YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911

Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Deli Clerk-Franchise 12/18/2022 12/24/2022 12/29/2022

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 502.45 9.19 62.09 0.00 431.17
YTD 36,488.38 533.44 6,250.77 0.00 29,704.17

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 0 860.83 Canada Pension Plan (CPP) 24.81 1,888.68
Regular 12/18/2022 - 12/24/2022 29.73 16.25 483.12 26,039.03 Employment Insurance - EI 7.94 576.52
Relief Pay 0 3,911.92 Federal Income Tax (FIT) 23.87 2,693.99
Sick Pay 0 641.20 Province Income Tax (PIT) - BC 5.47 1,091.58
Statutory Holiday 0 1,119.90
Vacation Pay 0 1,906.01
Vacation Pay 12/18/2022 - 12/24/2022 0 0 19.33 115.66
Vacation Pay 0 1,893.83
Regular Earnings 502.45 36,488.38 StatutoryTaxes 62.09 6,250.77

Pre Tax Deductions

Description Amount YTD
Union Dues 9.19 533.44
Pre Tax Deductions 9.19 533.44

Employer Paid Benefits

Description Amount YTD
Class Hours 29.73 7,481.41
Union Dental ER (British Columbia) 12.49 1,171.45
Employer Paid Benefits 42.22 8,652.86

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 431.17 CAD
 YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911
Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Deli Clerk-Franchise 12/25/2022 12/31/2022 01/05/2023

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 574.60 9.19 80.28 0.00 485.13
YTD 574.60 9.19 80.28 0.00 485.13

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 12/25/2022 - 12/31/2022 8 24.375 195.00 195.00 Canada Pension Plan (CPP) 30.20 30.20
Regular 12/25/2022 - 12/31/2022 16 16.25 260.00 260.00 Employment Insurance - EI 9.37 9.37
Statutory Holiday 12/25/2022 - 12/31/2022 6 16.25 97.50 97.50 Federal Income Tax (FIT) 31.69 31.69
Vacation Pay 12/25/2022 - 12/31/2022 0 0 22.10 22.10 Province Income Tax (PIT) - BC 9.02 9.02
Regular Earnings 574.60 574.60 StatutoryTaxes 80.28 80.28

Pre Tax Deductions

Description Amount YTD
Union Dues 9.19 9.19
Pre Tax Deductions 9.19 9.19

Employer Paid Benefits

Description Amount YTD
Class Hours 7,511.41 7,511.41
Union Dental ER (British Columbia) 7.14 7.14
Employer Paid Benefits 7,518.55 7,518.55

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 485.13 CAD
 YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911
Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Deli Clerk-Franchise 12/04/2022 12/10/2022 12/15/2022

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 667.56 10.94 110.29 0.00 546.33
YTD 35,749.33 515.06 6,175.28 0.00 29,058.99

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 0 860.83 Canada Pension Plan (CPP) 34.23 1,854.21
Regular 12/04/2022 - 12/10/2022 39.5 16.25 641.88 25,328.41 Employment Insurance - EI 10.55 564.84
Relief Pay 0 3,911.92 Federal Income Tax (FIT) 46.57 2,670.12
Sick Pay 0 641.20 Province Income Tax (PIT) - BC 18.94 1,086.11
Statutory Holiday 0 1,119.90
Vacation Pay 0 1,906.01
Vacation Pay 12/04/2022 - 12/10/2022 0 0 25.68 87.23
Vacation Pay 0 1,893.83
Regular Earnings 667.56 35,749.33 StatutoryTaxes 110.29 6,175.28

Pre Tax Deductions

Description Amount YTD
Union Dues 10.94 515.06
Pre Tax Deductions 10.94 515.06

Employer Paid Benefits

Description Amount YTD
Class Hours 39.50 7,437.68
Union Dental ER (British Columbia) 16.59 1,153.08
Employer Paid Benefits 56.09 8,590.76

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 546.33 CAD
 YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911
Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Deli Clerk-Franchise 11/27/2022 12/03/2022 12/08/2022

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 498.22 9.19 60.84 0.00 428.19
YTD 35,081.77 504.12 6,064.99 0.00 28,512.66

