JIWAN,SHANAZ(467-942-215).

119 SAMEER JIWAN

2022-09-19 12:03 505 192 211

é Protected B when completed

Income Tax and Benefit Return 2019

Before you start:

If you are filling out this return for a deceased person, make sure you enter their information in all the boxes in Step 1.

Step 1 – Identification and other information ON 7

Identification Information about you
Enter your social insurance
First name and initial number (SIN): 505 192 211
SAMEER
Year Month Day
Last name
Enter your date of birth: 1983-09-13
JIWAN
English Français
Mailing address: Apt No. – Street No. Street name Your language of correspondence:
Votre langue de correspondance : X
212-151 UPPER DUKE CRESCENT
PO Box RR Is this return for a deceased person?
Ensure the SIN information above is for the deceased person.
City
If this return is for a deceased Year Month Day
MARKHAM person, enter the date of death:
Prov./Terr. Postal code
ON L6G 0E1
Marital status
Tick the box that applies to your marital status on
Email address December 31, 2019:
By providing an email address, you are registering to receive email
1 Married 2 Living common-law 3 Widowed
notifications from the CRA and agree to the Terms of use under Step 1
in the guide. 4 Divorced 5 Separated 6 X Single
Enter an email address:

Information about your spouse or

common-law partner (if you ticked box 1 or 2 above)
Information about your residence
Enter their SIN:
Enter your province or territory of
residence on December 31, 2019: Ontario Enter their first name:

Enter the province or territory where Enter their net income for 2019
you currently reside if it is not the to claim certain credits:
same as your mailing address above:

If you were self-employed in 2019, Enter the amount of universal child care
enter the province or territory where benefit (UCCB) from line 11700 of their return:
your business had a permanent
establishment: Enter the amount of UCCB repayment
from line 21300 of their return:
If you became or ceased to be a resident of Canada for income tax
purposes in 2019, enter the date of: Tick this box if they were self-employed in 2019: 1
Month Day Month Day
entry or departure Do not use this area

Do not use 17200 17100

this area

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Step 1 – Identification and other information (continued)
Please answer the following questions.

ì Elections Canada (For more information, see "Elections Canada" under Step 1, in the guide.)
A) Do you have Canadian citizenship? .. ...................................................... Yes X 1 No 2
If yes, go to question B. If no, skip question B.
B) As a Canadian citizen, do you authorize the Canada Revenue Agency to give your name, address,
date of birth, and citizenship to Elections Canada to update the National Register of Electors or, if
you are aged 14 to 17, to update the Register of Future Electors? ................ ...................... Yes X 1 No 2
Your authorization is valid until you file your next tax return. Your information will only be used for purposes permitted under
the Canada Elections Act, which include sharing lists of electors produced from the National Register of Electors with
provincial and territorial electoral agencies, members of Parliament, registered and eligible political parties, and candidates
at election time.
Your information in the Register of Future Electors will be included in the National Register of Electors once you turn 18.
Information from the Register of Future Electors can be shared only with provincial and territorial electoral agencies that are
allowed to collect future elector information. In addition, Elections Canada can use information in the Register of Future
Electors to provide youth with educational information about the electoral process.

Indian Act – Exempt income

Tick this box if you have any income that is exempt under the Indian Act.
For more information on this type of income, go to canada.ca/taxes-aboriginal-peoples. 1
If you tick the box, get and complete Form T90, Income Exempt under the Indian Act. Complete this form so that the CRA
can calculate your Canada training credit limit for the 2020 tax year. The information you provide may also be used to
calculate your Canada workers benefit for the 2019 tax year, if applicable.

Foreign property
Did you own or hold specified foreign property where the total cost amount of all such property,
at any time in 2019, was more than CAN$100,000? ...... ............. 26600 Yes 1 No X 2
If yes, get and complete Form T1135, Foreign Income Verification Statement. There are substantial penalties for not completing
and filing Form T1135 by the due date. For more information, see Form T1135.

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Attach only the documents (schedules, information slips, forms, or receipts)
requested to support any claim or deduction. Keep all other supporting documents.

Step 2 – Total income

As a resident of Canada, you have to report your income from all sources both inside and outside Canada.
The Income Tax and Benefit Guide may have additional information for certain lines.

