,s*$ule #h--,9ve/;t ,9come1
      ,c>ry+ ,*>ges1 & ,gross-,up
      ,am.t ( ,divid5ds ,reta9$ 0!
                 ,tru/
    
                               ,t#c ----

  --,5t] ! applica# tax ye> 9 ! box abv4
    ..,9clude a -plet$ copy ( ? s*$ule
    )! tru/'s .return4
  
       ,"p ;,a--,calculat+ 9ve/;t
          9come & c>ry+ *>ges
    
  --,9clude any 9=m,n slips rcvd4
  --,5t] ! "ns (! pay]s at ! appropriate
    l9es 2l4 ,if "! is n 5 space1 atta*
    a sep>ate %eet4
  --,9clude am.ts cr$it$ "? ag5cies s* z
    banks1 tru/ -panies1 & brok]s4
  
  


                                      #a
      ,divid5ds f taxa# ,canadian
               corpor,ns
    
7#a7 & 7#haaj7 ,actual am.t (
  divid5ds .o!r .?an .eligi#
  divid5ds f taxa# ,canadian
  corpor,ns 7box #bc ( ,t#c slip
  or box #aj ( ,t#e slip7 """"""" 4#----
7#b7 & 7#habj7 ,actual am.t (
  .eligi# divid5ds f specifi$
  taxa# ,canadian corpor,ns 7box
  #di ( ,t#c slip or box #bd (
  ,t#e slip7 """""""""""""""""""" 4#----
7#c7 ..,total (! actual am.t (
  divid5ds f taxa# ,canadian
  .corpor,ns 7l9e #a plus l9e #b7 4#----

  ,5t] ! am.t f l9e #c on l9e #jc (!
,t#c return4

          ,=eign 9ve/;t 9come
    
7#d7 ,9t]e/ f =eign s\rces """""" 4#----
7#e7 ,o!r =eign 9ve/;t 9come """" 4#----
                                      #b
               ,s*$ule #h
7#f7 ..,total =eign 9ve/;t .9come
  7l9e #d plus l9e #e7 """""""""" 4#----

  ,5t] ! am.t f l9e #f on l9e #jd (!
,t#c return4

           ,o!r 9ve/;t 9come
    
  ,9t]e/3
7#g7 ,bonds1 tru/ -panies1 banks  4#----
7#h7 ,o!r deposits """""""""""""" 4#----
7#i7 ,mortgages1 notes1 & o!r
  securities """""""""""""""""""" 4#----
7#aj7 ,o!r divid5ds 79clud+
  divid5ds rcvd "u a divid5d
  r5tal >range;t7 """"""""""""""" 4#----
7#aa7 ,o!r """""""""""""""""""""" 4#----
7#ab7 ..,total o!r 9ve/;t .9come
  7add l9es #g 6#aa7 """""""""""" 4#----

  ,5t] ! am.t f l9e #ab on l9e #je (!
,t#c return4

                                      #c
      ,c>ry+ *>ges & 9t]e/ exp5ses
    
7#ac7 & 7#hafj7 ,9t]e/ on m"oy
  borr[$ 6e>n 9ve/;t 9come """""" 4#----
7#ad7 & 7#hagj7 ,manage;t1 safe
  cu/ody1 or a3.t+ fees """"""""" 4#----
7#ae7 & 7#hahj7 ,9ve/;t c\nsel
  fees """""""""""""""""""""""""" 4#----
7#af7 & 7#haij7 ,o!r """""""""""" 4#----
7#ag7 .,total .c>ry+ .*>ges 7add
  l9es #ac 6#af7 """""""""""""""" 4#----

  ,5t] ! am.t f l9e #ag on l9e #ba (!
,t#c return4

     ,"p ;,b--,calculat+ ! gross-up
      am.t ( divid5ds reta9$ or n
           designat$ 0! tru/
    
7#ah7 ,total eligi#
  divid5ds report$ 2f
  apply+ exp5ses 7l9e #b
  abv7 """"""""""""""""""" 4#----
7#ai7 ,eligi# divid5ds
  designat$ 6b5efici>ies              #d
               ,s*$ule #h
  7l9e #idi1 ,"p ;,a (
  ,s*$ule #i7 """""""""""" 4#----
7#bj7 ,total eligi#
  divid5ds .n designat$ 0!
  tru/ 7l9e #ah m9us l9e
  #ai7 """"""""""""""""""" 4#----
7#ba7 & 7#hbci7 ,eligi#
  divid5ds allocat$1 b .n
  designat$1 6non-resid5t
  b5efici>ies 7eligi#
  divid5ds f l9e #ibf1
  ,column #b ( ,s*$ule #i7 4#----
7#bb7 ,total eligi#
  divid5ds availa# = gross
  up 7l9e #bj m9us l9e
  #ba7 """"""""""""""""""" 4#----
7#bc7 ,multiply l9e #bb
  0#da@3p4 """"""""""""""" #da@3p
7#bd7 ,gross-up am.t (
  eligi# divid5ds reta9$
  or n designat$ 0! tru/   4#---- 4#----
7#be7 ,total divid5ds o!r
  ?an eligi# divid5ds
                                      #e
               ,s*$ule #h
  report$ 2f apply+
  exp5ses 7l9e #a abv7 """ 4#----
7#bf7 ,divid5ds o!r ?an
  eligi# divid5ds
  designat$ 6b5efici>ies
  7l9e #ibc1 ,"p ;,a (
  ,s*$ule #i7 """""""""""" 4#----
7#bg7 ,total divid5ds o!r
  ?an eligi# divid5ds .n
  designat$ 0! tru/ 7l9e
  #be m9us l9e #bf7 """""" 4#----
7#bh7 & 7#hbdj7 ,divid5ds
  o!r ?an eligi# divid5ds
  allocat$1 b .n
  designat$1 6non-resid5t
  b5efici>ies 7divid5ds
  o!r ?an eligi# divid5ds
  f l9e #ibf1 ,column #b (
  ,s*$ule #i7 """""""""""" 4#----
7#bi7 ,total divid5ds o!r
  ?an eligi# divid5ds
  availa# = gross up 7l9e
  #bg m9us l9e #bh7 """""" 4#----
                                      #f
               ,s*$ule #h
7#cj7 ,multiply l9e #bi
  0#be@3p """""""""""""""" #be@3p
7#ca7 ,gross-up am.t (
  divid5ds o!r ?an eligi#
  divid5ds reta9$ or n
  designat$ 0! tru/ """""" 4#---- 4#----
7#cb7 ..,total gross-up
  am.t ( divid5ds reta9$
  or n designat$ 0! .tru/
  7l9e #bd plus l9e #ca7 """""""" 4#----

  ,5t] ! am.t f l9e #bd on l9e #bd (
,s*$ule #aa1 ,f$]al ,9come ,tax4 ,5t] !
am.t f l9e #ca on l9e #be ( ,s*$ule #aa4
,5t] ! am.t f l9e #cb on l9e #ai (
,s*$ule #ab1 ,m9imum ,tax1 if applica#1
& on l9e #di (! ,t#c return4

  ,privacy ,act1 ,p]sonal ,9=m,n ,bank
numb] ,,cra ,,ppu #jae



                                      #g