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 0 860.83 Canada Pension Plan (CPP) 24.58 1,819.98
Regular 11/27/2022 - 12/03/2022 29.48 16.25 479.05 24,686.53 Employment Insurance - EI 7.87 554.29
Relief Pay 0 3,911.92 Federal Income Tax (FIT) 23.27 2,623.55
Sick Pay 0 641.20 Province Income Tax (PIT) - BC 5.12 1,067.17
Statutory Holiday 0 1,119.90
Vacation Pay 0 1,906.01
Vacation Pay 11/27/2022 - 12/03/2022 0 0 19.17 61.55
Vacation Pay 0 1,893.83
Regular Earnings 498.22 35,081.77 StatutoryTaxes 60.84 6,064.99

Pre Tax Deductions

Description Amount YTD
Union Dues 9.19 504.12
Pre Tax Deductions 9.19 504.12

Employer Paid Benefits

Description Amount YTD
Class Hours 29.48 7,398.18
Union Dental ER (British Columbia) 12.39 1,136.49
Employer Paid Benefits 41.87 8,534.67

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 428.19 CAD
 YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911
Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Deli Clerk-Franchise 11/20/2022 11/26/2022 12/01/2022

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 649.82 10.94 105.04 0.00 533.84
YTD 34,583.55 494.93 6,004.15 0.00 28,084.47

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 0 860.83 Canada Pension Plan (CPP) 33.21 1,795.40
Regular 11/20/2022 - 11/26/2022 38.45 16.25 624.82 24,207.48 Employment Insurance - EI 10.27 546.42
Relief Pay 0 3,911.92 Federal Income Tax (FIT) 44.10 2,600.28
Sick Pay 0 641.20 Province Income Tax (PIT) - BC 17.46 1,062.05
Statutory Holiday 0 1,119.90
Vacation Pay 0 1,906.01
Vacation Pay 11/20/2022 - 11/26/2022 0 0 25.00 42.38
Vacation Pay 0 1,893.83
Regular Earnings 649.82 34,583.55 StatutoryTaxes 105.04 6,004.15

Pre Tax Deductions

Description Amount YTD
Union Dues 10.94 494.93
Pre Tax Deductions 10.94 494.93

Employer Paid Benefits

Description Amount YTD
Class Hours 38.45 7,368.70
Union Dental ER (British Columbia) 16.15 1,124.10
Employer Paid Benefits 54.60 8,492.80

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 533.84 CAD
 YIG Vancouver Davie (10304620 Canada Ltd) 1255 Davie St Vancouver, BC V6E 1N4 +1 (604) 6880911
Sukhwinder Chahal 907, 1330 Burrard Street Vancouver, BC V6Z 2B8 Canada
Name Employee ID Job Title Pay Period Begin Pay Period End Check Date Check Number
Sukhwinder Chahal 100524183 Trainee 10/23/2022 10/29/2022 11/03/2022

Gross Pay Pre Tax Deductions StatutoryTaxes Other Deductions Net Pay
Current 726.15 10.94 126.48 0.00 588.73
YTD 31,563.77 465.61 5,452.61 0.00 25,645.55

Regular Earnings StatutoryTaxes

Description Dates Hours Rate Amount YTD Description Amount YTD
Overtime 1.5 0 860.83 Canada Pension Plan (CPP) 37.57 1,638.57
Regular 10/23/2022 - 10/29/2022 31.88 16.25 518.05 23,221.41 Employment Insurance - EI 11.48 498.71
Relief Pay 10/23/2022 - 10/29/2022 78.1 1 78.10 3,911.92 Federal Income Tax (FIT) 54.71 2,364.98
Sick Pay 10/23/2022 - 10/29/2022 8 16.25 130.00 641.20 Province Income Tax (PIT) - BC 22.72 950.35
Statutory Holiday 0 1,022.40
Vacation Pay 0 1,906.01
Regular Earnings 726.15 31,563.77 StatutoryTaxes 126.48 5,452.61

