Grant Thornton Monthly Statement Of Income And Expenses Page 2

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Statement of Self Employment
-
please attach bank statement to verify income
*NOTE: Your taxes must be
remitted to Canada Revenue
Total self-employment income (not including GST)
(a)
$_______________
Agency on a monthly basis and
you are required to supply proof
Minus:
Self-employment expenses (list)
of payment. You can contact them
_______________
at 1-800-959-8281 to obtain
_______________
personalized remittance forms to
_______________
either mail in payment or pay at
_______________
your bank. Please ensure you are
Total self-employment expenses
(b)
_______________
completing your GST returns and
remitting payment if applicable.
Income less expenses.............................
(a) minus (b)
=
(c)
_______________
Proof of this payment is also
Minus: Tax and CPP withholdings (See (f) for amount)....
(d)
(
)
required.
Net Self employment income..............................
(c) minus (d)
=
(e)
$
The tax calculation should be based on the amount at line (c) Use tax table below
Tax Table
on first $1,250 x 10%
_______________
on next $1,250 x 15%
_______________
on next $1,250 x 20%
_______________
on next $1,250 x 25%
_______________
on next $2,500 x 27%
_______________
on next $2,500 x 30%
_______________
on income greater than $10,000 x 39%
_______________
You should be withholding 9.9% of
_______________
(c) for CPP Payment [9.9% x (c)]
_______________(to a maximum of $3,979.80)
TOTAL
(f) $_______________
EDMONTON:
Northgate
Scotia Place
West End
South Side
Fort McMurray
2080, 9499 – 136 Avenue
1701, 10060 Jasper Avenue
51, 10203 – 178 Street
201, 6030 88 Street
Camrose*
Phone (780) 406-0705
Phone (780) 414-1133
Phone (780) 414-1133
Phone (780)414-1133
Wetaskiwin*
Fax (780) 413-9666
Fax (780) 413-9666
Fax (780) 413-9666
Fax (780)413-9666
*appointement only
CALGARY:
Downtown
South
Sunridge
Market Mall
Airdrie
st
900, 833 – 4 Avenue SW
450, 11012 Macleod Trail SE
408, 2675 – 36 Street NE
212, 4935 – 40 Avenue NW
225 1
Street NW
Phone (403) 298-5800
Phone (403) 296-2995
Phone (403) 296-2990
Phone (403) 296-2996
*appointement only
Fax (403) 296-2988
Fax (403) 296-2988
Fax (403) 296-2988
Fax (403) 296-2988
R:\MARKETING\AB Files\Letters\NameChange\Monthly Statement.doc
Jan 11

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