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Protected B when completed  
  Complete only the lines that apply to you, unless stated otherwise. You can find more information about the lines on this
return by going to canada.ca/line-xxxxx and replacing "xxxxx" with any five-digit line number from this return. For example,
go to canada.ca/line-10100 for information about line 10100.
 
  Step 2 – Total income
  As a resident of Canada, you need to report your income from all sources inside and outside Canada.
  Employment income (box 14 of all T4 slips) 10100  1
 
  Tax-exempt income for emergency services volunteers 10105  
 
  Commissions included on line 10100 (box 42 of all T4 slips) 10120  
 
  Wage-loss replacement contributions 10130  
 
  Other employment income 10400 +  2
 
  Old age security (OAS) pension (box 18 of the T4A(OAS) slip) 11300 +  3
 
  CPP or QPP benefits (box 20 of the T4A(P) slip) 11400 +  4
 
  Disability benefits included on line 11400 (box 16 of the T4A(P) slip) 11410  
 
  Other pensions and superannuation 11500 +  5
 
  Elected split-pension amount (complete Form T1032) 11600 +  6
 
  Universal child care benefit (UCCB) (see the RC62 slip) 11700 +  7
 
  UCCB amount designated to a dependant 11701
 
  Employment insurance (EI) and other benefits (box 14 of the T4E slip) 11900 +  8
 
  EI maternity and parental benefits, and provincial parental insurance plan
  (PPIP) benefits 11905  
 
  Taxable amount of dividends from taxable Canadian corporations (use Federal Worksheet):
  Amount of dividends (eligible and other than eligible) 12000 +  9
 
  Amount of dividends (other than eligible) 12010  
 
  Interest and other investment income (use Federal Worksheet) 12100 +  10
 
  Net partnership income (limited or non-active partners only) 12200 +  11
 
  Registered disability savings plan (RDSP) income (box 131 of the T4A slip) 12500 +  12
 
  Rental income (see Guide T4036) Gross 12599 Net  12600 +  13
 
  Taxable capital gains (complete Schedule 3) 12700 +  14
 
 
  Support payments received (see Guide P102) Total 12799 Taxable amount  12800 +  15
 
  Registered retirement savings plan (RRSP) income (from all T4RSP slips) 12900 +  16
 
 
  Taxable first home savings account (FHSA) income (boxes 22 and 26 of all T4FHSA slips) 12905 +  17
 
  Taxable FHSA income – other (boxes 24 and 28 of all T4FHSA slips) 12906 +  18
 
  Other income (specify): 13000 +  19
 
   
  Taxable scholarships, fellowships, bursaries and artists' project grants 13010 +  20
 
  Add lines 1 to 20.   =  21
 
  Self-employment income (see Guide T4002):
  Business income Gross 13499 Net 13500  22
 
  Professional income Gross 13699 Net 13700 +  23
 
  Commission income Gross 13899 Net 13900 +  24
 
  Farming income Gross 14099 Net 14100 +  25
 
  Fishing income Gross 14299 Net 14300 +  26
 
  Add lines 22 to 26. Net self-employment income   = ► +  27
 
  Line 21 plus line 27   =  28
 
 
  Workers' compensation benefits (box 10 of the T5007 slip) 14400  29
 
  Social assistance payments 14500 +  30
 
  Net federal supplements paid (box 21 of the T4A(OAS) slip) 14600 +  31
 
  Add lines 29 to 31 (see line 25000 in Step 4). 14700 = ► +  32
 
  Line 28 plus line 32 Total income 15000 =  33
 
 
 
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