Pre Tax Deductions

Description Amount YTD
Union Dues 10.94 465.61
Pre Tax Deductions 10.94 465.61

Employer Paid Benefits

Description Amount YTD
Class Hours 39.88 7,302.02
Union Dental ER (British Columbia) 13.39 1,098.19
Employer Paid Benefits 53.27 8,400.21

Federal Province Time Off

Annual Deductions/Credits 0.00 0.00 Description Accrued Reduced Available
Labour-Sponsored Funds 0.00 0.00 Vacation (Hours) 0 0 0

Payment Information
Bank Account Name Account Number CAD Amount Amount
The Bank of Nova Scotia The Bank of Nova Scotia ******0284 ******0284 588.73 CAD
 Page 1
4124818

WINNIPEG MB R3C 3M2

Notice details
001623810 Social insurance number XXX XX8 874

Tax year 2021

Date issued May 10, 2022

SUKHWINDER KAUR CHAHAL 2YV9YW65
13508 67 AVE
SURREY BC V3W 2B8

Notice of assessment
We assessed your 2021 income tax and benefit return and calculated your balance.

You have a refund of $925.31.

We will deposit your refund into your bank account.

Thank you,

Bob Hamilton
Commissioner of Revenue

Account summary
Go paperless!
You have a refund in the amount shown below. Get your mail online through My Account.
1. Log in at canada.ca/my-cra-account.
Refund: $925.31 2. Select "Manage online mail".

T451 E (19)X
 Page 2

Notice details
Social insurance number XXX XX8 874
SUKHWINDER KAUR CHAHAL
13508 67 AVE Tax year 2021
SURREY BC V3W 2B8

Tax assessment
We calculated your taxes using the amounts below. The following summary is based on the information we
have or you gave us.

We may review your return later to verify income you reported or deductions or credits you claimed. For more
information, go to canada.ca/taxes-reviews. Keep all your slips, receipts, and other supporting documents
in case we ask to see them.

Summary
Line Description $ Final amount CR/DR
15000 Total income 38,738
Deductions from total 737
income
23600 Net income 38,001
26000 Taxable income 38,001
35000 Total federal non-refundable 3,703
tax credits
61500 Total British Columbia 767
non-refundable tax credits
42000 Net federal tax 1,996.87
42800 Net British Columbia tax 1,155.69
43500 Total payable 3,152.56
43700 Total income tax deducted 4,077.87
48200 Total credits 4,077.87
Total payable minus Total 925.31 CR
credits
Balance from this 925.31 CR
assessment
Direct deposit 925.31 CR

Explanation of changes and other important information

We will automatically calculate your goods and services tax/harmonized sales tax credit and any related
provincial credit based on your family net income, province of residence, marital status, and qualified
children. If you qualify for any credit for July 2022 to June 2023, we will let you know in July.

If you have any questions about your assessment, please call our Individual Tax and Enquiries line at
1-800-959-8281.
 Page 3
4124819

Notice details
Social insurance number XXX XX8 874
SUKHWINDER KAUR CHAHAL
13508 67 AVE Tax year 2021
SURREY BC V3W 2B8

RRSP deduction limit statement

References to RRSP contributions also include contributions to your pooled registered pension plan
(PRPP) and to your and your spouse's or common-law partner's specified pension plan (SPP). For more
information, go to canada.ca/rrsp or see Guide T4040, RRSPs and Other Registered Plans for
Retirement.

Description $ Amount
RRSP deduction limit for 2021 15,436
Minus: Employer's PRPP contributions for 2021 0
Minus: Allowable RRSP contributions deducted for 2021 0
Plus: 18% of 2021 earned income, up to a maximum of $29,210 6,871
Minus: 2021 pension adjustment 0
Minus: 2022 net past service pension adjustment 0
Plus: 2022 pension adjustment reversal 0
RRSP deduction limit for 2022 22,307
Minus: Unused RRSP contributions previously reported and available to 0
deduct for 2022
Available contribution room for 2022 22,307
Note: If your available contribution room is a negative amount (shown in brackets), you have no contribution room available for
2022 and may have over contributed to your RRSP. If this is the case, you may have to pay a 1% monthly tax on any excess
contributions.
 Page 4

More information
If you need more information about your income tax and benefit return, go to
canada.ca/taxes, go to My Account at canada.ca/my-cra-account, or call My Account
1-800-959-8281.
Use My Account to see and
To find your tax centre, go to canada.ca/cra-offices.
manage your tax information online.
Make changes to your return, check
your RRSP information, set up
If you move
direct deposit, and more. To
Let us know your new address as soon as possible. For more information on register for My Account, go to
changing your address, go to canada.ca/cra-change-address. canada.ca/my-cra-account.

