Statement of Real Estate Rentals
Use this form if you own and rent real estate or other property
Your name
Your Information
Address
Your address
Street Address Line 2
City
State / Province
Postal / Zip Code
Province
Postal code
Rental Property Information
From Date YYYYMMDD
/
Month
/
Day
Year
Date
To Date YYYYMMDD
/
Month
/
Day
Year
Date
Address
Address of the person or firm preparing this form
Street Address Line 2
City
State / Province
Postal / Zip Code
Province
Postal code
Do you use part of the property for yourself?
Yes
No
If you answered yes to the above question, what percentage of rental property is for personal use (%)?
New Clients
Please fill out this information if you are a new client
Date of Rental Property Purchase
-
Month
-
Day
Year
Date
Undepreciated Capital Cost (UCC) at the end of the last tax year (this information can be found on the last tax return)
Previous Tax Return Submission
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Co-Owners & Partners
Only fill this section if applicable
Co-owner or Partners name
Address
Social Insurance Number (SIN)
Percentage Ownership (%)
Co-owner or Partners name
Address
Social Insurance Number (SIN)
Percentage Ownership (%)
Income
Rental Income
Expenses
Please fill the expenses that are applicable. If there is a partner(s) please put 100% of expenses below and it will be pro-rated by the system
Advertising
Insurance
Interest & Bank Charges
Office Expenses
Professional Fees (Includes legal and accounting fees)
Management and Administrative Fees
Repairs & Maintenance
Property Taxes (Municipal taxes and school taxes)
Travel
Utilities
Motor Vehicle Expenses (not including CCA)
Other Expenses (please specify)
Capital Expenses
Equipment Additions in the Year
Any kitchen appliances & furniture
Major Renovations
Renovations that increase the value or useful life of the property
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