T1-2009 
 
5000-S5 
 
Schedule 5 
 
Details of Dependant 
 
See the guide to find out if you can claim an amount on lines 305, 306, 315, 
and/or 331 of Schedule 1. To calculate the amount you claim on line 306 or 
315, complete the applicable chart on the federal worksheet, which you will 
find in the forms book. To calculate the amount for line 331, read the 
instructions for line 331 in the guide. For each dependant claimed on lines 
305, 306,315, and/or 331, provide the details requested below. Attach a copy 
of this schedule to your return. 
 
Line 305 - Amount for an eligible dependant (Month/Day) ^
 
If your marital status changed in 2009, give the date of the change. 
 
(Do not forget to tick the box (entered Yes) on page 1 of your return to 
indicate your marital status.) 
 
Last name ^
First name ^
Address ^
Date of birth (Year/Month/Day) ^
Relationship to you ^
Net income in 2009 ^
Nature of the impairment (if it applies) ^
Amount of claim ^
 
Lines 306, 315, and/or 331 - Attach a separate sheet of paper if you need 
more space. 
 
Line 1 
Last name ^
First name ^
Address ^
Year of birth ^
Relationship to you ^
Net income in 2009 ^
Nature of the impairment (if it applies) ^
Line claimed ^
Amount of claim ^
 
Line 2 
Last name ^
First name ^
Address ^
Year of birth ^
Relationship to you ^
Net income in 2009 ^
Nature of the impairment (if it applies) ^
Line claimed ^
Amount of claim ^
 
Total (add all entries for Amount of claim) ^