,transcrib]'s note3
  7,front page7

,canada ,rev5ue ,ag5cy

         ,/ate;t ( ,tru/ ,9come
         ,alloc,ns & ,design,ns
    
                              ,t#c 7#aa7

,ye> ----
7#di7 ,actual am.t ( eligi# divid5ds
  4#----
7#ej7 ,taxa# am.t ( eligi# divid5ds
  4#----
7#ea7 ,divid5d tax cr$it = eligi#
  divid5ds 4#----
7#bc7 ,actual am.t ( divid5ds o!r ?an
  eligi# divid5ds 4#----
7#cb7 ,taxa# am.t ( divid5ds o!r ?an
  eligi# divid5ds 4#----
7#ci7 ,divid5d tax cr$it = divid5ds o!r
  ?an eligi# divid5ds 4#----
7#ba7 ,capital ga9s 4#----
                                      #a
                  ,t#c
7#cj7 ,capital ga9s eligi# = deduc;n
  4#----
7#bf7 ,o!r 9come 4#----

,tru/ ye> 5d
  ,ye> ----
  ,mon? ----

,o!r 9=m,n 7see ! back7
  ,box ----
  ,am.t 4#----
,footnotes ----
,tru/'s "n & a4ress ----
,recipi5t's "n 7la/ "n f/7 & a4ress ----

7#ab7 ,recipi5t id5tific,n numb] ----
7#ad7 ,a3.t numb] ;,t----
7#af7 ,report code ----
7#ah7 ,b5efici>y code ----
,= 9=m,n1 see ! back4

,important
  ,= 9/ruc;ns on h[ 6-plete ? =m1 pl1se
  see rev]se4                         #b
                  ,t#c
,transcrib]'s note3
  7,back page7

          ,h[ ,6,-plete ,? ,=m
    
  ,y c use ? =m :e!r y file 0pap] or
electronic m$ia4 ,= m 9=m,n on h[
6-plete ? slip1 see ,guide ,t#djac1 ,t#c
,tru/ ,guide4
  ..,:5 fil+ 0.pap]3 ,y h 6produce "o
copy =! ,canada ,rev5ue ,ag5cy 7,,cra71
.two copies =! b5efici>y1 & "o copy
7op;nal7 = yr records4 ,use a sep>ate
%eet =! two copies y >e giv+ 6! recipi5t
&! copy y >e keep+ 9 yr records4 ,pr9t !
,,cra copy & s5d x 6u )! ,t#c return &
,t#c ,summ>y4 ,use "o %eet 6pr9t ! slips
= ?ree b5efici>ies4

           ,fil+ electronic,y
    
  ,if y file yr ,t#c slips onl9e1 y c
*oose "o (! foll[+ electronic fil+
=mats3                                #c
            ,h[ 6-plete ? =m
    --,9t]net file transf] 7,,xml72 or
    --,web =ms4
  ,= m 9=m,n ab fil+ electronic,y1 g
6_+www.cra.gc.ca/iref/_:4

  ,privacy ,act1 ,p]sonal ,9=m,n ,bank
numb] ,,cra ,,ppu #jae

       ,keep a copy ( ? slip = yr
     records & atta* ! o!r copy 6yr
                return4
    
  ,! l9es ref]r$ 6on ? slip >e 9 ! ,t#a
9come tax package4 ,= m 9=m,n on h[
6report yr 9come1 see yr tax guide4

