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Schedule MB428­A T1 General ­ 2009

Manitoba Family Tax Benefit
Complete this schedule to claim the family tax benefit. Attach a copy of this schedule to your return. Basic amount Basic amount for dependent spouse or common-law partner Amount for an eligible dependant claimed on line 5816 of Form MB428 Age amount for self Age amount for spouse or common-law partner Disability amount for spouse or common-law partner claim $2,065 claim $2,065 claim $2,065 claim $2,065 claim $2,752 2,065 00 1

+ + +

2 3 4 5 6

6070 + 6071 + continue on next page

MB428-A ­ 1

Disability amount for self or for a dependant other than your spouse or common-law partner Number of disability claims 6072

× $2,752 =

+

7

Amount for disabled dependants born in 1991 or earlier Number of disabled dependants 6074

× $2,752 =

+

8

Amount for dependent children born in 1991 or later (complete the chart on page 3 [below] ) Number of disabled dependants Add lines 1 to 9. Enter your net income from line 236 of your return. 6076

× $2,752 =

+ =

9 10

× 9% =

­

11

MB428-A ­ 2

Line 10 minus line 11 (if negative, enter "0"). Enter this amount on line 6147 of Form MB428.

Family tax benefit

=

12

Details of dependent children born in 1991 or later
(if you need more space, attach a separate sheet of paper) Relationship to you Child's date of birth Year Month Day Social insurance number (if available)

Child's name

MB428-A ­ 3