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T1-2009

Capital Gains (or Losses) in 2009

Schedule 3

Read line 127 in the General Income Tax and Benefit Guide. For more information, read Chapter 2 in Guide T4037, Capital Gains. Attach a separate sheet of paper if you need more space. Attach a copy of this schedule to your return. Note: If you have a business investment loss, see line 217 in the general guide.
(1) (2) (3) (4) (5) Gain (or loss) (column 2 minus columns 3 and 4)

Year of Proceeds of disposition acquisition

Adjusted cost base Outlays and expenses (from dispositions)

1. Qualified small business corporation shares (Report, in 3 below, publicly traded shares, mutual fund units, deferral of eligible small business corporation shares, and other shares.)
Number Name of corp. and class of shares

Qualified Dispositions

Total Address or legal description Prov./Terr. Total Mortgage foreclosures and conditional sales repossessions ­ Address or legal description Prov./Terr.

106

Gain (or loss)

107

2. Qualified farm property and qualified fishing property

109

Gain (or loss)

110

Total

123

Gain (or loss)

124

3. Publicly traded shares, mutual fund units, deferral of eligible small business corporation shares, and other shares (Report capital gains (or losses) shown on T5, T5013, T5013A, T4PS, and T3 information slips on line 174 or 176.)
Number Name of fund/corp. and class of shares Total Address or legal description Prov./Terr. Total Face value Maturity date Name of issuer Total Address or legal description Prov./Terr. Total

131

Gain (or loss)

132

4. Real estate, depreciable property, and other properties

136

Gain (or loss)

138

5. Bonds, debentures, promissory notes, and other similar properties

151

Gain (or loss)

153

6. Other mortgage foreclosures and conditional sales repossessions

154

Gain (or loss)

155

7. Personal-use property (full description)
Gain only

158

8. Listed personal property (LPP) (full description)
Note: You can only apply LPP losses against LPP gains. Subtract: unapplied LPP losses from other years Net gain only

159 161

Capital gains deferral from qualifying dispositions of eligible small business corporation shares (included in 3 above)

Farming and fishing income eligible for the capital gains deduction from the disposition of eligible capital property (for details, see Form T657) 173 T5, T5013, T5013A, and T4PS information slips ­ Capital gains (or losses) 174 e T3 information slips ­ Capital gains (or losses) 176 e Capital loss from a reduction in your business investment loss 178 Total of all gains (or losses) in column 5 before reserves 191 Reserves from line 6706 of Form T2017 (if negative, show it in brackets and subtract it) 192 e Total capital gains (or losses) 197 Taxable capital gains (or net capital loss) in 2009: Multiply the amount on line 197 by 50%. Enter the taxable capital gains on line 127 of your return. If it is a net capital loss, see line 127 in the guide.
5000-S3

199