If you have new or additional information and want to change Did the Canada Revenue
your return: Agency really contact you?
- go to canada.ca/change-tax-return for faster service; or Scams disguised as messages from
- write to the tax centre address shown on this notice, and include your social the CRA often imitate our services
insurance number and any documents supporting the change. and programs to get access to your
personal information and may
If you want to register a formal dispute: happen by phone, email, text or
instant messages. We do contact
- go to canada.ca/cra-complaints-disputes; you have 90 days from the date of
Canadians, and it is okay to ask
this notice to register your dispute.
questions if you are not sure it is us.
To learn what to expect if we
Definitions contact you, visit
DR (debit) is the amount you owe us and CR (credit) is the amount we owe you. canada.ca/be-scam-smart.

Help for persons with hearing, speech, or visual impairments

You can get this notice in braille, large print, or audio format. For more information
about other formats, go to canada.ca/cra-multiple-formats.

If you use a teletypewriter, you can get tax information by calling 1-800-665-0354.
 Page 1
0931515

WINNIPEG MB R3C 3M2

Notice details
000377485 Social insurance number XXX XX9 833

Tax year 2020

Date issued May 13, 2021

SUKHWINDER KAUR CHAHAL R9B74RH3
13508 67 AVE
SURREY BC V3W 2B8

Notice of assessment
We assessed your 2020 income tax and benefit return and calculated your balance.

You have a refund of $3,658.03.

We will deposit your refund into your bank account.

Thank you,

Bob Hamilton
Commissioner of Revenue

Account summary
Go paperless!
You have a refund in the amount shown below. Get your mail online through My Account.
1. Log in at canada.ca/my-cra-account.
Refund: $3,658.03 2. Select "Manage online mail".

T451 E (19)X
 Page 2

Notice details
Social insurance number XXX XX9 833
SUKHWINDER KAUR CHAHAL
13508 67 AVE Tax year 2020
SURREY BC V3W 2B8

Tax assessment
We calculated your taxes using the amounts below. The following summary is based on the information we
have or you gave us.

We may review your return later to verify income you reported or deductions or credits you claimed. For more
information, go to canada.ca/taxes-reviews. Keep all your slips, receipts, and other supporting documents
in case we ask to see them.

Summary
Line Description $ Final amount CR/DR
15000 Total income 35,580
Deductions from total 639
income
23600 Net income 34,941
26000 Taxable income 34,941
35000 Total federal non-refundable 5,241
tax credits
61500 Total British Columbia 1,767
non-refundable tax credits
42000 Net federal tax 0.00
42800 Net British Columbia tax 1.01
43500 Total payable 1.01
43700 Total income tax deducted 3,659.04
48200 Total credits 3,659.04
Total payable minus Total 3,658.03 CR
credits
Balance from this 3,658.03 CR
assessment
Direct deposit 3,658.03 CR

Explanation of changes and other important information

We will automatically calculate your goods and services tax/harmonized sales tax credit and any related
provincial credit based on your family net income, province of residence, marital status, and qualified
children. If you qualify for any credit for July 2021 to June 2022, we will let you know in July.

Based on this assessment, you have unused federal and British Columbia tuition and education amounts of
$7,286 and $1,760. You can carry forward these amounts to later years. To make sure we calculate your
unused amounts correctly, you need to file a return each year, even if you have no income to report.
 Page 3
0931516

Notice details
Social insurance number XXX XX9 833
SUKHWINDER KAUR CHAHAL
13508 67 AVE Tax year 2020
SURREY BC V3W 2B8

If you have any questions about your assessment, please call our Individual Tax and Enquiries line at
1-800-959-8281.

