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