T5004 Claim for Tax Shelter Loss or Deduction

This claim form is used by a tax shelter investor to claim a tax shelter loss or deduction, a donation or political contribution deduction, or a tax credit for an interest in a tax shelter, to be filed with the appropriate income tax return for the year.

Ways to get the form

• Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (t5004-fill-25e.pdf)

• Print and fill out by hand

  • Standard print PDF (t5004-25e.pdf)

• Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities