Tax information slips - My Account Page 1 of 3

Canada Revenue Agency

List of all slips for tax year 2021

T4A(P) Statement of Canada Pension Plan Benefits

2021 T4A(P) slip (original) from THE GOVERNMENT OF CANADA LE GOUVERNEMENT DU
CANADA
Box number Box name Box value
13 Onset or Effective date Jan 2020
14 Retirement benefit
15 Survivor benefit
16 Disability benefit 12,395.32
17 Child benefit
18 Death benefit
19 Post-retirement benefit
20 Taxable CPP benefits 12,395.32
21 Number of months disability 12
23 Number of months retirement
22 Income tax deducted
Tax information slips - My Account Page 2 of 3

T5007 Statement of Benefits

2021 T5007 slip (original) from Province of Ontario
Box number Box name Box value
10 Worker's compensation benefits
Social assistance payments or provincial or territorial
11 11,032.26
supplements
Tax information slips - My Account Page 3 of 3

Tax-Free Savings Account (TFSA)

2021 TFSA record (amended) from TANGERINE BANK BANQUE TANGERINE
Box name Box value
TFSA contract number 3411882223
New TFSA account this year Yes
Total number of transactions 1
Total holder contributions
Total holder withdrawals
Calendar year end fair market value
TFSA account closed this year Yes
TFSA close date 2021-04-08
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