RRSP deduction limit statement

References to RRSP contributions also include contributions to your pooled registered pension plan
(PRPP) and to your and your spouse's or common-law partner's specified pension plan (SPP). For more
information, go to canada.ca/rrsp or see Guide T4040, RRSPs and Other Registered Plans for
Retirement.

Description $ Amount
RRSP deduction limit for 2020 9,130
Minus: Employer's PRPP contributions for 2020 0
Minus: Allowable RRSP contributions deducted for 2020 0
Plus: 18% of 2020 earned income, up to a maximum of $27,830 6,306
Minus: 2020 pension adjustment 0
Minus: 2021 net past service pension adjustment 0
Plus: 2021 pension adjustment reversal 0
RRSP deduction limit for 2021 15,436
Minus: Unused RRSP contributions previously reported and available to 0
deduct for 2021
Available contribution room for 2021 15,436
Note: If your available contribution room is a negative amount (shown in brackets), you have no contribution room available for
2021 and may have over contributed to your RRSP. If this is the case, you may have to pay a 1% monthly tax on any excess
contributions.
 Page 4

More information
If you need more information about your income tax and benefit return, go to
canada.ca/taxes, go to My Account at canada.ca/my-cra-account, or call My Account
1-800-959-8281.
Use My Account to see and
manage your tax information online.
To find your tax centre, go to canada.ca/cra-offices.
Make changes to your return, check
your RRSP information, set up
If you move
direct deposit, and more. To
Let us know your new address as soon as possible. For more information on register for My Account, go to
changing your address, go to canada.ca/cra-change-address. canada.ca/my-cra-account.

If you have new or additional information and want to change Fraudulent

your return: communications (scams)
- go to canada.ca/change-tax-return for faster service; or The CRA is committed to protecting
- write to the tax centre address shown on this notice, and include your social the personal information of
insurance number and any documents supporting the change. taxpayers and benefit recipients.
We will never ask you to give us
If you want to register a formal dispute: personal information of any kind by
email, text message, or by clicking
- go to canada.ca/cra-complaints-disputes; you have 90 days from the date of on a link. Nor will we ask you to pay
this notice to register your dispute. your balance through the use of a
pre-paid credit card. For more
Definitions information about how to recognize
scams and protect yourself, go to
DR (debit) is the amount you owe us and CR (credit) is the amount we owe you. canada.ca/taxes-security.
Help for persons with hearing, speech, or visual impairments
You can get this notice in braille, large print, or audio format. For more information
about other formats, go to canada.ca/cra-multiple-formats.

If you use a teletypewriter, you can get tax information by calling 1-800-665-0354.
 Conservez une copie de ce feuillet dans vos dossiers et
joignez l'autre à votre déclaration de revenus et de prestations.
Pour plus de renseignements, lisez le verso.

Keep a copy of this slip for your records and attach the
other copy to your income tax and benefit return.
For more information, see the back.

0103-04-1792-1-A-00004-02350
CHAHAL, SUKHWINDER
13508, 67 AVENUE
SURREY, BC
V3W 2B8
%MPLOYERgS NAME n .OM DE LgEMPLOYEUR Canada Revenue Agence du Revenu

YIG DAVIE STREET #1792

Agency du Canada T4
Protected B when completed / Protégé B une fois rempli

9EAR Statement of Remuneration Paid

1255,DAVIE STREET !NN£E 2019 État de la rémunération payée
VANCOUVER,BC
V6E 1N4
%MPLOYMENT INCOME n LINE 00 )NCOME TAX DEDUCTED n LINE 00
2EVENUS DgEMPLOI n LIGNE 00 )MP¹T SUR LE REVENU RETENU n LIGNE 00

Employer's account number

14
24484.67 22
1792.68
%MPLOYEEgS #00 CONTRIBUTIONS n LINE 00
Numéro de compte de l'employeur 0ROVINCE OF EMPLOYMENT
0ROVINCE DgEMPLOI #OTISATIONS DE LgEMPLOY£ AU 20# n LIGNE 00
%) INSURABLE EARNINGS
'AINS ASSURABLES Dg!%

