T4SUM Summary of Remuneration Paid

T4 Summary details

You have to file your T4 information return on or before the last day of February. See the information on the back of this form.

For the year ending December 31

YYYY

Employer's account number

Name and address of employer

Name

Street address

Street address

City

Province

Country

Postal Code

Total number of T4 slips filed

Code box 88

Employment income

Code box 14

Registered pension plan (RPP) contributions

Code box 20

Pension adjustment

Code box 52

Employees' CPP contributions

Code box 16

Employer's CPP contributions

Code box 27

Employees' EI premiums

Code box 18

Employer's EI premiums

Code box 19

Income tax deducted

Code box 22

Total deductions reported (16 + 27 + 18 + 19 + 22)

Code box 80

Minus: remittances

Code box 82

Difference (Generally, we do not charge or refund a difference of $2 or less.)

Overpayment

Code box 84

Balance due

Code box 86

Amount enclosed

Canadian-controlled private corporations or unincorporated employers

SIN of the proprietor(s) or principal owner(s)

Code box 74

SIN of the proprietor(s) or principal owner(s)

Code box 75

Person to contact about this return

Code box 76

Area code - Telephone number

Code box 78

Extension

Certification

I certify that the information given in this T4 return (T4 Summary and related T4 slips) is, to the best of my knowledge, correct and complete.

Date

Signature of authorized person

Position or office