2019 Federal Tax Return Summary
Name _____________________________________________________
rachel lake
Social insurance number _____________________________________________________
734451511
Date of birth _____________________________________________________
19820805
Province of residence _____________________________________________________
British Columbia
Address _____________________________________________________
535 ellice st
City _____________________________________________________
victoria
Province _____________________________________________________
BC
Postal code _____________________________________________________
V8T2G8
Email address _____________________________________________________
lakepayzant@[Link]
Total Income
10100 Employment income _________________________
14,355.99
10400 Other employment income _________________________
6,674.09
11300 Old age security pension _________________________
11400 CPP or QPP benefits _________________________
11500 Other pensions or superannuation _________________________
11600 Elected split-pension amount (T1032) _________________________
11700 Universal Child Care Benefit (UCCB) _________________________
11701 UCCB amount designated to a dependant _________________________
11900 Employment Insurance and other benefits _________________________
12000 Taxable amounts of dividends from taxable Canadian corporations _________________________
12010 Taxable amounts of dividends other than eligible dividends _________________________
12100 Interest and other investment income (complete the Worksheet for the return) _________________________
12200 Net partnership income: limited or non-active partners only _________________________
12500 Registered disability savings plan income _________________________
12600 Rental income (Net) _________________________
12700 Taxable capital gains (schedule 3) _________________________
12800 Support payments received (taxable amount) _________________________
12900 RRSP income 10,000.00
_________________________
13000 Other income _________________________
13500 Business income (Net) _________________________
13700 Professional income (Net) _________________________
13900 Commission income (Net) _________________________
14100 Farming income (Net) _________________________
14300 Fishing income (Net) _________________________
14400 Worker’s compensation benefits _________________________
14500 Social assistance payments _________________________
14600 Net federal supplements _________________________
14700 Non-taxable income (add lines 14400, 14500, 14600) _________________________
Total income [15000] _________________________
31,030.08
Net Income
20600 Pension adjustment 397.96
_________________________
20700 Registered pension plan deduction 10,000.00
_________________________
20800 RRSP/PRPP deduction (schedule 7) 12,000.00
_________________________
20810 PRPP employer contributions _________________________
21000 Deduction for elected split-pension amount (T1032) _________________________
21200 Annual union, professional, or like dues 754.99
_________________________
21300 Universal Child Care Benefit repayment _________________________
21400 Child care expenses (T778) _________________________
21500 Disability supports deduction _________________________
21700 Business investment loss (allowable deduction) _________________________
21900 Moving expenses _________________________
22000 Support payment made (allowable deduction) _________________________
22100 Carrying charges and interest expenses _________________________
22200 Deduction for CPP or QPP contributions on self-employment _________________________
22215 Deduction for CPP or QPP enhanced contributions on employment income _________________________
26.30
22300 Deduction for PPIP premiums on self-employment income (schedule 10) _________________________
22400 Exploration and development expenses (T1229) _________________________
22900 Other employment expenses _________________________
1,412.50
23100 Clergy residence deduction _________________________
6,674.09
23200 Other deductions _________________________
23500 Social benefits repayment _________________________
Net income [23600] _________________________
162.20
Taxable income
24400 Canadian Forces personnel and police deduction _________________________
24900 Security options _________________________
25000 deductions
Other payments deduction _________________________
25100 Limited partnership losses of other years _________________________
25200 Non-capital losses of other years _________________________
25300 Net capital losses of other years _________________________
25400 Capital gains deductions _________________________
25500 Northern residents deductions (T2222) _________________________
25600 Additional deductions _________________________
Taxable income [26000] _________________________
162.20
Non-refundable tax credits
30000 Basic personal amount 12,069.00
_________________________
30100 Age amount _________________________
30300 Spouse or common-law partner amount _________________________
30400 Amount for an eligible dependant _________________________
30500 Family caregiver amount for infirm children under 18 years of age _________________________
30450 Amount for infirm dependant age 18 or older (schedule 5) 2,906.00
_________________________
30800 CPP or QPP contributions through employment 867.74
_________________________
31000 CPP or QPP contributions on self-employment _________________________
31200 Employment Insurance premiums through employment _________________________
31217 Employment Insurance premiums on self-employment (schedule 13) _________________________
31205 Provincial Parental Insurance Plan (PIPP) Premiums paid _________________________
31210 PPIP premiums payable on employment income (schedule 10) _________________________
3125 PPIP premiums payable on self-employment income (schedule10) _________________________
31220 Volunteer firefighters’ amount _________________________
31240 Search and rescue volunteers’ amount _________________________
31260 Canada employment amount 1,222.00
_________________________
31285 Home accessibility expenses _________________________
31270 Home buyers’ amount _________________________
31300 Adoption expenses _________________________
31400 Pension income amount _________________________
31600 Disability amount (for self) _________________________
31800 Disability amount transferred from a dependant _________________________
31900 Interest paid on your student loans _________________________
2,300.00
32300 Tuition, education, and textbook amounts (schedule 11) _________________________
32400 Tuition, education, and textbook amounts transferred from a child _________________________
5,000.00
32600 Amounts transferred from spouse or common-law partner (schedule 2) _________________________
33099 Medical expenses _________________________
15,799.15
33199 Allowable amount of medical expenses for other dependants _________________________
168.05
33200 Allowable portion of medical expenses _________________________
15,962.33
Total _________________________
40,327.07
Total @ 15% _________________________
34900 Donations and gifts (schedule 9) _________________________
Non-refundable tax credits [35000] _________________________
6,049.06
Refund or balance owing
Federal tax on taxable income _________________________
40424 Federal tax on split income (T1206) _________________________
40425 Federal dividend tax credit _________________________
40427 Minimum tax carryover (T691) _________________________
Basic federal tax _________________________
40500 Federal foreign tax credit (T2209) _________________________
40600 Federal tax _________________________
41000 Federal political contribution tax credit _________________________
41200 Investment tax credit (T2038(IND)) _________________________
41400 Labour-sponsored funds tax credit _________________________
41700 Line 40600 - 416 _________________________
0
41500 Working Income Tax Benefit (WITB) advance payments received _________________________
41800 Special taxes _________________________
Net federal tax [42000] _________________________
42100 CPP contributions payable on self-employment and other earnings _________________________
42120 Employment Insurance premiums payable on self-employment (schedule 13) _________________________
42200 Social benefits repayment _________________________
42800 Provincial or territorial tax (T2203) _________________________
43200 Yukon First Nations tax (YT432) _________________________
Total payable [43500] _________________________
43700 Total income tax deducted _________________________
8,080.00
43800 Tax transfer for residents of Quebec _________________________
Line 43700 – 43800 [43900] _________________________
Payments and credits
44000 Refundable Quebec abatement _________________________
44100 Federal refundable Frist Nations abatement (YT432) _________________________
44800 CPP overpayment (excess contributions) _________________________
1,106.80
45000 Employment insurance overpayment _________________________
949.00
45110 Climate action incentive (Schedule 14) _________________________
45100 Net employment insurance overpayment _________________________
45200 Refundable medical expense supplement _________________________
45300 Canada Workers Benefit (CWB) (Schedule 6) _________________________
1,355.00
45400 Refund of investment tax credit (T2038(IND)) _________________________
45600 Part XII.2 trust tax credit _________________________
45700 Employee and partner GST/HST rebate (GST370) _________________________
31.43
46900 Eligible educator school
supply tax credit _________________________
47600 Tax paid by instalments _________________________
47900 Provincial or territorial credits _________________________
Total credits [48200] _________________________
11,597.22
Refund [48400] _________________________
11,597.22
Balance owing [48500]