Questionnaire Text

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23. Answer questions 24 to 51 for each person aged 15 and over.

Income in 2000
51. During the year ending December 31, 2000, did this person receive any income from the sources listed below?

Answer "yes" or "no" for all sources.
If "yes," also enter the amount; in case of a loss, also mark "loss."
Do not include child tax benefits.
Paid employment:

(a) Total wages and salaries, including commissions, bonuses, tips, etc., before any deductions

[] Yes
Dollars ____ Cents _ _
[] No

Self-employment:

(b) Net farm income (gross receipts minus expenses), including grants and subsidies under farm-support programs, marketing board payments, gross insurance proceeds

[] Yes
Dollars ____ Cents _ _
[] Loss
[] No

(c) Net non-farm income from unincorporated business, professional practice, etc. (gross receipts minus expenses)

[] Yes
Dollars ____ Cents _ _
[] Loss
[] No

Income from government:

(d) Old Age Security Pension, Guaranteed Income Supplement and Spouse's Allowance from federal government only (provincial income supplements should be reported in (g))

[] Yes
Dollars ____ Cents _ _
[] No

(e) Benefits from Canada or Quebec Pension Plan

[] Yes
Dollars ____ Cents _ _
[] No

(f) Benefits from Employment Insurance (total benefits before tax deductions)

[] Yes
Dollars ____ Cents _ _
[] No

(g) Other income from government sources, such as provincial income supplements and grants, the GST/HST credit, provincial tax credits, workers' compensation, veterans' pensions, welfare payments. (Do not include child tax benefits.)

[] Yes
Dollars ____ Cents _ _
[] No

Other income:

(h) Dividends, interest on bonds, deposits and savings certificates, and other investment income, such as net rents from real estate, interest from mortgages

[] Yes
Dollars ____ Cents _ _
[] Loss
[] No

(i) Retirement pensions, superannuation and annuities, including those from RRSPs and RRIFs

[] Yes
Dollars ____ Cents _ _
[] No

(j) Other money income, such as alimony, child support, scholarships

[] Yes
Dollars ____ Cents _ _
[] No

Total income from all of the above sources:

[] Yes
Dollars ____ Cents _ _
[] Loss
[] No

Questionnaire instructions view entire document: text image

Question 51 -- Income in 2000

General instructions
Complete Question 51 for all persons aged 15 and over, whether or not they worked or had income in 2000.
Report annual income received from January 1, 2000 to December 31, 2000 for each applicable source in parts (a) to (j) as well as the total income from all sources. If you are not sure of the exact amount for a source, give your best estimate. If necessary, consult your 2000 income tax return and information slips.
Report income obtained from outside Canada in Canadian dollars.

Paid employment

Part (a) -- Total wages and salaries
Include: total wages and salaries from all jobs before deductions for income tax, pensions, etc. (Do not report take-home pay only.); commissions, tips, cash bonuses and casual earnings; military pay and allowances; benefits from wage-loss replacement plans or income-maintenance insurance plans; employer or union supplementary unemployment benefits.
Report retirement allowances and severance pay in part (j).
If using T4 slips to answer part (a), report the amount in Box 14 minus the amounts in Boxes 30 to 40.