,boxes #bc1 #cb1 #ci1 #di1 #ej1 #ea--
  ,divid5ds f ,canadian corpor,ns--,!
  am.ts y h 6report z 9come >e ! am.ts
  %[n 9 box #cb & box #ej4 ,9clude !
  total ( ^! am.ts on l9e #abj ( yr
  return4 ,al1 9clude ! am.t %[n 9 box
  #cb on l9e #ahj ( yr return4 ,! f$]al
  divid5d tax cr$it 6: y >e 5titl$    #d
         ,keep a copy ( ? slip
  is ! total ( box #ci & box #ea4
  ,9clude ? am.t on l9e #dbe ( ,s*$ule
  #a4
,box #ba ,capital ga9s--,subtract any
  am.t 9 box #cj f ! am.t 9 box #ba4
  ,9clude ! di6];e on l9e #agf ( ,s*$ule
  #c4 ,all or "p (! am.t 9 box #ba may 2
  =eign non-busi;s 9come1 : w 2
  footnot$4 ,9clude any footnot$ am.t =
  =eign non-busi;s 9come on l9e #dcc on
  ,=m ,t#bbji1 ,f$]al ,=eign ,tax
  ,cr$its4
,box #cj ,capital ga9s eligi# = deduc;n
  --,9clude ! footnot$ am.ts = qualifi$
  small busi;s corpor,n %>es1 qualifi$
  f>m or fi%+ prop]ty on ! relevant l9es
  ( ,s*$ule #c4
,box #bf ,o!r 9come--,subtract any am.t
  9 box #ca f ! am.t 9 box #bf4 ,9clude
  ! di6];e on l9e #acj ( yr return4
  ,9clude any footnot$ am.t = eligi#
  capital prop]ty on l9e #agc ( ,s*$ule
  #c4
                                      #e
         ,keep a copy ( ? slip
,box #ab ,recipi5t id5tific,n numb]--,y
  h 6give yr social 9sur.e numb] or
  busi;s numb] 6! prep>] ( ? slip4 ,if ?
  box is blank1 pl1se provide yr numb]
  6! prep>] z soon z possi#4
,box #bb--,lump-sum p5.n 9come--,9clude
  ? am.t on l9e #acj ( yr return4 ,?
  am.t may 2 transf]r$ 6an ,,rrsp or
  ,,rpp4 ,= m 9=m,n1 see ,guide ,t#djdj1
  ,,rrsp's & ,o!r ,regi/]$ ,plans =
  ,retire;t4
,box #bd--,=eign busi;s 9come--,9clude ?
  am.t on l9e #ace ( yr return & on ,=m
  ,t#bbji1 ,f$]al ,=eign ,tax ,cr$its4
,box #be--,=eign non-busi;s 9come--
  ,9clude ? am.t on l9e #aba ( yr return
  & on l9e #dcc on ,=m ,t#bbji4
,box #ca--,qualify+ p5.n 9come--,9clude
  ? am.t on l9e #aae ( yr return & 9 !
  calcul,n = l9e #cad ( ,s*$ule #a4
,box #cc--,=eign busi;s 9come tax pd--
  ,9clude ? am.t on l9e #d ( ,=m
  ,t#bbji1 ,f$]al ,=eign ,tax ,cr$its4
                                      #f
         ,keep a copy ( ? slip
,box #cd--,=eign non-busi;s 9come tax pd
  --,9clude ? am.t on l9e #a ( ,=m
  ,t#bbji1 ,f$]al ,=eign ,tax ,cr$its4
,box #ce--,eligi# d1? b5efits--,? am.t
  is 9clud$ 9 box #bf4 ,y may 2 a#
  6exclude up 64#aj1jjj f 9come4 ,see
  l9e #acj 9 yr tax guide = details4
,box #cg--,9sur.e segregat$ fund net
  capital losses--,9clude ? loss on l9e
  #agf ( ,s*$ule #c4
,box #ch--,"p ,,xii4#b tax cr$it--
  ,9clude ? am.t on l9e #def ( yr
  return4
,boxes #dj & #da--,9ve/;t tax cr$it--
  ,9clude ^! am.ts on ,=m ,t#bjch7,,9d71
  ,9ve/;t ,tax ,cr$it 7,9dividuals74 ,!
  9ve/;t code %d 2 id5tifi$ z a footnote
  on ? slip4
,box #db--,am.t result+ 9 co/ base
  adju/;t--,? am.t repres5ts a 4tribu;n
  or return ( capital f ! tru/4 ,foll[ !
  9/ruc;ns 9 ! footnote >ea & adju/ !
  co/ base (! prop]ty at ! 5d (! tax
  ye>4 ,= m 9=m,n1 see ,9=m,n         #g
         ,keep a copy ( ? slip
  ,,rc#dafi1 ,tax ,tr1t;t ( ,mutual
  ,funds = ,9dividuals4
,box #de--,o!r cr$its--,9clude !
  footnot$ am.t on ,=m ,t#aabi =
  ,newf.dl& & ,labrador or ,=m ,t#abcb =
  ,yukon1 :i*"e applies4
,box #df--,p5.n 9come qualify+ = an
  eligi# annu;y =a m9or--,? am.t is alr
  9clud$ 9 box #bf4 ,= m 9=m,n1 see
  ,guide ,t#djdj1 ,,rrsp's & ,o!r
  ,regi/]$ ,plans = ,retire;t4
,box #dg--,retir+ all[.e qualify+ =
  transf] 6an ,,rpp or ,,rrsp--,? am.t
  is alr 9clud$ 9 box #bf4 ,= m 9=m,n1
  see ,guide ,t#djdj1 ,,rrsp's & ,o!r
  ,regi/]$ ,plans = ,retire;t4
,box #dh--,eligi# am.t ( *>ita# don,ns--
  ,dep5d+ on ! type ( don,n1 9clude ?
  am.t on l9e #ccg1 #cci1 #cdj1 or #cdb
  ( ,s*$ule #i1 :i*"e applies4



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