Free untitled - Canada

Northwest Territories Tax
Complete this form and attach a copy of it to your return. For details, see the forms book.

NT428
T1 General ­ 2009

Step 1 ­ Northwest Territories non-refundable tax credits
For internal use only

Basic personal amount Age amount (if born in 1944 or earlier) (use territorial worksheet) Spouse or common-law partner amount
Base amount Minus: his or her net income from page 1 of your return Result: (if negative, enter "0")

5610 5804 (maximum $6,195) 5808
claim $12,664

1 2

12,664 00 5812
3 4 5 6 7 8 9 10 11 12 13 14 15 16

Amount for an eligible dependant (use territorial worksheet) 5816 Amount for infirm dependants age 18 or older (use territorial worksheet) 5820 Canada Pension Plan or Quebec Pension Plan contributions:
(amount from line 308 of your federal Schedule 1) (amount from line 310 of your federal Schedule 1) (amount from line 312 of your federal Schedule 1) Employment Insurance premiums (see line 5836 in the forms book) Pension income amount (maximum $1,000) (use territorial worksheet) Caregiver amount (see line 5844 in the forms book) Disability amount (for self) (use territorial worksheet) Disability amount transferred from a dependant (amount from line 319 of your federal Schedule 1) Interest paid on your student loans [attach Schedule NT(S11)] Your tuition and education amounts Tuition and education amounts transferred from a child Amounts transferred from your spouse or common-law partner [attach Schedule NT(S2)]

5824 5828 5832 5836 5840 5844 5848 5852 5856 5860 5864
17 18 19 20

Medical expenses from line 330 of your federal Schedule 1 5868 Enter $2,011 or 3% of net income from line 236 of your return whichever is less. Line 17 minus line 18 (if negative, enter "0")

Allowable amount of medical expenses for other dependants calculated for line 5872 on the Territorial Worksheet
Add lines 19 and line 20. Add lines 1 through 16, and line 21. Non-refundable tax credits rate Multiply line 22 by line 23. Donations and gifts:
Amount from line 345 of your federal Schedule 9 Amount from line 347 of your federal Schedule 9

5872 5876

21

5880
5.9%

5884
5.9% 14.05% 25 26

22 23 24

Add lines 25 and 26. Add lines 24 and 27. Enter this amount on line 40.

5896
Northwest Territories non-refundable tax credits 6150

27 28

Go to Step 2 on the next page.

5012-C

Step 2 ­ Northwest Territories tax on taxable income
Enter your taxable income from line 260 of your return. Use the amount on line 29 to determine which ONE of the following columns you have to complete. Enter the amount from line 29 in the applicable column.
If line 29 is more than $36,885, but not more than $73,772 If line 29 is more than $73,772, but not more than $119,936

29

If line 29 is $36,885 or less

If line 29 is more than $119,936

30

0 00
Line 30 minus line 31 (cannot be negative)

36,885 00 8.6% 2,176 00

73,772 00 12.2% 5,348 00

119,936 00 31
32 33 34 10,981 00 35

5.9%
Multiply line 32 by line 33.

14.05%

0 00
Add lines 34 and 35. Go to Step 3. Northwest Territories tax on taxable income

36

Step 3 ­ Northwest Territories tax
Enter your Northwest Territories tax on taxable income from line 36. Northwest Territories tax on split income from Form T1206 Add lines 37 and 38. Enter your Northwest Territories non-refundable tax credits from line 28. Northwest Territories dividend tax credit: Credit calculated for line 6152 on the Territorial Worksheet Northwest Territories overseas employment tax credit: Amount from line 426 on your Schedule 1 45% Northwest Territories minimum tax carryover: Amount from line 427 on your Schedule 1 45% Add lines 40 through 43. Line 39 minus line 44 (if negative, enter "0") Northwest Territories additional tax for minimum tax purposes 45% Amount from line 117 of Form T691 Add lines 45 and 46. Enter the territorial foreign tax credit from Form T2036. Line 47 minus line 48 (if negative enter "0") 37 38 39

6151

40

6152 6153 6154

41 42 43 44 45 46 47 48 49

Political contribution tax credit
Northwest Territories political contributions made in 2009 Credit calculated for line 51 on the Territorial Worksheet Line 49 minus line 51 (if negative, enter "0")

6255
(maximum $500)

50 51 52

Risk capital investment tax credits
Unused risk capital investment tax credits from previous years Line 52 minus 53 (if negative, enter "0"). Enter the result on line 428 of your return. (maximum $30,000) Northwest Territories tax 53 54

5012-C