*** Transcriber's Note: Please set your voice synthesizer to read most punctuation. When you encounter the caret sign at the end of a line, please enter the applicable information, if necessary. *** T776 E (11) (Front) Canada Revenue Agency STATEMENT OF REAL ESTATE RENTALS For more information on how to complete this statement, see Guide T4036, Rental Income. Code: 1 Identification Your name ^ Your social insurance number (enter 9-digit number) ^ For the period from: (Year/Month/Day) ^ to: Year ^ Month 12 Day 31 Was this the final year of your rental operation? Yes or No ^ Name and address of person or firm preparing this form ^ Partnership Business Number (9 digits) ^ Tax shelter identification number ^ Account Number (15 characters) ^ Your percentage of ownership % ^ Industry code 531111 *** Transcriber's Note: Enter as many lines as necessary. *** Details of other co-owners and partners Co-owner or partner's name and address ^ Share of net income or (loss) $^ Percentage of ownership (%) ^ Co-owner or partner's name and address ^ Share of net income or (loss) $^ Percentage of ownership (%) ^ Co-owner or partner's name and address ^ Share of net income or (loss) $^ Percentage of ownership (%) ^ Income *** Transcriber's Note: Enter as many lines as necessary for the following. *** Address of property ^ Number of units ^ Gross rents ^ Line 8141: Enter the total of your gross rents ^ Line 8230: Other related income (for example, premiums and leases, sharecropping) ^ Line a and line 8299: Gross rental income - (enter this amount on line 160 of your income tax and benefit return) ^ Expenses Line 8521: Advertising Total expense ^ Personal portion ^ Line 8690: Insurance Total expense ^ Personal portion ^ Line 8710: Interest Total expense ^ Personal portion ^ Line 8810: Office expenses Total expense ^ Personal portion ^ Line 8860: Legal, accounting, and other professional fees Total expense ^ Personal portion ^ Line 8871: Management and administration fees Total expense ^ Personal portion ^ Line 8960: Maintenance and repairs Total expense ^ Personal portion ^ Line 9060: Salaries, wages, and benefits (including employer's contributions) Total expense ^ Personal portion ^ Line 9180: Property taxes Total expense ^ Personal portion ^ Line 9200: Travel Total expense ^ Personal portion ^ Line 9220: Utilities Total expense ^ Personal portion ^ Line 9281: Motor vehicle expenses (not including capital cost allowance) Total expense ^ Personal portion ^ Line 9270: Other expenses Total expense ^ Personal portion ^ Line 9949: Total Total expense ^ Personal portion ^ Line b: Deductible expenses (total expenses minus personal portion) ^ Line 9369: Net income (loss) before adjustments (line a minus line b) ^ Line c: Co-owners - Your share of line 9369 above ^ Line 9945: Minus: Other expenses of the co-owner ^ Subtotal ^ Line 9947: Plus: Recaptured capital cost allowance (co-owners - enter your share of the amount) (see Chapter 3) ^ Subtotal ^ Line 9948: Minus: Terminal loss (co-owners - enter your share of the amount) (see Chapter 3) ^ Subtotal ^ Line 9936: Minus: Capital cost allowance (from Area A on page 2) ^ Line d: Net income (loss) - If you are a sole proprietor or a co-owner, enter this amount on line 9946 ^ Line e: Partnerships - Your share of line d above or the amount from slip T5013 or T5013A ^ Line 9974: Plus: GST/HST rebate for partners received in the year ^ Line 9943: Minus: Other expenses of the partner ^ Line 9946: Your net income (loss) (enter this amount on line 126 of your income tax and benefit return) ^ T776 E (11) (Back of Form) Area A – Calculation of capital cost allowance claim Column 1: Class number ^ Column 2: Undepreciated capital cost (UCC) at the start of the year ^ Column 3: Cost of additions in the year (see areas Band C below) ^ Column 4: Proceeds of dispositions in the year (see areas D and E below) ^ Column 5: UCC after additions and dispositions (column. 2 plus column. 3 minus col. 4) ^ Column 6: Adjustment for current-year additions (one-half multiplied by (column. 3 minus column. 4)). If negative, enter "0" ^ Column 7: Base amount for capital cost allowance (column. 5 minus column. 6) ^ Column 8: Rate% ^ Column 9: CCA for the year (column. 7 multiplied by col. 8 or a lesser amount) ^ Column 10: UCC at the end of the year (column 5 minus column. 9) ^ Total CCA claim for the year ** * If you have a negative amount in this column, add it to income as a recapture under "Recaptured capital cost allowance" on line 9947 on page 1 of this form. If there is no property left in the class and there is a positive amount in the column, deduct the amount from income as a terminal loss under "Terminal loss" on line 9948 on page 1 of this form. For more information, read Chapter 3 of Guide T4036, Rental Income. ** Sole proprietors and partnerships: Enter the total claim on line 9936 on page 1 of this form. Co-owners: Enter only your share of the total claim on line 9936. Column 1: Class number ^ Column 2: Property details ^ Column 3: Total cost ^ Column 4: Personal portion (if applicable) ^ Column 5: Rental portion (Column 3 minus Column 4) ^ Line 9925: Total equipment and other property additions in the year ^ Area C - Details of building and leasehold interest additions in the year Column 1: Class number ^ Column 2: Property details ^ Column 3: Total cost ^ Column 4: Personal portion (if applicable) ^ Column 5: Rental portion (Column 3 minus Column 4) ^ Line 9927: Total building additions in the year ^ Area D - Details of equipment and other property dispositions in the year Column 1: Class number ^ Column 2: Property details ^ Column 3: Proceeds of disposition (should not be more than the capital cost) ^ Column 4: Personal portion (if applicable) ^ Column 5: Rental portion (Column 3 minus Column 4) ^ Line 9926: Total equipment and other property dispositions in the year Note: If you disposed of rental property in the year, see Chapter 3 in Guide T4036, Rental Income, for information about your proceeds of disposition. Area E - Details of building and leasehold interest dispositions in the year Column 1: Class number ^ Column 2: Property details ^ Column 3: Proceeds of disposition (should not be more than the capital cost) ^ Column 4: Personal portion (if applicable) ^ Column 5: Rental portion (Column 3 minus Column 4) ^ Line 9928: Total building dispositions in the year ^ Note: If you disposed of rental property in the year, see Chapter 3 in Guide T4036, Rental Income, for information about your proceeds of disposition. Area F – Details of land additions and dispositions in the year Line 9923: Cost of all land additions in the year ^ Line 9924: Proceeds from all land dispositions in the year ^ Privacy Act, Personal Information Bank number CRA PPU 005