54 706517091RP0001 10 BC 16 1070.22 24 24484.67

%MPLOYEEgS 100 CONTRIBUTIONS n LINE 00 CPP/QPP pensionable earnings
#OTISATIONS DE LgEMPLOY£ AU 221 n LIGNE 00 Gains ouvrant droit à pension – RPC/RRQ
3OCIAL INSURANCE NUMBER Exempt – Exemption
24484.67
%MPLOYMENT CODE
.UM£RO DgASSURANCE SOCIALE CPP/QPP %) 00)0 #ODE DgEMPLOI 17 26
12
936 869 833 28 29 %MPLOYEEgS %) PREMIUMS n LINE 00
#OTISATIONS DE LgEMPLOY£ Ü Lg!% n LIGNE 00
5NION DUES n LINE 00
#OTISATIONS SYNDICALES n LIGNE 00

396.69 525.57
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18 44
Employee's name and address – Nom et adresse de l'employé 200 CONTRIBUTIONS n LINE 00
#OTISATIONS Ü UN 20! n LIGNE 00
Charitable donations – line 34900
Dons de bienfaisance – ligne 34900
Last name (in capital letters) – Nom de famille (en lettres moulées) First name – Prénom Initial – Initiale 20 46

CHAHAL, SUKHWINDER 0ENSION ADJUSTMENT n LINE 00

&ACTEUR Dg£QUIVALENCE n LIGNE 00
200 OR $030 REGISTRATION NUMBER
.— DgAGR£MENT DgUN 20! OU DgUN 20$"

13508, 67 AVENUE 52 50

SURREY, BC Employee's PPIP premiums – see over

Cotisations de l'employé au RPAP – voir au verso
00)0 INSURABLE EARNINGS
'AINS ASSURABLES DU 20!0

V3W 2B8 55 56

Box – Case Amount – Montant Box – Case Amount – Montant Box – Case Amount – Montant
Other information
(see over)

Autres Box – Case Amount – Montant Box – Case Amount – Montant Box – Case Amount – Montant
T4 (19)

renseignements
(voir au verso)


%MPLOYERgS NAME n .OM DE LgEMPLOYEUR Canada Revenue Agence du Revenu

YIG DAVIE STREET #1792

Agency du Canada T4
Protected B when completed / Protégé B une fois rempli

9EAR Statement of Remuneration Paid

1255,DAVIE STREET !NN£E 2019 État de la rémunération payée
VANCOUVER,BC
V6E 1N4
%MPLOYMENT INCOME n LINE 00 )NCOME TAX DEDUCTED n LINE 00
2EVENUS DgEMPLOI n LIGNE 00 )MP¹T SUR LE REVENU RETENU n LIGNE 00

Employer's account number

14
24484.67 22
1792.68
%MPLOYEEgS #00 CONTRIBUTIONS n LINE 00
Numéro de compte de l'employeur 0ROVINCE OF EMPLOYMENT
0ROVINCE DgEMPLOI #OTISATIONS DE LgEMPLOY£ AU 20# n LIGNE 00
%) INSURABLE EARNINGS
'AINS ASSURABLES Dg!%

54 706517091RP0001 10 BC 16 1070.22 24 24484.67

%MPLOYEEgS 100 CONTRIBUTIONS n LINE 00 CPP/QPP pensionable earnings
#OTISATIONS DE LgEMPLOY£ AU 221 n LIGNE 00 Gains ouvrant droit à pension – RPC/RRQ
3OCIAL INSURANCE NUMBER Exempt – Exemption
24484.67
%MPLOYMENT CODE
.UM£RO DgASSURANCE SOCIALE CPP/QPP %) 00)0 #ODE DgEMPLOI 17 26
12
936 869 833 28 29 %MPLOYEEgS %) PREMIUMS n LINE 00
#OTISATIONS DE LgEMPLOY£ Ü Lg!% n LIGNE 00
5NION DUES n LINE 00
#OTISATIONS SYNDICALES n LIGNE 00

396.69 525.57
RPC/RRQ AE RPAP
18 44
Employee's name and address – Nom et adresse de l'employé 200 CONTRIBUTIONS n LINE 00
#OTISATIONS Ü UN 20! n LIGNE 00
Charitable donations – line 34900
Dons de bienfaisance – ligne 34900

