Form F8 - Financial Statement - Supreme Court Of British Columbia Page 5

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Page 5
Form F8 – Financial Statement
SCHEDULE A – OTHER INCOME
LINE OTHER SOURCES OF INCOME
1
Self employment income:
Gross =
Net =
+
Note: Provide financial statements of the business, including any statement of business activities filed
as part of your income tax return
2
Other employment income
+
3
Net partnership income: limited or non-active partners only
+
4
Rental income:
Gross =
Net = +
5
Total amount of dividends from Taxable Canadian Corporations
+
6
Total capital gains
minus total capital losses
-
= +
$0.00
7
Spousal support from another relationship or marriage
+
8
Registered retirement savings plan income
+
9
Net federal supplements
+
10
Any other income
+
11
Total of lines 1 through 10 =
$0.00
SCHEDULE B – ADJUSTMENTS TO INCOME
LINE DEDUCTIONS
1
Employment expenses, other than union or professional dues, claimed under
Schedule III of the Child Support Guidelines
(list)
Total
-
$0.00
2
Actual business investment losses during the year
-
3
Carrying charges and interest expenses paid and deductible under the Income
Tax Act (Canada):
(list)
Total
-
$0.00
4
Prior period earnings
minus reserves
-
=
-
$0.00
5
Portion of partnership and sole proprietorship income required to be reinvested
-
ADDITIONS
6
Capital cost allowance for real property
+
7
Employee stock options in Canadian-controlled private corporations exercised:
value of shares when options exercised
minus amount paid for shares
-
minus amount paid to acquire option
-
= +
$0.00
8
Total adjustments
$0.00

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