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T1 GENERAL 2012
Income Tax and Benefit Return
Complete all the sections that apply to you. For more information, see the guide.

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Information about you

Identification
Print your name and address below. First name and initial Last name Mailing address: Apt No – Street No Street name PO Box City RR Prov./Terr. Postal code

Enter your social insurance number (SIN): Year Enter your date of birth: Your language of correspondence: Votre langue de correspondance : English Français Month Day

Marital status
Tick the box that applies to your marital status on December 31, 2012:
1 4 Married Divorced 2 5 Living common-law Separated 3 6 Widowed Single

Information about your spouse or common-law partner (if you ticked box 1 or 2 above)
Enter his or her SIN:

Information about your residence
Enter your province or territory of residence on December 31, 2012: Enter the province or territory where you currently reside if it is not the same as your mailing address above: If you were self-employed in 2012, enter the province or territory of self-employment: If you became or ceased to be a resident of Canada for income tax purposes in 2012, enter the date of: Month Day Month Day entry or departure

Enter his or her first name: Enter his or her net income for 2012 to claim certain credits: Enter the amount of universal child care benefit (UCCB) from line 117 of his or her return: Enter the amount of UCCB repayment from line 213 of his or her return: Tick this box if he or she was self-employed in 2012: 1

Person deceased in 2012
If this return is for a deceased person, enter the date of death: Do not use this area Year Month Day

Elections Canada (see the Elections Canada page in the tax guide for details or visit www.elections.ca)
A) Are you a Canadian citizen? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Answer the following question only if you are a Canadian citizen. 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? . . . . . . . Yes 1 No 2

1

No

2

Your authorization is valid until you file your next return. Your information will only be used for purposes permitted under the Canada Elections Act, which include sharing the information with provincial/territorial election agencies, members of Parliament, and registered political parties, as well as candidates at election time.

Goods and services tax/harmonized sales tax (GST/HST) credit application
See the guide for details. Are you applying for the GST/HST credit?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 1 No 2

Do not use this area
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The guide contains valuable information to help you complete your return. When you come to a line on the return that applies to you, go to the line number in the guide for more information.

Please answer the following question:
Did you own or hold foreign property at any time in 2012 with a total cost of more than CAN$100,000? see "Foreign income" section in the guide for more information . . . . . . 266 Yes If yes, complete Form T1135 and attach it to your return. If you had dealings with a non-resident trust or corporation in 2012, see "Foreign income" in the guide. 1 No 2

As a resident of Canada, you have to report your income from all sources both inside and outside Canada.

Total income
Employment income (box 14 of all T4 slips) Commissions included on line 101 (box 42 of all T4 slips) Other employment income Old age security pension (box 18 of the T4A(OAS) slip) CPP or QPP benefits (box 20 of the T4A(P) slip) Disability benefits included on line 114 (box 16 of the T4A(P) slip) Other pensions or superannuation Elected split-pension amount (attach Form T1032) Universal child care benefit (UCCB) UCCB amount designated to a dependant

101 102 104 e 113 e 114 e 152 115 e 116 e 117 e 185 119 e 120 e 121 e 122 e 125 e
Net 126 e 127 e Taxable amount 128 e 129 e 130 e Net Net Net Net Net

Employment insurance and other benefits (box 14 of the T4E slip) Taxable amount of dividends (eligible and other than eligible) from taxable Canadian corporations (attach Schedule 4) Taxable amount of dividends other than eligible dividends, included on line 120, from taxable Canadian corporations 180 Interest and other investment income (attach Schedule 4) Net partnership income: limited or non-active partners only Registered disability savings plan income Rental income Gross 160 Taxable capital gains (attach Schedule 3) Support payments received Total RRSP income (from all T4RSP slips) Specify: Other income Self-employment income Business income Gross Professional income Gross Commission income Gross Farming income Gross Fishing income Gross

156

162 164 166 168 170 144 145 e 146 e

135 e 137 e 139 e 141 e 143 e

Workers' compensation benefits (box 10 of the T5007 slip) Social assistance payments Net federal supplements (box 21 of the T4A(OAS) slip) Add lines 144, 145, and 146 (see line 250 in the guide). Add lines 101, 104 to 143, and 147.
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147 e This is your total income. 150

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Attach your Schedule 1 (federal tax) and Form 428 (provincial or territorial tax) here. Also attach here any other schedules, information slips, forms, receipts, and documents that you need to include with your return.

