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*** Transcriber's Note: Please set your voice synthesizer to read most punctuation. When you encounter the caret sign at the end of a line, please enter the applicable information, if necessary. *** Canada Revenue Agency Protected B when completed T5013 (21) E (Front) T5013 Statement of Partnership Income Fiscal period end: (Year/Month/Day) ^ Tax shelter identification number (see statement on back *) TS (enter 6 digits) ^ Filer's name and address ^ Box 001: Partnership account number (15 characters) ^ Box 002: Partner code ^ Box 003: Country code ^ Box 004: Recipient type ^ Box 006: Partner's identification number ^ Box 005: Partner's share (%) of partnership ^ Box 010: Total limited partner's business income (loss) ^ Box 020: Total business income (loss) ^ Box 030: Total capital gains (losses) ^ Box 040: Capital cost allowance ^ Partner's name and address ^ Last name (print) ^ First name ^ Initials ^ Box ^ Code ^ Other information ^ Box ^ Code ^ Amount ^ See the privacy notice on your return. T5013 (21) E (Back) Reporting amounts from this T5013 slip on the partner's return Each partner has to report amounts from this T5013 slip, using these instructions: - Individual - A partner who is an individual must report the amounts on their T1 Income Tax and Benefit Return. Follow the instructions on information sheet T5013-INST, Statement of Partnership Income - Instructions for Recipient, that the partnership should provide with this T5013 slip. - Corporation - A partner that is a corporation must report the amounts shown on this slip on a T2 Corporation Income Tax Return for the corporation's tax year in which the partnership's fiscal period ends. Follow the instructions in the T4012, T2 Corporation - Income Tax Guide. - Trust - A partner that is a trust must report the amounts shown on this slip on a T3, Trust Income Tax and Information Return. Follow the instructions in the T4013, T3 - Trust Guide. - Partnership - A partner that is another partnership must report the amounts shown on this slip on the partnership's financial statements. You can download schedules, forms, and publications at canada.ca/cra-forms or by calling 1-800-959-5525. * Income Tax Act paragraph 237.1(5)(c) - "The identification number issued for this tax shelter shall be included in any income tax return filed by the investor. Issuance of the identification number is for administrative purposes only and does not in any way confirm the entitlement of an investor to claim any tax benefits associated with the tax shelter."

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