Schedule of Moving Expenses
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Taxpayer Name: _______________________________     S.I.N. __________________     Tax Year _______


Criteria: Must have moved at least 40 km to earn employment or self-employment income or to study in an educational institution.

  Former Address in Full New Address in Full
Address ___________________________ ___________________________
City, Province ___________________________ ___________________________
Postal Code ___________________________ ___________________________
     
  Former Employer, Business
or educational institution
New Employer, Business
or educational institution
Name ___________________________ ___________________________
Address ___________________________ ___________________________
City, Province ___________________________ ___________________________
Postal Code ___________________________ ___________________________


Date of Move:


___________________________
 


Distance from former residence
to new work or study location


___________ km
 


Distance from new residence
to new work or study location


___________ km
 


Costs:
   
Moving of household effects (mover: ___________________) $ ___________
Transportation costs from
  former residence to new

(mode of travel: _____________)

$ ___________
  Travel costs(# of kms: _______ ) $ ___________
  Lodging(# of nights: _______ ) $ ___________
  Meals(# of days: _______ ) $ ___________
Temporary living expenses near
  new or old location (max. 15 days)
 
$ ___________
  Lodging(# of nights: _______ ) $ ___________
  Meals(# of days: _______ ) $ ___________
Cost of lease settlement  $ ___________
Selling costs of former residence(selling price: $ _____________ ) $ ___________
  Real estate commission  $ ___________
  Legal or notarial fees  $ ___________
  Advertising  $ ___________
  Other (please specify: _______________) $ ___________
Purchase costs of new residence  $ ___________
  Legal fees  $ ___________
  Taxes (registration or transfer of title)  $ ___________


TOTAL Expenses
 

$ ___________
Amount reimbursed by employer  $ ___________