AUTOMOBILE EXPENSES STATEMENT
         
Name _______________________________
  
S.I.N. _______________________
  
Year _______
         
  Vehicle A   Vehicle B
Automobile Make
   _________________________   _________________________
         
Date acquired 
   ______, 20___    ______, 20___
         
Number of kms driven to earn income
(exclude kms to/from your home)
   ________ kms   ________ kms
         
Total kms driven during year
   ________ kms   ________ kms
         
Expenses:
        
Fuel
   ____________   ____________
         
Maintenance and Repairs
   ____________   ____________
         
Insurance   ____________   ____________
         
Licensing or Registration    ____________   ____________
         
Interest and finance charges   ____________   ____________
OR        
Leasing costs   ____________   ____________
         
Capital Cost Allowance (CCA)   ____________   ____________
         
Parking   ____________   ____________
         
Other (specify): ___________________________   ____________   ____________
 
For each vehicle purchased during the year, it is extremely important that you provide the following:
 
1. Make and year of vehicle purchased
2. Cost before GST and PST
3. Amount of GST and PST
4. Trade-in amount (if applicable)
5. Year end make of vehicle traded-in
Amount reimbursed by employer for vehicle during year (N/A if self-employed) $__________________
         
REMINDER: The Canada Revenue Agency requires you to keep a detailed log outlining dates,
number of kilometers, and destinations to allow for a deduction of vehicle expenses.