCCB
460 461 462 463 49140543 002 0087122 X
(5 digits) (3 digits) (maximum 12 digits)
I certify that the information given on this return and in any documents For professional tax preparers only490
attached is correct, complete, and fully discloses all my income. Name:
Sign here Address:
It is a serious offence to make a false return.
Telephone Date: Telephone:(709)468-7993
Do not use
this area 487 488
Privacy ActPersonal Information Bank number CRA PPU
Canada Revenue Agency Approval # : RC-09
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ame: Christine Templeman SIN: 121 511 471
Federal TaxT1-2009 Schedule
Complete Step 1 to claim your federal non-refundable tax credits, Step 2 to calculate your federal tax on taxable
ncome and Step 3 to calculate your net federal tax.
You must attach a copy of this schedule to your return.
tep 1 Federal non-refundable tax credits (see Help)
asic personal amount claim $10,320 300 0010,320
ge amount (if you were born in 1944 or earlier) (use federal worksheet) (maximum $6,408) 301
pouse or common-law partner amount (if negative, enter "0")
$10,320 minus (his or her net income) 303
mount for an eligible dependant (attach schedule 5) (if negative, enter "0")
$10,320 minus (his or her net income) 305
mount for children born in 1992 or later
Number of children 366 x $2,089 = 367
mount for infirm dependants age 18 or older (use federal worksheet and attach Schedule 5) 306
CPP or QPP contributions:
through employment from box 16 and 17 on all T4 slips (maximum $2,118.60) 308 671,942
on self-employment and other earnings (attach Schedule 8) 310
mployment Insurance premiums (maximum $731.79) 312 79731
Canada employment amount
f you reported employment income on line 101 or line 104) (maximum $1,044) 363 001,044
ublic transit amount 364
Children's fitness amount 365
ome renovation expenses (attach Schedule 12) 368
ome buyers' amount 369
doption expenses 313
ension income amount (see Help) (maximum $2,000) 314
Caregiver amount (use federal worksheet and attach Schedule 5) 315
Disability amount (for self) (claim $7,196 or if you were under age 18, see Help) 316
Disability amount transferred from a dependant (use federal worksheet) 318
nterest paid on your student loans 319
uition, education, and textbook amounts (attach Schedule 11) 323
uition, education, and textbook amounts transferred from a child 324mounts transferred from your spouse or common-law partner (attach Schedule 2) 326
Medical expenses for self, spouse or common-law partner, and your
ependent children born in 1992 or later 330
Minus: $2,011 or 3% of line 236, whichever is less 401,140
Subtotal (if negative, enter "0") (A)
Allowable amount of medical expenses for
ther dependants (attach Schedule 5) (B)331
Add lines (A) and (B). 332
Add lines 1 to 24. 335 4614,038
Multiply the amount on the line above by 15%. 338 772,105
Donations and gifts (attach Schedule 9) 349 45321
Total federal non-refundable tax credits 350 222,427
Go to Step 2 on page 2
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ame: Christine Templeman SIN: 121 511 471
SchedulePage 2
Step 2 Federal tax on taxable incomenter your taxable income from line 260 of your return. 292438,013
more than more thanse the amount on line 29 to determine
which ONE of the following $40,726 but $81,452 but
ou have to complete. $40,726 not more not more more
or less than $81,452 than $126,264 than $126,264the amount on line 29 is:
nter the amount from line 29. 2438,013
ase amount 000 0040,726 0081,452 00126,264
ine 30 minus line 31
cannot be negative) 2438,013
Rate 15% 22% 26% 29%
Multiply line 32 by line 33. 995,701
ax on base amount 000 006,109 0015,069 0026,720
Add lines 34 to 35. 995,701
Step 3 Net federal taxnter the amount from line 36 above. 995,701 37
ederal tax on split income (from line 5 of Form T1206) 424 38
Add lines 37 and 38. 404 995,701 995,701
nter your non-refundable tax credits from line 28. 350 222,427 40
ederal dividend tax credit (see Help) 425 4851 41
Overseas employment tax credit (attach Form T626) 426 42
Minimum tax carry-over (attach Form T691) 427 43
Add lines 40 to 43. 702,478 702,478
Basic federal tax: line 39 minus line 44 (if negative, enter "0") 429 293,223
ederal foreign tax credit (attach Form T2209) 405
ubtotal: Basic federal tax minus foreign tax credits 293,223
Recapture of investment tax credit (attach form T2038(IND))
Federal tax: Subtotal plus recapture of investment tax credit (if negative, enter "0") 406 293,223
ederal logging tax credit
Total federal tax: Federal tax minus logging tax credit (if negative, enter "0") 293,223
otal federal political contributions
attach receipts) 409
Federal political contribution tax credit (see Help) 410 48
nvestment tax credit (attach Form T2038(IND)) 412 49
abour-sponsored funds tax credit
Net cost Allowable credit413 414 50
Add lines 48 to 50. 416
Line 47 minus line 51 (if negative, enter "0")(if you have an amount on line 38 above, see Form T1206) 417 293,223
Working Income Tax Benefit (WITB) advance payments received (box 10 on the RC210 slip) 415
dditional tax on RESP accumulated income payments (attach Form T1172) 418
Net federal tax: add lines 52 to 54.
