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Flag Canada Revenue
Agency		 Agence du revenu
du Canada		 Protected B when completed  
Statement of Fishing Activities  
 
• Use this form to calculate your self-employment fishing income.
• For each fishing business, fill in a separate Form T2121.
• Fill in this form and send it with your income tax and benefit return.
• For more information on how to fill in this form, see Guide T4002, Self-employed Business, Professional, Commission, Farming, and Fishing Income.
 
 
Part 1 – Identification
    
  Your name   Your social insurance number  
   
  Vessel registration number (VRN)   Business number  
   
  Boat name   City Prov./Terr Postal code  
   
  Fiscal period Year Month  Day   Year Month  Day   Was this your last year of fishing?
From  to      Yes No  
  Main species   Industry code  
  (see Chapter 2 in Guide T4002)
 Accounting method  Tax shelter identification number  Partnership business number  Your percentage of the partnership
  Cash Accrual   %
  Name and address of the person or firm preparing this form
   
 
 
Part 2 – Internet business activities
  
 
  If your webpages or websites generate fishing income, fill in this part of the form.

From how many Internet web pages and websites (including third-party platform websites) does your business earn income?
 
  Enter "0" if none. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
 
  Provide up to five main web page or website addresses:
 
  http://  
 
  http://  
 
  http://  
 
  http://  
 
  http://  
 
  Percentage of your gross income generated from the web pages and websites.
  (If no gross income was generated from the Internet, enter "0") %  
 
 
 
Part 3 – Income
  
  Fish products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3A
  Other marine products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3B
  Grants, credits, and rebates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3C
  Subsidies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3D
  Compensation for loss of fishing income or property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3E
  Sharesperson income (specify name of fishing boat and captain below)     3F
  Other income (specify)*     9600    
   
  Gross income : Total of amounts 3A to 3F and line 9600 (enter this amount on line 14299 of your income tax and benefit return)   8299    
  * You may have received assistance from COVID-related measures from the federal, provincial or territorial governments. For more information on how to report
COVID-related assistance, go to canada.ca/en/revenue-agency/services/wage-rent-subsidies/report-subsidy-tax-return.html.
 
 
 
 
 
 
 
 
 
T2121 E (23) (Ce formulaire est disponible en français.) Page 1 of 7