Tax information slips - My Account Page 1 of 2

Canada Revenue Agency

List of all slips for tax year 2016

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

2016 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
Scholarships, bursaries, fellowships, artists' project grants,
105 2,463.00
and prizes
Tax information slips - My Account Page 2 of 2

T4 Statement of remuneration paid

2016 T4 slip (original) from 2461464 ONTARIO INC.
Box number Box name Box value
10 Province of employment Ontario
14 Employment income 11,343.20
16 Employee's CPP contributions 501.50
17 Employee's QPP contributions
18 Employee's EI premiums 213.24
20 RPP contributions
22 Income tax deducted 1,034.52
24 EI insurable earnings 11,343.20
26 CPP/QPP pensionable earnings 11,343.20
28 Exempt CPP/QPP
28 Exempt EI
28 Exempt PPIP
44 Union dues
46 Charitable donations
52 Pension adjustment
55 Employee's PPIP premiums
56 PPIP insurable earnings

2016 T4 slip (original) from FAMOUS PLAYERS LIMITED PARTNERSHIP

Box number Box name Box value
10 Province of employment Ontario
14 Employment income 5,383.75
16 Employee's CPP contributions 163.00
17 Employee's QPP contributions
18 Employee's EI premiums 82.90
20 RPP contributions
22 Income tax deducted 249.94
24 EI insurable earnings 4,408.75
26 CPP/QPP pensionable earnings 5,383.75
28 Exempt CPP/QPP
28 Exempt EI
28 Exempt PPIP
44 Union dues
46 Charitable donations
52 Pension adjustment
55 Employee's PPIP premiums
56 PPIP insurable earnings

Other information
Box number Box name Box value
40 Other taxable allowances and benefits 975.00