Last name (in capital letters) – Nom de famille (en lettres moulées) First name – Prénom Initial – Initiale 20 46
CHAHAL, SUKHWINDER 0ENSION ADJUSTMENT n LINE 00
&ACTEUR Dg£QUIVALENCE n LIGNE 00
200 OR $030 REGISTRATION NUMBER
.— DgAGR£MENT DgUN 20! OU DgUN 20$"

13508, 67 AVENUE 52 50
SURREY, BC Employee's PPIP premiums – see over
Cotisations de l'employé au RPAP – voir au verso
00)0 INSURABLE EARNINGS
'AINS ASSURABLES DU 20!0

V3W 2B8 55 56

Box – Case Amount – Montant Box – Case Amount – Montant Box – Case Amount – Montant
Other information
(see over)

Autres Box – Case Amount – Montant Box – Case Amount – Montant Box – Case Amount – Montant
T4 (19)

renseignements
(voir au verso)

YIG DAVIE STREET #1792

1255,DAVIE STREET
VANCOUVER,BC
V6E 1N4

0103-04-1792-1-A-00004-02350
CHAHAL, SUKHWINDER
13508, 67 AVENUE
SURREY, BC
V3W 2B8
Report these amounts on your tax return.

14 – Employment income – Enter on line 10100. 67 – Non-eligible retiring allowances – See line 13000 in your tax guide.
16 – Employee's CPP contributions – See line 30800 in your tax guide. 74 – Past service contributions for 1989 or earlier years while a contributor
17 – Employee's QPP contributions – See line 30800 in your tax guide. 75 – Past service contributions for 1989 or earlier years while not a
contributor – See line 20700 in your tax guide.
18 – Employee's EI premiums – See line 31200 in your tax guide.
77 – Workers' compensation benefits repaid to the employer – Enter on line 22900.
20 – RPP contributions – Includes past service contributions.
See line 20700 in your tax guide. 78 – Fishers – Gross income
22 – Income tax deducted – Enter on line 43700. See Form T2121.
79 – Fishers – Net partnership amount
Do not enter on line 10100.
39 – Security options deduction 110(1)(d) – Enter on line 24900.
80 – Fishers – Shareperson amount
41 – Security options deduction 110(1)(d.1) – Enter on line 24900.
42 – Employment commissions – Enter on line 10120. 81 – Placement or employment agency
This amount is already included in box 14. workers Gross income
43 – Canadian Armed Forces personnel and police deduction – Enter on 82 – Taxi drivers and drivers of other See Form T2125.
line 24400. This amount is already included in box 14. passenger-carrying vehicles Do not enter on line 10100.
44 – Union dues – Enter on line 21200. 83 – Barbers or hairdressers

46 – Charitable donations. 85 – Employee-paid premiums for private health services plans – See line
52 – Pension adjustment – Enter on line 20600. 33099 in your tax guide.
87 – Emergency services volunteer exempt amount – See "Emergency
55 – Provincial parental insurance plan (PPIP) – Residents of Quebec, see
services volunteers" at line 10100, and the information at lines 31220 and
line 31205 in your tax guide. Residents of provinces or territories other
31240 in your tax guide.
than Quebec, see line 31200 in your tax guide.
66 – Eligible retiring allowances – See line 13000 in your tax guide.

Do not report these amounts on your tax return. For Canada Revenue Agency use only.
(Amounts in boxes 30, 32, 34, 36, 38, 40, and 86 are already included in box 14.)
30 – Board and lodging 38 – Security options benefits
31 – Special work site 40 – Other taxable allowances and benefits
32 – Travel in a prescribed zone 69 – Indian (exempt income) – Non-eligible retiring allowances
33 – Medical travel assistance 71 – Indian (exempt income) – Employment
34 – Personal use of employer's automobile or motor vehicle 86 – Security options election
36 – Interest-free and low-interest loans 88 – Indian (exempt income) – Self-employment

Privacy Act, personal information bank numbers CRA PPU 005 and CRA PPU 047

Veuillez déclarer ces montants dans votre déclaration de revenus.