Enter this amount on line 420 of your return. 420 293,223
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ame: Christine Templeman SIN: 121 511 471
T1-2009 ScheduleStatement of Investment Income
tate the names of the payers below and attach any information slips you received.
ttach a copy of this schedule to your return.
- Taxable amount of dividends (eligible and other than eligible) from taxable
Canadian corporation (see line 120 in Help)
Taxable amount of dividends other than eligible dividends (specify):
Amounts from information slips (see S4-SUPP)
Add lines 1 to 3 and enter this amount on line 180 of your return. 180
Taxable amount of eligible dividends (specify):
Amounts from information slips (see S4-SUPP) 44271
Add lines 4 to 7 and enter this amount on line 120 of your return. 120 44271
- Interest and other investment income (see line 121 in Help)
Specify:
Amounts from information slips (see S4-SUPP) 80299
Income from foreign sources:
Amounts from information slips (see S4-SUPP)
Enter this amount on line 121 of your return. 121 80299
I - Net partnership income (loss) (see line 122 in Help)
Amounts from T5013 slips
Enter this amount on line 122 of your return. 122
V - Carrying charges and interest expenses (see line 221 in Help)
Amounts from T5013 slips
Interest on money borrowed to earn interest, dividend and royalty income
Interest on money borrowed to acquire an interest in a limited partnership
or a partnership in which you are not an active partner
Enter this amount on line 221 of your return. 221
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ame: Christine Templeman SIN: 121 511 471
S4-SU
Schedule 4 - Supplementary StatementInvestment Income From Information Slips
Other Than Eligible Interest and Foreign
Eligible Dividends Dividends Other Sources
T5: Scotiabank 23107
T5: canada savings bonds 57192
T5: sun life financial 44271
TOTAL 44271 80299
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ame: Christine Templeman SIN: 121 511 471
T1-2009 ScheduleDonations and Gifts
Attach a copy of this schedule to your return along with the official receipts that support your claim. Remember, you may have
charitable donations shown on your T4 and T4A slips. See Help for more information.
Total eligible amount of charitable donations and government gifts 001,205
Enter your net income from line 236 of your return. x 75% =2438,013 9328,509
Note: If the amount on line 1 is less than the amount on line 2, enter the amount from line 1 on line 340 below and continue
completing the schedule from line 340.
Gifts of depreciable property (see Help) 3337
Gifts of capital property (see Help) 4339
Add lines 3 and 4. x 25% =
Total donations limit: add lines 2 and 5
(not to exceed the amount on line 236 of your return) 9328,509
Allowable charitable donations and government gifts
(enter the amount from line 1 or line 6, whichever is less) 340 001,205
Eligible amount of cultural and ecological gifts
(see line 349 in Help) 342
Add lines 340 and 342. 344 001,205
Enter $200, or the amount from line 344, whichever is less. x 15% =345 00200 346 0030
Line 344 minus line 345 x 29% =347 001,005 348 45291
Donations and gifts: add lines 7 and 8.
Enter this amount on line 349 of Schedule 1. 45321
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ame: Christine Templeman SIN: 121 511 471
NLT1 General -
Newfoundland and Labrador Tax and Credits
Complete this form and attach a copy of it to your return. For details, see Help.
