T5 Slips: 1  
   Federal slips: 


T5 - Statement of Investment Income
Box Line Description Federal Slip
Notes:
Your percentage (%)
Payer's name
10 Actual amount of dividends other than eligible dividends 10
11 Taxable amount of dividends other than eligible dividends 11
12 Dividend tax credit for dividends other than eligible dividends 12
13 Interest from Canadian sources 13
14 Other income from Canadian sources 14
Source country
15 Foreign income 15
16 Foreign tax paid 16
17 Royalties from Canadian sources (enter in breakdown boxes below instead): 17
Royalties from a work or invention
Other royalties
18 Capital gains dividends 18
19 Accrued income: Annuities 19
Record due to spouse's death?
20 Amount eligible for resource allowance deduction 20
24 Actual amount of eligible dividends 24
25 Taxable amount of eligible dividends 25
26 Dividend tax credit for eligible dividends 26
27 Foreign currency 27
  Exchange rate (up to 4 decimal digits) (exchange rate lookup)  
30 Equity linked notes interest 30