*** 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. *** TD1MB-WS E (12) (Front) Manitoba WORKSHEET FOR THE 2012 MANITOBA PERSONAL TAX CREDITS RETURN Complete this worksheet if you want to calculate partial claims for the following amounts on Form TD1MB, 2012 Manitoba Personal Tax Credits Return. Do not give your completed worksheet to your employer or payer. Keep it for your records. Line 2 of Form TD1MB - Age amount If you will be 65 or older on December 31, 2012, and your estimated net income from all sources will be between $27,749 and $52,602, calculate your partial claim as follows: Line 1: Maximum amount 3,728.00 Line 2: Your estimated net income for the year ^ Line 3: Base amount 27,749.00 Line 4: Line 2 minus line 3 (if negative, enter "0") = ^ Line 5: Applicable rate 15% Line 6: Multiply line 4 by line 5. = ^ Line 7: Line 1 minus line 6 = ^ Enter this amount on line 2 of Form TD1MB. Line 8 of Form TD1MB - Caregiver amount If your dependant's estimated net income for the year will be between $12,312 and $15,917, calculate your partial claim as follows: Line 1: Base amount 15,917.00 Line 2: Your dependant's estimated net income for the year ^ Line 3: Line 1 minus line 2 (maximum $3,605) = ^ Line 4: Enter the amount you claimed on line 7 of your TD1MB form for this dependant. ^ Line 5: Line 3 minus line 4 = ^ Enter this amount on line 8 of Form TD1MB. Line 9 of Form TD1MB - Amount for infirm dependants age 18 or older You cannot claim this amount for a dependant for whom you claimed the caregiver amount on line 8 of Form TD1MB. If your dependant's estimated net income for the year will be between $5,115 and $8,720, calculate your partial claim as follows: Line 1: Base amount 8,720.00 Line 2: Your infirm dependant's estimated net income for the year ^ Line 3: Line 1 minus line 2 (maximum $3,605) = ^ Line 4: Enter the amount you claimed on line 7 of your TD1MB form for this dependant. ^ Line 5: Line 3 minus line 4 = ^ Enter this amount on line 9 of Form TD1MB. Continue on the next page TD1MB-WS E (12) (Back) WORKSHEET FOR THE 2012 MANITOBA PERSONAL TAX CREDITS RETURN (continued) Line 12 of your Form TD1MB - Manitoba Family Tax Benefit Line 1: Basic benefit 2,065.00 Line 2: Age benefit for self - If you claimed an amount on line 2 of Form TD1MB, enter $2,065 ^ Line 3: Disability benefit for self - If you claimed an amount on line 5 of Form TD1MB, enter $2,752 ^ Line 4: Basic benefit for a dependent spouse or common-law partner If you claimed an amount on line 6 of Form TD1MB, enter $2,065 ^ Line 5: Basic benefit for an eligible dependent if you claimed an amount on line 7 of Form TD1MB, enter $2,065 ^ Line 6: Benefit for disabled dependants - Number of dependants for whom you claimed an amount on line 9 of Form TD1MB: ^ Multiplied by $2,752 = ^ Line 7: Benefit for dependent children born in 1994 or later - Number of children excluding those you claimed on line 7 or 9 of Form TD1MB: ^ Multiplied by $2,752 = ^ Line 8: Age benefit for spouse or common-law partner - If you claimed the unused age amount of your spouse or common-law partner on line 10 of Form TD1MB, enter $2,065 ^ Line 9: Disability benefit for spouse or common-law partner - If you claimed the unused disability amount of your spouse or common-law partner on line 10 of Form TD1MB, enter $2,752 ^ Line 10: Disability benefit for dependents - Number of dependents for whom you claimed an unused disability amount on line 11 of Form TD1MB: ^ Multiplied by $2,752 = ^ Line 11:: Add lines 1 to 10 = ^ Line 12: Enter your estimated net income for the year: ^ Multiplied by 9% = ^ Line 13: Line 11 minus line 12 (if negative, enter "0"). Enter this amount on line 12 of Form TD1MB = ^