Employment income (box 14 of all T4 slips) 10100 68,000 00

Tax-exempt income for emergency services volunteers
(See line 10100 in the guide.) 10105
Commissions included on line 10100 (box 42 of all T4 slips) 10120
Wage-loss replacement contributions (See line 10100 in the guide.) 10130
Other employment income 10400
Old age security pension (box 18 of the T4A(OAS) slip) 11300
CPP or QPP benefits (box 20 of the T4A(P) slip) 11400
Disability benefits included on line 11400 (box 16 of the T4A(P) slip) 11410
Other pensions and superannuation (See line 11500 in the guide and complete line 31400 in the
Worksheet for the return.) 11500
Elected split-pension amount (Get and complete Form T1032.) 11600
Universal child care benefit (UCCB) (See the RC62 slip.) 11700
UCCB amount designated to a dependant 11701
Employment insurance and other benefits (box 14 of the T4E slip) 11900
Employment insurance maternity and parental benefits and provincial
parental insurance plan benefits 11905
Taxable amount of dividends (eligible and other than eligible) from taxable
Canadian corporations (Complete the Worksheet for the return.) 12000
Taxable amount of dividends other than eligible dividends,
included on line 12000, from taxable Canadian corporations 12010
Interest and other investment income (Complete the Worksheet for the return.) 12100
Net partnership income: limited or non-active partners only 12200
Registered disability savings plan income (box 131 of the T4A slip) 12500

Rental income Gross 12599 Net 12600

Taxable capital gains (Complete Schedule 3.) 12700

Support payments received Total 12799 Taxable amount 12800

RRSP income (from all T4RSP slips) 12900
Other income Specify: 13000
Taxable scholarship, fellowships, bursaries, and artists' project grants 13010
Self-employment income
Business income Gross 13499 Net 13500
Professional income Gross 13699 Net 13700
Commission income Gross 13899 Net 13900
Farming income Gross 14099 Net 14100
Fishing income Gross 14299 Net 14300

Workers’ compensation benefits (box 10 of the T5007 slip) 14400

Social assistance payments 14500
Net federal supplements (box 21 of the T4A(OAS) slip) 14600
Add lines 14400, 14500, and 14600. (See line 25000 in Step 4.) 14700
Add lines 10100, 10400 to 11400, 11500 to 11700, 11900, 12000,
15000
12100 to 12500, 12600, 12700, 12800, 12900 to 13010, 13500, 13700,
13900, 14100, 14300, and 14700. This is your total income. 68,000 00

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Step 3 – Net income
Enter your total income from line 15000 from the previous page. 15000 68,000 00
Pension adjustment
(box 52 of all T4 slips and box 034 of all T4A slips) 20600
Registered pension plan deduction (box 20 of all T4 slips and box 032 of all T4A slips) 20700
RRSP deduction (See Schedule 7 and attach receipts.) 20800 11,700 00
Pooled registered pension plan (PRPP) employer
contributions (amount from your PRPP contribution receipts) 20810
Deduction for elected split-pension amount (Get and complete Form T1032.) 21000
Annual union, professional, or like dues (receipts and box 44 of all T4 slips) 21200
Universal child care benefit repayment (box 12 of all RC62 slips) 21300
Child care expenses (Get and complete Form T778.) 21400
Disability supports deduction (Get and complete Form T929.) 21500

Business investment loss Gross 21699 Allowable deduction 21700

Moving expenses (Get and complete Form T1-M.) 21900

Support payments made Total 21999 Allowable deduction 22000

Carrying charges and interest expenses (Complete the Worksheet for the return.) 22100
Deduction for CPP or QPP contributions on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 22200
Deduction for CPP or QPP enhanced contributions on employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 22215 80 85
Exploration and development expenses (Get and complete Form T1229.) 22400
Other employment expenses 22900
Clergy residence deduction (Get and complete Form T1223.) 23100
Other deductions Specify: 23200
Add lines 20700, 20800, 21000 to 21500, 21700, 21900, 22000, and 22100 to 23200. 23300 11,780 85 11,780 85
Line 15000 minus line 23300 (if negative, enter "0") This is your net income before adjustments. 23400 56,219 15
Social benefits repayment (If you reported income at line 11900 and the amount at line 23400 is
greater than $66,375, see the repayment chart on the back of your T4E slip. If you reported income
on lines 11300 or 14600, and the amount at line 23400 is greater than $77,580, complete the chart
for line 23500 on the Worksheet for the return. Otherwise, enter "0".) 23500

Line 23400 minus line 23500 (if negative, enter "0") This is your net income. 23600 56,219 15

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Step 4 – Taxable income

Canadian Forces personnel and police deduction (box 43 of all T4 slips) 24400
Security options deductions 24900
Other payments deduction (Claim the amount from line 14700, unless it
includes an amount at line 14600. If so, see line 25000 in the guide.) 25000
Limited partnership losses of other years 25100
Non-capital losses of other years 25200
Net capital losses of other years 25300
Capital gains deduction (Get and complete Form T657.) 25400
Northern residents deductions (Get and complete Form T2222.) 25500
Additional deductions Specify: 25600
Add lines 24400 to 25600. 25700