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Net income
Enter your total income from line 150. Pension adjustment (box 52 of all T4 slips and box 034 of all T4A slips)

150 206 207 208 e 210 e 212 e 213 e 214 e 215 e
Allowable deduction 217 e 219 e

Registered pension plan deduction (box 20 of all T4 slips and box 032 of all T4A slips) RRSP deduction (see Schedule 7, and attach receipts) Deduction for elected split-pension amount (attach Form T1032) Annual union, professional, or like dues (box 44 of all T4 slips, and receipts) Universal child care benefit repayment (box 12 of all RC62 slips) Child care expenses (attach Form T778) Disability supports deduction Business investment loss Moving expenses Gross 228

Support payments made Allowable deduction 220 e Total 230 Carrying charges and interest expenses (attach Schedule 4) 221 e Deduction for CPP or QPP contributions on self-employment and other earnings (attach Schedule 8) 222 e Exploration and development expenses (attach Form T1229) 224 e Other employment expenses 229 e Clergy residence deduction 231 e Other deductions Specify: 232 e Add lines 207 to 224, 229, 231, and 232. 233 This is your net income before adjustments. 234 Line 150 minus line 233 (if negative, enter "0") Social benefits repayment (if you reported income on line 113, 119, or 146, see line 235 in the guide). Use the federal worksheet to calculate your repayment. 235 Line 234 minus line 235 (if negative, enter "0") This is your net income. 236 If you have a spouse or common-law partner, see line 236 in the guide.

Taxable income
Canadian Forces personnel and police deduction (box 43 of all T4 slips) Employee home relocation loan deduction (box 37 of all T4 slips) Security options deductions Other payments deduction (if you reported income on line 147, see line 250 in the guide) Limited partnership losses of other years Non-capital losses of other years Net capital losses of other years Capital gains deduction Northern residents deductions (attach Form T2222) Additional deductions Specify: Add lines 244 to 256. Line 236 minus line 257 (if negative, enter "0")

244 248 e 249 e 250 e 251 e 252 e 253 e 254 e 255 e 256 e 257 This is your taxable income. 260

Use your taxable income to calculate your federal tax on Schedule 1 and your provincial or territorial tax on Form 428.
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Refund or balance owing
Net federal tax: enter the amount from line 58 of Schedule 1 (attach Schedule 1, even if the result is "0") CPP contributions payable on self-employment and other earnings (attach Schedule 8) Employment insurance premiums payable on self-employment and other eligible earnings (attach Schedule 13) Social benefits repayment (amount from line 235) Provincial or territorial tax (attach Form 428, even if the result is "0") This is your total payable. Add lines 420, 421, 430, 422, and 428.

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420 421 e 430 e 422 e 428 e 435

Total income tax deducted Refundable Quebec abatement CPP overpayment (enter your excess contributions) Employment insurance overpayment (enter your excess contributions) Refundable medical expense supplement (use the federal worksheet) Working income tax benefit (WITB) (attach Schedule 6) Refund of investment tax credit (attach Form T2038(IND)) Part XII.2 trust tax credit (box 38 of all T3 slips) Employee and partner GST/HST rebate (attach Form GST370) Tax paid by instalments Provincial or territorial credits (attach Form 479 if it applies) These are your total credits. Add lines 437 to 479. Line 435 minus line 482

437 440 e 448 e 450 e 452 e 453 e 454 e 456 e 457 e 476 e 479 e 482

This is your refund or balance owing.
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 484

Balance owing 485 Amount enclosed 486
Attach to page 1 a cheque or money order payable to the Receiver General, or make your payment online (go to www.cra.gc.ca/mypayment). Your payment is due no later than April 30, 2013.

Direct deposit – Start or change (see line 484 in the guide)
You do not have to complete this area every year. Do not complete it this year if your direct deposit information has not changed. Income tax refund, GST/HST credit, WITB advance payments, and any other deemed overpayment of tax – To start direct deposit or to change account information, complete lines 460, 461, and 462 below. Notes: To deposit your CCTB payments (including certain related provincial or territorial payments) into the same account, also tick box 463. To deposit your UCCB payments into the same account, also tick box 491.
Branch number Institution number Account number CCTB UCCB

460
(5 digits)

461
(3 digits)

462
(maximum 12 digits)

463

491

I certify that the information given on this return and in any documents attached is correct, complete, and fully discloses all my income. Sign here It is a serious offence to make a false return. – – Telephone Date

490

If a fee was charged for preparing this return, complete the following:

Name of preparer: Telephone: – – EFILE number (if applicable): 489

Do not use this area
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487

488
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