Tax information slips - My Account Page 1 of 5

Canada Revenue Agency

List of all slips for tax year 2020

T4A Statement of pension, retirement, annuity, and other income

2020 T4A slip (original) from GOV'T OF THE PROVINCE OF SASKATCHEWAN
Box number Box name Box value
16 Pension or superannuation
18 Lump-sum payments
20 Self-employed commissions
22 Income tax deducted
24 Annuities
48 Fees for services

Other information
Box number Box name Box value
Provincial/Territorial COVID-19 financial assistance
200 900.00
payments

2020 T4A slip (original) from THE GOVERNMENT OF CANADA LE GOUVERNEMENT DU

CANADA
Box number Box name Box value
16 Pension or superannuation
18 Lump-sum payments
20 Self-employed commissions
22 Income tax deducted
24 Annuities
48 Fees for services

Other information
Box number Box name Box value
197 Canada Emergency Response Benefit (CERB) 14,000.00
Tax information slips - My Account Page 2 of 5

T4E Statement of Employment Insurance and Other Benefits

2020 T4E slip (original) from THE GOVERNMENT OF CANADA LE GOUVERNEMENT DU
CANADA
Box number Box name Box value
7 Repayment rate 0%
14 Total benefits paid 21,704.00
15 Regular and other benefits paid 14,242.00
17 Employment benefits & support measures paid
20 Taxable tuition assistance
21 Non-taxable tuition assistance
22 Income tax deducted 1,500.00
23 Quebec income tax deducted
Tax information slips - My Account Page 3 of 5

T5007 Statement of Benefits

2020 T5007 slip (original) from GOV'T OF THE PROVINCE OF SASKATCHEWAN
Box number Box name Box value
10 Worker's compensation benefits
Social assistance payments or provincial or territorial
11 7,330.86
supplements
Tax information slips - My Account Page 4 of 5

RC210 Working income tax benefit advance payments statement

2020 RC210 slip (original) from THE GOVERNMENT OF CANADA LE GOUVERNEMENT DU
CANADA
Box number Box name Box value
10 Total benefit paid 389.00
Tax information slips - My Account Page 5 of 5

Tax-Free Savings Account (TFSA)

2020 TFSA record (original) from CANADIAN SHAREOWNER INVESTMENTS
INC/INVESTISSEMENTS ACTIONNA
Box name Box value
TFSA contract number W763548K3CAD
New TFSA account this year No
Total number of transactions
Total holder contributions
Total holder withdrawals
Calendar year end fair market value
TFSA account closed this year Yes
TFSA close date 2020-03-03
TFSA holder date of death
TFSA holder fair market value at time of death
Successor holder account
Acquisition of non-qualified investment - fair market value
Withdrawal of non-qualified investment - fair market value
Total holder transfer out - marriage breakdown - fair market value
Total holder transfer in - marriage breakdown - fair market value

2020 TFSA record (original) from MOTUS BANK

Box name Box value
TFSA contract number 1691
New TFSA account this year No
Total number of transactions
Total holder contributions
Total holder withdrawals
Calendar year end fair market value 0.13
TFSA account closed this year No
TFSA close date
TFSA holder date of death
TFSA holder fair market value at time of death
Successor holder account No
Acquisition of non-qualified investment - fair market value
Withdrawal of non-qualified investment - fair market value
Total holder transfer out - marriage breakdown - fair market value
Total holder transfer in - marriage breakdown - fair market value