5012-TC T1 General - 2011 NT479 Northwest Territories Credit Complete the calculation below, and attach a copy of this form to your return. For more information, see the related line in the forms book. Cost of living tax credit Adjusted net income Line 1: Enter the net income from line 236 of your return. ^ Line 2: Enter the total of amounts claimed on line 244 and line 250 of your return. ^ Line 3: Line 1 minus line 2 (if negative, enter "0") = ^ Line 4 and line 6054: Enter the amount claimed for foreign income from line 256 of your return that is exempt under a tax treaty. ^ Line 5: Line 3 minus line 4 (if negative, enter "0") Adjusted net income = ^ Basic credit for self If your adjusted net income (line 5) is less than $66,000, complete the calculation for line 6250 on the Territorial Worksheet in this book. If the amount at line 5 is $66,000 or more, enter $942 on line 6. Line 6 and line 6250: Credit calculated for line 6250 on the Territorial Worksheet Basic credit for self (maximum $942) ^ Cost of living supplement If, on December 31, 2011, you were 18 years of age or older, you may be entitled to a supplement to the cost of living tax credit. If you were under 18 years of age, enter "0" on line 13 and continue on line 14. If you had a spouse or common-law partner on December 31, 2011, only one of you can claim the cost of living tax credit supplement for your family. If your spouse or common-law partner claimed the supplement for your family, enter "0" on line 13 and continue on line 14. Line 7: Basic supplement for self 350.00 Line 8 and line 6247: If, on December 31, 2011, you had a spouse or common- law partner, enter $350. Otherwise, enter "0". ^ Line 9: Add lines 7 and 8. = ^ Line 10: Enter the basic credit for self from line 6. ^ Line 11 and 6248: If, on December 31, 2011, you had a spouse or common-law partner, enter the "Basic credit for self" from his or her Form NT479. Otherwise, enter "0". ^ Line 12: Add lines 10 and 11. = ^ Line 13 and line 6249: Line 9 minus line 12 (if negative, enter "0") Cost of living supplement = ^ Line 14 and line 6251: Add lines 6 and 13 (maximum $942). Northwest Territories credit = ^ Enter the result on line 479 of your return. Privacy Act, Personal Information Bank number CRA PPU 005