<NoName> SIN:
Printed: 2015/03/23 08:28
Canada Revenue
Agency
Agence du revenu
du Canada
Statement of Real Estate Rentals
Protected B
when completed
Identification
Your social insurance number ___ ___ ___
Your name
Fiscal
Year/Month/Day
Year/Month/Day
period:
2014/01/01 to: 2014/12/31
Name and address of person or firm preparing this form
Final year of rental operation? Yes
Partnership Business Number (9 digits)
Steve Kirkham C.A. Professional Corporation
2-2345 Wyecroft Road
Oakville, Ontario L6L 6L8
Account Number (15 characters)
No X
_________
Tax shelter identification number
________
100.0000 % Industry code 531111
Your % of ownership
_____ ____ RT ____
Income
Number
Street, P.O. Box
Apartment or suite
Address
City
Province
Postal code ___ ___
Enter the total of your gross rents
Other related income (for example, premiums and leases, sharecropping)
Gross rental income - Enter this amount on line 160 of your income tax and benefit return
# of units
Gross rents
8141
8230
8299
a
Expenses
Personal use percentage
%
Total expense
Advertising
Insurance
Interest
Office expenses
Legal, accounting, and other professional fees
Management and administration fees
Maintenance and repairs
Salaries, wages, and benefits
(including employer's contributions)
Property taxes
Travel
Utilities
Motor vehicle expenses (not including CCA)
Other expenses
Total
Deductible expenses (total expenses minus personal portion)
Net income (loss) before adjustments (line a minus line b)
Co-owners - Your share of line 9369 above
Minus other expenses of the co-owner
Personal portion
8521
8690
8710
8810
8860
8871
8960
9060
9180
9200
9220
9281
9270
9949
b
9369
c
9945
Subtotal
Plus recaptured capital cost allowance (co-owners – enter your share of the amount) (see Chapter 3 of Guide T4036)
9947
Subtotal
Minus terminal loss (co-owners – enter your share of the amount) (see Chapter 3 of Guide T4036)
9948
Subtotal
Minus capital cost allowance (from Area A)
9936
Net income (loss) - If you are a sole proprietor or a co-owner, enter this amount on line 9946
Partnerships - Your share of line d above or the amount from T5013 slip
Plus GST/HST rebate for partners received in the year
9974
Minus other expenses of the partner
9943
Your net income (loss) - Enter this amount on line 126 of your income tax and benefit return
9946
T776 (14)
d
e
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<NoName> SIN:
Printed: 2015/03/23 08:28
Protected B
when completed
Details of other co-owners and partners
Co-owner or partner's first name
Last name
Address:
Co-owner or partner's first name
Last name
Address:
Co-owner or partner's first name
Last name
Address:
Co-owner or partner's first name
Last name
Address:
Co-owner or partner's first name
Address:
T776 (14)
Last name
Percentage
of ownership
Share of net
income (loss)
Percentage
of ownership
Share of net
income (loss)
Percentage
of ownership
Share of net
income (loss)
Percentage
of ownership
Share of net
income (loss)
Percentage
of ownership
Share of net
income (loss)
%
%
%
%
%
See the privacy notice on your return.
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