Line 23600 minus line 25700 (if negative, enter "0") This is your taxable income. 26000 56,219 15

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Step 5 – Federal tax (formerly Schedule 1)

Part A – Federal non-refundable tax credits

Basic personal amount claim $12,069 30000 12,069 00 1

Age amount (if you were born in 1954 or earlier) (Complete the Worksheet for the return.) (maximum $7,494) 30100 2
Spouse or common-law partner amount (Complete Schedule 5.) 30300 3
Amount for an eligible dependant (Complete Schedule 5.) 30400 4
Canada caregiver amount for spouse or common-law partner, or eligible dependant age 18 or older
(Complete Schedule 5.) 30425 5
Canada caregiver amount for other infirm dependants age 18 or older (Complete Schedule 5.) 30450 6
Canada caregiver amount for infirm children under 18 years of age
Enter the number of children for whom you are claiming this amount. 30499 x $2,230 = 30500 7
Base CPP or QPP contributions:
through employment income
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 30800 2,668 05 8
on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 31000 9
Employment insurance premiums:
through employment from box 18 and box 55 of all T4 slips (maximum $860.22) 31200 10
on self-employment and other eligible earnings (Complete Schedule 13.) 31217 11
Volunteer firefighters' amount 31220 12
Search and rescue volunteers' amount 31240 13
Canada employment amount (Enter $1,222 or the total of your employment income you reported
on lines 10100 and 10400, whichever is less.) 31260 1,222 00 14
Home buyers' amount 31270 15
Home accessibility expenses (Complete the Worksheet for the return.) (maximum $10,000) 31285 16
Adoption expenses 31300 17
Pension income amount (Complete the Worksheet for the return.) (maximum $2,000) 31400 18
Disability amount (for self)
(Claim $8,416 or if you were under 18 years of age, complete the Worksheet for the return.) 31600 19
Disability amount transferred from a dependant (Complete the Worksheet for the return.) 31800 20
Interest paid on your student loans (See Guide P105.) 31900 21
Your tuition, education, and textbook amounts (Complete Schedule 11.) 32300 22
Tuition amount transferred from a child 32400 23
Amounts transferred from your spouse or common-law partner (Complete Schedule 2.) 32600 24
Medical expenses for self, spouse or common-law partner, and your
dependent children born in 2002 or later 33099 25
Enter $2,352 or 3% of line 23600, whichever is less. 26
Line 25 minus line 26 (if negative, enter "0") 27
Allowable amount of medical expenses for other dependants
(Complete the Worksheet for the return.) 33199 28
Add lines 27 and 28. 33200 29
Add lines 1 to 24, and line 29. 33500 15,959 05 30
Federal non-refundable tax credit rate 15 % 31
Multiply line 30 by line 31. 33800 2,393 86 32
Donations and gifts (Complete Schedule 9.) 34900 33
Add lines 32 and 33.
Enter this amount on line 46 on the next page. Total federal non-refundable tax credits 35000 2,393 86 34

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Part B – Federal tax on taxable income

Enter your taxable income from line 26000. 56,219 15 35

Complete the appropriate Line 35 is Line 35 is more Line 35 is more Line 35 is more Line 35 is more
column depending on the $47,630 or less than $47,630 but than $95,259 but than $147,667 but than $210,371
amount on line 35. not more than not more than not more than
$95,259 $147,667 $210,371
Enter the amount from line 35. 56,219 15 36

Line 36 minus line 37 0 00 47,630 00 95,259 00 147,667 00 210,371 00 37

(cannot be negative) 8,589 15 38

Multiply line 38 15 % 20.5 % 26 % 29 % 33 % 39

by line 39. 1,760 78 40
0 00 7,145 00 16,908 00 30,535 00 48,719 00 41

Add lines 40 and 41. 8,905 78 42

Part C – Net federal tax

Enter the amount from line 42. 8,905 78 43

Federal tax on split income (Get and complete Form T1206.) 40424 44
Add lines 43 and 44. 40400 8,905 78 8,905 78 45

Enter your total federal non-refundable tax credits

from line 34 on the previous page. 35000 2,393 86 46
Federal dividend tax credit (See line 40425 in the guide.) 40425 47
Minimum tax carryover (Get and complete Form T691.) 40427 48
Add lines 46, 47, and 48. 2,393 86 2,393 86 49

Line 45 minus line 49 (if negative, enter "0") Basic federal tax 42900 6,511 92 50

Federal foreign tax credit (Get and complete Form T2209.) 40500 51

Line 50 minus line 51 (if negative, enter "0") Federal tax 40600 6,511 92 52

Total federal political contributions

(attach receipts) 40900 53
Federal political contribution tax credit
(Complete the Worksheet for the return.) (maximum $650) 41000 54
Investment tax credit (Get and complete Form T2038(IND).) 41200 55
Labour-sponsored funds tax credit (See lines 41300 and 41400 in the guide.)