Step 1 - Newfoundland and Labrador non-refundable tax creditsFor internal use only 5600
asic personal amount claim $7,778 15804 007,778
ge amount (if born in 1944 or earlier) (maximum $3,655) 25808
pouse or common-law partner amount
Base amount 006,992
Minus: his or her net income
(maximum $6,356)Result: (if negative, enter "0") 35812
mount for an eligible dependant 45816
mount for infirm dependants age 18 or older 55820
Canada Pension Plan or Qubec Pension Plan contributions:
(amount from line 308 of your federal Schedule 1) 65824 671,942
(amount from line 310 of your federal Schedule 1) 75828
mployment Insurance premiums (amount from line 312 of your federal Schedule 1) 85832 79731
doption expenses 95833
ension income amount (maximum $1,000) 105836
Caregiver amount 115840
Disability amount (for self) 125844
Disability amount transferred from a dependant 135848
nterest paid on your student loans (amount from line 319 of your federal Schedule 1) 145852
our tuition and education amounts [attach Schedule NL(S11)] 155856
uition and education amounts transferred from a child 165860
mounts transferred from your spouse or
ommon-law partner [attach Schedule NL(S2)] 175864
Medical expenses from line 330 of your federal Schedule 1 185868
Enter $1,694 or 3% of net income
from line 236 of your return, whichever is less. 19401,140
Line 18 minus line 19 (if negative, enter "0") 20
llowable amount of medical expensesor other dependants (see Help) 215872
dd lines 20 and 21. 225876
dd lines 1 to 17 and 22, plus line 8 of RC269. 5880 4610,452 4610,452
on-refundable tax credit rate 7.7%
Multiply line 23 by line 24. 5884 84804
Donations and gifts:
Amount from line 345 of your federal Schedule 9 x 7.7% = 2600200 4015
Amount from line 347 of your federal Schedule 9 x 15.5% = 27001,005 78155
dd lines 26 and 27. 5896 18171 18171
dd lines 25 and 28.
nter this amount on line 41. Newfoundland and Labrador non-refundable tax credits 6150 02976
Go to Step 2
on the next page
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ame: Christine Templeman SIN: 121 511 471
NLPage
Step 2 Newfoundland and Labrador tax on taxable income
nter your taxable income from line 260 of your return. 2438,013
se the amount at line 30 to determine which ONE of the If line 30 is
ollowing columns you have to complete. If line 30 is more than $31,061, but If line 30 is more
$31,061 or less not more than $62,121 than $62,121
nter the amount from line 30 in the applicable column. 31 312438,013
32 32000 0031,061 0062,121
ine 31 minus line 32 (cannot be negative) 33 33246,952
7.7% 34 12.8% 34 15.5%
Multiply line 33 by line 34. 35 3589889
36 36000 002,392 006,367
Newfoundland and Labrador
dd lines 35 and 36. tax on taxable income 37 37893,281
Go to Step 3 Go to Step 3 Go to Step 3
Step 3 - Newfoundland and Labrador tax
nter your Newfoundland and Labrador tax on taxable income from line 37. 893,281
nter your Newfoundland and Labrador tax on split income from Form T1206. 6151
dd lines 38 and 39. 893,281
nter your Newfoundland and Labrador non-refundable tax credits from line 29. 4102976
L dividend tax credit:
Credit calculated 426152 4726
L overseas employment tax credit:
Amount from line 426 of federal Schedule 1 x 51.3% = 436153
L minimum tax carryover:
Amount from line 427 of federal Schedule 1 x 51.3% = 446154
dd lines 41 to 44. 491,002 491,002
ine 40 minus line 45 (if negative, enter "0") 402,279
L additional tax for minimum tax purposes:
Amount from line 117 of Form T691 x 51.3% =dd lines 46 and 47. 402,279
nter the provincial foreign tax credit from Form T2036.
ine 48 minus line 49 (if negative, enter "0") 402,279
olitical contribution tax credit
ewfoundland and Labrador political contributions made in 2009 516175
Credit calculated for line 52 on the Provincial Worksheet (maximum $500)
ine 50 minus line 52 (if negative, enter "0") 402,279
abour-sponsored venture capital tax credit
nter the credit amount from the Certificate(s) NL LSVC-1 (see Help). 6176ine 53 minus line 54 (if negative, enter "0") 402,279
Direct equity tax credit
nter the direct equity tax credit from Form T1272.
ine 55 minus line 56 (if negative, enter "0") 402,279
L resort property investment tax credit
nter the resort property investment tax credit from Form T1297.
ine 57 minus line 58 (if negative, enter "0") 402,279
Continue on the next pag
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8/3/2019 Christine Submit Cra09
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ame: Christine Templeman SIN: 121 511 471
NLPage
Step 3 - Newfoundland and Labrador tax (continued)
ewfoundland and Labrador low-income tax reduction
you had a spouse or common-law partner on December 31, 2009, you have to agree on who will claim this tax reduction.
