Taxable Benefits Statement
[Your Name]
123 Main Street
Toronto, Ontario
M1M 1M1
Employee Social Insurance Number (SIN): XXX-XXX-XXX
Taxable Benefits Statement - T4 Slip
Year: [Year]
Employee's Department/Division | Production |
Employee's Job Title | Production Supervisor |
Employee's Payroll Number | 7890123 |
[Box 14 - Employment Income] | $52,500.00 |
This box represents your total employment income for the year, including salary, wages, and any other compensation. |
[Box 22 - Income Tax Deducted] | $9,500.00 |
This box shows the total income tax deducted from your income during the year. |
[Box 24 - Pension Plan (CPP) Contributions] | $2,500.00 |
This box displays the total CPP contributions deducted from your income. |
[Box 18 - Union Dues] | $350.00 |
This box indicates the total union dues deducted from your pay. |
[Box 26 - Employment Insurance (EI) Premiums] | $400.00 |
This box shows the total EI premiums deducted from your income. |
[Box 32 - Other Information] |
Company Vehicle Benefit | $2,000.00 |
(Value of the company vehicle provided for your use.) |
Stock Option Benefit | $3,500.00 |
(Value of stock options exercised during the year.) |
Meal Allowance | $1,200.00 |
(Value of meal allowances provided.) |
[Box 38 - Employment Insurance (EI) Insurable Earnings] | $52,500.00 |
This box shows your insurable earnings for EI purposes. |
[Box 52 - CPP Pensionable Earnings] | $52,500.00 |
This box displays your pensionable earnings for CPP purposes. |
This statement is for your tax reporting and record-keeping purposes. Keep it in a secure place, and use the information provided when filing your income tax return with the CRA.
[Your Name]
[Month Day, Year]
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