Identification

Province

  

Taxpayer

Spouse

Children

Age

Healthy/Infirm/Disabled
Income

Total income

Employment Income
Old Age Security pension
CPP retirement or disability pension
Eligible pension income
UCCB
Employment insurance benefits
Eligible dividends (actual amount received from a Canadian Public corporation)
Other than eligible dividends (actual amount received from a CCPC)
Dividend gross up
Other Ordinary Income: Interest, Non-eligible Pension, etc.
Capital gains (actual gain)
Non-taxable portion
Self-employment income (bus., prof., farm., fish.)

Total income
Deductions
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Net income

RRSP deduction
Canada Pension Plan contributions on self employment earnings
Union or like dues
Moving expenes
Spousal support paid
Carrying charges
Employment expenses
Other deductions
Social benefit repayment (EI / OAS)

Net income

Taxable income

Security options deduction
Other payments deduction
Losses of other years
Northern residents deduction
Other deductions from net income

Taxable income
Federal Tax and Credits
Federal tax

Federal non-refundable tax credits

Basic personal amount
Age amount
Spouse or eligible dependant infirm?
Dependent children under 18 ( - infirm)
CPP contributions
EI premiums
Canada employment amount
Pension income amount
Disability amount
Transferred from spouse
Tuition and Education/Textbook amount
Other personal amounts

Total

x Credit rate:

Total federal non-refundable credits
Donations and gifts        First Time Donor
Donation credit
Dividend tax credit
Labour Sponsored Funds tax credit
CPP contributions payable on self employment
Social benefit repayment (EI / OAS)
Family Tax Cut
 $0.00 $0.00

Net federal tax
Ontario Tax and Credits
Provincial tax

Provincial non-refundable tax credits

Basic personal amount
Age amount
Spouse or eligible dependant
CPP contributions
EI premiums
Pension income amount
Disability amount
Tuition and Education/Textbook Amount
Transferred from spouse
Other personal amounts

Total

x Credit rate:

Total provincial non-refundable credits
Donation credit
Dividend tax credit
Provincial surtax (plus OHP)

Net provincial tax

Summary

Taxable Income

Federal Tax

Provincial Tax

Total Payable
Tax deducted, Instalments, or Provincial or other refundable credits

Refund

Balance Owing

Combined

Estimated GST Credit

Estimated Child Tax Benefit

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