Only one of you can claim it for your family. However, any unused amount can be claimed by the other person.
nter the amount from line 59 on the previous page. 402,279
Check this box to claim the tax reduction on your returnX
nused low-income tax reduction from your spouse or common-law partner, if applicable 6186
ine 60 minus line 61 (if negative, enter "0") 402,279
f you claimed an amount on line 61, enter "0" on line 79.)
Adjusted family income for the calculation of the Column 1 Column 2
Newfoundland and Labrador low-income tax reduction You Your spouse or
common-law
partner
Enter the net income amount from line 236 of the return. 632438,013
Total of the Universal Child Care Benefit repayment (line 213 of the return) and the
registered disability savings plan income repayment (included on line 232) 64
Add lines 63 and 64. 652438,013
Total of the Universal Child Care Benefit income (line 117 of the return) and the
registered disability savings plan income (line 125 of the return) 66
Line 65 minus line 66 (if negative, enter "0") 672438,013
Add the amounts on line 67 in column 1 and column 2, if applicable.
Enter the amount on line 74 below. Adjusted net family income 2438,013
nter the amount from line 62 above. 402,279
asic reduction claim $558 706187 00558
Reduction for your spouse orommon-law partner claim $280 716188
Reduction for an eligible dependant
aimed on line 5816 claim $280 726189
dd lines 70, 71, and 72. (maximum $838) 7300558
Adjusted family income
nter the amount from line 68 above. 742438,013
you claimed an amount on lines 71 or 72,
nter $26,625; otherwise, enter $15,911. 750015,911
ine 74 minus line 75 (if negative, enter "0") 762422,102
pplicable rate 16% 77
Multiply line 76 by line 77. 78363,536 363,536
ine 73 minus line 78 Newfoundland and Labradorf negative, enter "0") low-income tax reduction
ine 69 minus line 79 (if negative, enter "0")
nter the result on line 428 of your return. Newfoundland and Labrador tax 402,279
Unused low-income tax reduction that can be claimed by your spouse or common-law partner
Amount from line 79
Amount from line 60 402,279
Line 81 minus line 82 (if negative, enter "0") Unused amount
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8/3/2019 Christine Submit Cra09
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ame: Christine Templeman SIN: 121 511 471
Direct Deposit Request - Individuals T1-DD (se this form to start direct deposit the following amounts:
. your income tax refund, goods and services tax/harmonized sales tax credit (GST/HST) including certain related provincial payments,Working Income Tax Benefit advance payments (WITB), and any other deemed overpayment of tax to which you are entitled or to which
you may become entitled;
. your Canada Child Tax Benefit (CCTB) payments including certain related provincial and territorial payments; and
. your Universal Child Care Benefit payments.lso use this form to change information you already provided to the Canada Revenue Agency. See Help for more information.
IdentificationFirst name and initial Last name Your SIN
Christine Templeman 121 511 471
Mailing address: Apt. No. - Street No. Street name
Is this a new address?18 Ways Rd
PO Box Yes 1 No 2X
If yes, enterP.O. Box 1069
City Prov./Terr. Postal code the date you moved.
Bonavista NL A0C 1B0
Check the box(es) below to show your choice(s).
Income tax refund, GST/HST credit, WITB advance payments, and any other deemed overpayment of tax
Check this box to have your income tax refund, GST/HST credit, WITB advance payments, and any other deemed overpayment of taxX
deposited into your bank account held in Canada. Attach a blank cheque with the banking information encoded on it and write "VOID"
across the front, or complete the banking information area below (see the example in Help).
Branch number Institution number Account number
(5 digits) (3 digits) (maximum 12 digits)
460 461 46240543 002 0087122
Canada Child Tax Benefit (CCTB)463 Check this box to have your CCTB payments deposited into the same bank account held in Canada as your income tax refund,X
GST/HST credit, WITB advance payments, and any other deemed overpayment of tax.
Check this box to have your CCTB payments deposited into a different bank account held in Canada.
Attach a blank cheque with the banking information encoded on it and write "VOID - CCTB" across the
front, or complete the banking information area below (see the example in Help).