14 – Revenus d'emploi – Inscrivez à la ligne 10100. 67 – Allocations de retraite non admissibles – Lisez la ligne 13000 de votre guide d'impôt.
16 – Cotisations de l'employé au RPC – Lisez la ligne 30800 de votre guide d'impôt. 74 – Services passés pour 1989 et les années précédentes pendant que l'employé cotisait
17 – Cotisations de l'employé au RRQ – Lisez la ligne 30800 de votre guide d'impôt. 75 – Services passés pour 1989 et les années précédentes pendant que l'employé
ne cotisait pas – Lisez la ligne 20700 de votre guide d'impôt.
18 – Cotisations de l'employé à l'AE – Lisez la ligne 31200 de votre guide d'impôt.
77 – Indemnités pour accidents du travail remboursées à l'employeur – Inscrivez à la ligne 22900.
20 – Cotisations à un RPA – Comprend les cotisations pour services passés.
Lisez la ligne 20700 de votre guide d'impôt. 78 – Pêcheurs – Revenus bruts
22 – Impôt sur le revenu retenu – Inscrivez à la ligne 43700. Consultez le formulaire T2121.
79 – Pêcheurs – Montant net d'un associé
N'inscrivez pas ce montant à
de la société de personnes
39 – Déduction pour options d'achat de titres 110(1)d) – Inscrivez à la ligne 24900. la ligne 10100.
80 – Pêcheurs – Montant du pêcheur à part
41 – Déduction pour options d'achat de titres 110(1)d.1) – Inscrivez à la
ligne 24900.
81 – Travailleurs d'agences ou de
42 – Commissions d'emploi – Inscrivez à la ligne 10120. Ce montant est déjà bureaux de placement Revenus bruts
compris dans la case 14. 82 – Chauffeurs de taxi ou d'un autre Consultez le formulaire T2125.
43 – Déduction pour le personnel des Forces armées canadiennes et des véhicule de transport de passagers N'inscrivez pas ce montant à
forces policières – Inscrivez à la ligne 24400. Ce montant est déjà compris la ligne 10100.
dans la case 14. 83 – Coiffeurs pour hommes ou dames
44 – Cotisations syndicales – Inscrivez à la ligne 21200. 85 – Primes versées par l'employé à un régime privé d'assurance-maladie – Lisez la
46 – Dons de bienfaisance. ligne 33099 de votre guide d'impôt.
52 – Facteur d'équivalence – Inscrivez à la ligne 20600. 87 – Montant exempt d'impôt versé à un volontaire des services d'urgence –
55 – Régime provincial d'assurance parentale (RPAP) – Résidents du Québec, Lisez « Volontaires des services d’urgence » à la ligne 10100, et les
lisez la ligne 31205 de votre guide d'impôt. Résidents des autres provinces ou renseignements aux lignes 31220 et 31240 de votre guide d'impôt.
territoires, lisez la ligne 31200 de votre guide d'impôt.
66 – Allocations de retraite admissibles – Lisez la ligne 13000 de votre guide d'impôt.

Ne déclarez pas ces montants à votre déclaration d'impôt. À l'usage de l'Agence du revenu du Canada seulement.
(Les montants des cases 30, 32, 34, 36, 38, 40 et 86 sont déjà inclus à la case 14.)
30 – Pension et logement 38 – Avantages liés aux options d'achat de titres
31 – Chantier particulier 40 – Autres allocations et avantages imposables
32 – Voyages dans une zone visée par règlement 69 – Indien ayant un revenu exonéré – Allocations de retraite non admissibles
33 – Aide accordée pour les voyages pour soins médicaux 71 – Indien ayant un revenu exonéré – emploi
34 – Usage personnel de l'automobile ou du véhicule à moteur de l'employeur 86 – Choix liés aux options d'achat de titres
36 – Prêts sans intérêt ou à faible intérêt 88 – Indien ayant un revenu exonéré – travail indépendant

Loi sur la protection des renseignements personnels, fichiers de renseignements personnels ARC PPU 005 et ARC PPU 047