Net cost of shares of a provincially

registered fund 41300 Allowable credit 41400 56
Add lines 54, 55, and 56. 41600 57

Line 52 minus line 57 (if negative, enter "0") 41700 6,511 92 58

Canada workers benefit advance payments received
(box 10 of the RC210 slip) 41500 59

Special taxes (See line 41800 in the guide.) 41800 60

Add lines 58, 59, and 60.
Enter this amount on line 42000 on the next page. Net federal tax 42000 6,511 92 61

Step 6 – Provincial or territorial tax

Complete Form 428 to calculate your provincial tax.

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Step 7 – Refund or balance owing
Net federal tax: enter the amount from line 61 from the previous page. 42000 6,511 92
CPP contributions payable on self-employment and other earnings
(Complete Schedule 8 or get and complete Form RC381, whichever applies.) 42100
Employment insurance premiums payable on self-employment and other eligible earnings (Complete Schedule 13.) 42120
Social benefits repayment (amount from line 23500) 42200
Provincial or territorial tax (Attach Form 428, even if the result is "0".) 42800 3,274 52
Add lines 42000, 42100, 42120, 42200, and 42800. This is your total payable. 43500 9,786 44
Total income tax deducted (amounts from all Canadian slips) 43700 12,251 10
Refundable Quebec abatement (See line 44000 in the guide.) 44000
CPP overpayment (See line 30800 in the guide.) 44800
Employment insurance overpayment (See line 45000 in the guide.) 45000
Climate action incentive (Complete Schedule 14.) 45110 224 00
Refundable medical expense supplement (Complete the Worksheet for the return.) 45200
Canada workers benefit (CWB) (Complete Schedule 6.) 45300
Refund of investment tax credit (Get and complete Form T2038(IND).) 45400
Part XII.2 trust tax credit (box 38 of all T3 slips and box 209 of all T5013 slips) 45600
Employee and partner GST/HST rebate (Get and complete Form GST370.) 45700
Eligible educator school supply tax credit
Supplies expenses (maximum $1,000) 46800 x 15% 46900
Tax paid by instalments 47600
Provincial or territorial credits (Complete Form 479, if it applies.) 47900
Add lines 43700 to 45700, and 46900 to 47900. These are your total credits. 48200 12,475 10 12,475 10
Line 43500 minus line 48200 This is your refund or balance owing. -2,688 66
If the result is negative, you have a refund. If the result is positive, you have a balance owing.
Enter the amount below on whichever line applies.

Generally, we do not charge or refund a difference of $2 or less.

Refund 48400 2,688 66 Balance owing 48500

For more information on how to receive your refund For more information on how to make your payment, see
by direct deposit, see line 48400 in the guide or go line 48500 in the guide or go to canada.ca/payments.
to canada.ca/direct-deposit. Your payment is due no later than April 30, 2020.

û Ontario opportunities fund

Amount from line 48400 above 1
You can help reduce Ontario's debt by completing this area to
Your donation to the Ontario opportunities fund 46500 2
donate some or all of your 2019 refund to the Ontario
opportunities fund. Please see the provincial pages for details. Net refund (line 1 minus line 2) 46600 3

Prepared without audit from information supplied by the taxpayer

I certify that the information given on this return and in any documents If this return was completed by a tax professional, tick the
attached is correct and complete and fully discloses all my income. applicable box and provide the following information:
49000 Was a fee charged? Yes X 1 No 2
Sign here
48900 EFILE number (if applicable): C9325
It is a serious offence to make a false return.
Name of tax professional: GELBERG•FULCHER•VELJI, LLP
Telephone number:

Date 2022-09-19 Telephone number: (905) 771-7166

Personal information (including the SIN) is collected for the purposes of the administration or enforcement of the Income Tax Act and related programs and activities
including administering tax, benefits, audit, compliance, and collection. The information collected may be used or disclosed for purposes of other federal acts that provide
for the imposition and collection of a tax or duty. It may also be disclosed to other federal, provincial, territorial or foreign government institutions to the extent authorized by
law. Failure to provide this information may result in interest payable, penalties or other actions. Under the Privacy Act, individuals have the right to access their personal
information, request correction, or file a complaint to the Privacy Commissioner of Canada regarding the handling of the individual’s personal information. Refer to Personal
Information Bank CRA PPU 005 on Info Source at canada.ca/cra-info-source.

Do not use 48600

48700 48800
this area

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