Branch number Institution number Account number
(5 digits) (3 digits) (maximum 12 digits)
471 472 473
Universal Child Care Benefit (UCCB)491 Check this box to have your UCCB payments deposited into the same bank account held in Canada as your income tax refund,
GST/HST credit, WITB advance payments, and any other deemed overpayment of tax.
492 Check this box to have your UCCB payments deposited into the same bank account held in Canada as your CCTB payments.
Check this box to have your UCCB payments deposited into a different bank account held in Canada.
Attach a blank cheque with the banking information encoded on it and write "VOID - UCCB" across the
front, or complete the banking information area below (see the example in Help).
Branch number Institution number Account number
(5 digits) (3 digits) (maximum 12 digits)
493 494 495
CertificationI, as the person entitled to receive the payments, authorize the Receiver General to deposit the payments described above into the above-noted bank
account(s) until further notice.
Signature Telephone number Date
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8/3/2019 Christine Submit Cra09
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ame: Christine Templeman SIN: 121 511 471
OTH
Other Income, Deductions and Credits
Other Income - Line 130
T4A - Box 18: Lump sum payments
T4A - Box 24: Annuities (non-qualifying)
T4A - Box 26: Eligible retiring allowances
T4A - Box 27: Non-eligible retiring allowances
T4A - Box 28: Other income - Scholarships
Less: Tax exemption
Taxable portion of scholarships =
T4A - Box 28: Revoked Deferred Profit Sharing Plan
T4A - Box 28: Disability benefits from a superannuation or pension plan
T4A - Box 28: Tax deferred cooperative share
T4A - Box 28: Apprenticeship incentive or completion grant
T4A - Box 28: Variable pension benefits
T4A - Box 28: Periodic payments from an unregistered plan
T4A - Box 28: Tax-Free Savings Account (TFSA) taxable amount
T4A - Box 28: Other income - Other
T4A - Box 30: Patronage allocations due to business purchases
T4A - Box 40: RESP accumulated income payments
T4A - Box 42: RESP educational assistance payments
T4A-RCA - Statement of distribution from an RCA
T3 - Box 22: Lump sum pension benefits
T3 - Box 25: Foreign non-business income - Other
T3 - Box 26: Other income
T4A - Box 28: Other income - Death benefits
T3 - Box 35: Eligible death benefits +
Less: Tax exemption
Taxable portion of death benefits =
T4RIF - Box 16: Taxable amounts (non-qualifying)
T4RIF - Box 18: Deemed receipt by annuitant - Deceased
T4RIF - Box 20: Deemed receipt by annuitant - Deregistration
T4RIF - Box 22: Other income
T5013 - Box 30: Other incomeNegative balances from Canadian resource expenditure pools (form T1229)
Other income from foreign slips
Other:
Total Other Income - to line 130 of your return
Other Deductions - Line 232
Undeducted and excess RRSP contributions (line 11, Form T746)
Undeducted RRSP contributions withdrawn (using form T3012A)
Legal/Acctg. exp. to appeal income tax assess. or respond to CRA reviews
Legal expenses relating to support paymentsDeduction under section 20(11)
Deduction under section 20(12)
Canada or Qubec pension plan benefits paid back
Old age security paid back (Box 20 of T4A(OAS) slip)
Net federal supplements paid back
Employment insurance benefits paid back (Box 30 of T4E slip)
Registered disability savings plan (RDSP) income repayment
Scholarships paid back
Shareholder's loan amounts paid back
Continued on page 2
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8/3/2019 Christine Submit Cra09
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ame: Christine Templeman SIN: 121 511 471
OTH
Page 2
Other Deductions - Line 232, continued
Canadian motion picture film and videotape write-offs
RCA deductions under subsection 60(t) and 60(u)
Split income of a child under 18 (from Form T1206)
T4RIF - Box 22: Other deductions
T4RSP - Box 28: Other deductions
Depletion allowances (from Form T1229)
Post-death decrease in the value of an unmatured RRSP or a RRIF
Other:
Total Other Deductions - to line 232 of your return
Additional Deductions - Line 256
Non-taxable tuition assistance (Box 21 of T4E slip)
Vow of perpetual poverty
Exempt portion (15%) of U.S. social security benefits
Other income exempt under a tax treaty
Other income exempt under a tax treaty - from slips
Employment with a prescribed international organization
Other:
Total Additional Deductions - to line 256 of your return
Total Income Tax Deducted - Line 437
From all information slips 778,444Plus T1032 line N - pension transferee
Subtotal 778,444
Less T1032 line N - pensioner
Total 778,444