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Note: use a postal code applicable t o your province ( Y P ) Phone number: , ( x x x ) 3 6 9

Note: use a postal code applicable to your province (YP)
Phone number: ,(xxx)369-7851
Note: use an area code applicable to your province (YP)
Email address:
kdox12345@rogers.ca
Taxpayer #2
Keith Dox lives with his wife, Katie. Katie's net and taxable income is $34,000. Her income consists of one
T4 and $4,500in tips. She has already filed her own return.
Keith and Katie sold their original home located at216 Bayfield Street, Your City, YP,X7X7X7, for
$400,000on March 31,2023, before moving into their new home a few blocks away at their current
address. They had purchased the house on Bayfield Street together in2018; they lived exclusively at that
address and had not owned any other residential property during the time they owned that home.
Neither Keith nor Katie changed employment last year; they moved simply because they liked the new
house.
Keith has a Tangerine investment account which pays him interest. He never received an information
slip but was able to total up the $20.30 interest he received last year from Tangerine. Keith receives
income each year onaT3 slip from a trust that was set upby his father. Keith also has a Royal Bank
savings account to which he contributes 25%of the funds, and Katie contributes the remaining 75%.In2018, Keith inherited a bank account in the US with a balance ofUS $120,000 from his uncle. At that
time, the exchange rate was 1.2535.He neither contributed nor withdrew any amounts from this
account. According to the 2023 bank statements, the account had a balance ofUS $124,000on January
1st and US $125,240on December 31st. The bank statements also show that the only credits on this
account are for monthly interest payments. For 2023, the annual average exchange rate was 1.3497.
Keith is not aUS Citizen. He does not need to file aUS return.
In late 2021, Keith bought 10 shares of Metro Inc. Keith received four dividend payments in2023, each
payment being $2.75, for a total of $11.00.He did not receive a slip for this income, and Metro Inc. isa
Canadian corporation that issues eligible dividends. Keith still has these shares and does not plan on
selling them in the near future. He has a $25 receipt for management fees and a $75 receipt for
investment counsel fees.
Keith always donates $300 each summer to the Terry Fox Foundation, which is a charitable organization
registered with the Canada Revenue Agency. Keith wants to claim his donation each year versus saving
for a future year. This year, Keith made a $200 political contribution to the federal Liberal Party of
Canada, for which he has an official receipt.
Keith's T4 and other information slips are reproduced below. Last year Keith received a tax refund of
$1,000, including $8.50 interest on the refund. Heis hoping for a refund again this year.
Keith is a Canadian citizen and he wants to answer "Yes" to the Elections Canada question. He has
signed up for My Account, and would like to register for online mail.
Keith lives within a Census Metropolitan Area in your province. (YP) Box 22:
BC: 6,566; AB: 7,254; SK: 7,762; MB: 8,760; ON: 7,039; NB: 8,080;
NS: 8,906; PE: 8,721; NL: 8,363; YT: 6,607; NT: 6,549; NU: 5,876
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