Auto Expenses Summary
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1Auto Expenses Summary
If you were required to use a motor vehicle in the course of conducting business or employment, please
complete the following summary and provide it to us with your tax records.
Name:
Are you:
☐ Salaried Employee *
☐ Commissioned Employee *
☐ Self Employed
* If you are an employee, in order to claim employment expenses a Declaration of Conditions of Employment
Form T2200 must be completed and signed by your employer.
Is Form T2200 form provided?
☐ Yes
☐ No
☐ N/A
Description of Automobile:
Number of kilometers you drove in the year to earn business/employment income:
Total kilometers you drove in the year:
Expenses:
Fuel and Oil
Maintenance and Repairs
Insurance
License and Registration Fees
Interest on money borrowed to buy a motor vehicle
Leasing
Other expenses (Specify:
)
$ 0.00
Total
If you have purchased a vehicle in 2016, please provide us with copies of:
☐ Purchase Agreement
☐ Financing/Loan Agreement (if applicable)
☐ Lease Agreement (if applicable)
☐ Auto Expenses Summaries for both old and new vehicles – blank copy of this form is available on
our website
If you have sold your vehicle in 2016 or it is no longer used for business/employment purposes, please
provide us with:
Date of sale or change in use
Sale price or estimated fair market value
M
cLaren
Trefanenko
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Parent category: Financial