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Date: September 28, 2009
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State: Canada
Category: Tax Forms
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http://www.cra-arc.gc.ca/E/pbg/tf/5007-d/5007-d-09e.pdf

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Provincial Worksheet
Use these charts to do some of the calculations you may need to complete Form MB428, Manitoba Tax. You can find more information about completing these calculations in the forms book. Keep this Provincial Worksheet for your records. Do not attach it to the return you send us.

2009 T1 General

Line 5808 ­ Age amount
Maximum amount Your net income from line 236 of your return Base amount Line 2 minus line 3 (if negative, enter "0") Applicable rate Multiply line 4 by line 5. Line 1 minus line 6 (if negative, enter "0"). Enter this amount on line 5808 of Form MB428.

3,728 00 1 27,749 00 15%
2 3 4 5 6 7

Line 5816 ­ Amount for an eligible dependant
Base amount Dependant's net income (from line 236 of his or her return) Line 1 minus line 2 (if negative, enter "0"). Enter this amount on line 5816 of Form MB428.

8,134 00 1
2 3

Line 5820 ­ Amount for infirm dependants age 18 or older
Complete this calculation for each dependant. Base amount Dependant's net income (from line 236 of his or her return) Line 1 minus line 2 (if negative, enter "0"; if it is more than $3,605, enter $3,605) If you claimed this dependant on line 5816, enter the amount claimed. Allowable amount for this dependant: Line 3 minus line 4 (if negative, enter "0") Enter, on line 5820 of Form MB428, the total amount claimed for all dependants.

8,720 00 1
2 3 4 5

Line 5840 ­ Caregiver amount
Complete this calculation for each dependant. Base amount Dependant's net income (from line 236 of his or her return) Line 1 minus line 2 (if negative, enter "0"; if it is more than $3,605, enter $3,605) If you claimed this dependant on line 5816, enter the amount claimed. Allowable amount for this dependant: Line 3 minus line 4 (if negative, enter "0") Enter, on line 5840 of Form MB428, the total amount claimed for all dependants.

15,917 00 1
2 3 4 5

Line 5844 ­ Disability amount (supplement calculation if you were under age 18 on December 31, 2009)
(read line 5844 in the forms book) Maximum supplement Total child care and attendant care expenses claimed for you by anyone Base amount Line 2 minus line 3 (if negative, enter "0") Line 1 minus line 4 (if negative, enter "0")

3,605 00 1
2

2,112 00 3
4 5

Enter, on line 5844 of Form MB428, the amount on line 5 plus $6,180 (maximum claim $9,785), unless this calculation is being completed for the claim on line 5848.

5007-D

Provincial Worksheet (continued)
Line 5848 ­ Disability amount transferred from a dependant
Complete this calculation for each dependant. Base amount If the dependant was under age 18 on December 31, 2009, enter the amount from line 5 of the calculation for line 5844 for the dependant. If the dependant was age 18 or older, enter "0". Add lines 1 and 2. Total of amounts your dependant can claim on lines 5804 to 5840 of his or her Form MB428 Add lines 3 and 4. Dependant's taxable income (from line 260 of his or her return) Allowable amount for this dependant: Line 5 minus line 6 (if negative, enter "0"). Enter, on line 5848 of Form MB428, the amount on line 3 or line 7, whichever is less. Enter, on line 5848 of Form MB428, the total amount claimed for all disabled dependants. If, at the end of the year, you and your dependant were not residents of the same province or territory, special rules may apply. Call the Canada Revenue Agency to determine the amount you can claim.

6,180 00 1
2 3 4 5 6 7

Line 5872 ­ Allowable amount of medical expenses for other dependants
Complete this calculation for each dependant. Medical expenses for other dependant Enter $1,728 or 3% of the dependant's net income (from line 236 of his or her return), whichever is less. Line 1 minus line 2 (if negative, enter "0"; if it is more than $10,000, enter $10,000) Enter, on line 5872 of Form MB428, the total amount claimed for all other dependants. 1 2 3

Line 6152 ­ Manitoba dividend tax credit
Determine the amount to enter on line 6152 of Form MB428 by completing one of the two following calculations: If you have an amount on line 120 and no amount on line 180 of your return, complete the following: Line 120 of your return Enter this amount on line 6152 of Form MB428. If you have amounts on lines 180 and 120 of your return, complete the following: Line 120 of your return Line 180 of your return Line 1 minus line 2 Add lines 4 and 5. Enter this amount on line 6152 of Form MB428. 11%

1 2 3

2.5% 11%

4 5 6

Line 52 ­ Manitoba political contribution tax credit
Determine the amount to enter on line 52 of Form MB428 as follows: for contributions of $400 or less, complete Column 1 below; for contributions of more than $400 but not more than $750, complete Column 2 below; for contributions of more than $750 but not more than $1,275, complete Column 3 below; or for contributions of more than $1,275, enter $650 on line 52. Column 1 Enter your total contributions. Column 2 Column 3

0 00
Line 1 minus line 2 (cannot be negative)

400 00 50% 300 00

750 00 2 33.33% 4 475 00 6
7 5 3

1

75%
Multiply line 3 by line 4.

0 00
Add lines 5 and 6. Enter this amount on line 52 of Form MB428.
5007-D