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T5 — Statement of Investment Income (Canada)

T5 — Statement of Investment Income (Canada)

Tax Year: [Tax Year]

Issued pursuant to the Income Tax Act, R.S.C. 1985, c. 1 (5th Supp.), s. 201(1), and CRA guide T4015.

Payer Information

Payer Name: [Payer Name]

Address: [Payer Address], [Payer City], [Payer Province] [Payer Postal Code]

Recipient Information

Recipient Name: [Recipient Name]

SIN or Business Number: [Recipient SIN/BN]

Address: [Recipient Address], [Recipient City], [Recipient Province] [Recipient Postal Code]

Recipient Type: [Recipient Type]

Dividend Income

Box 24 — Actual Amount of Eligible Dividends: CAD $[Box 24]

Box 25 — Taxable Amount of Eligible Dividends: CAD $[Box 25]

Box 26 — Dividend Tax Credit for Eligible Dividends: CAD $[Box 26]

Box 10 — Actual Amount of Dividends Other Than Eligible: CAD $[Box 10]

Box 11 — Taxable Amount of Dividends Other Than Eligible: CAD $[Box 11]

Box 12 — Dividend Tax Credit for Other Than Eligible Dividends: CAD $[Box 12]

Interest and Other Investment Income

Box 13 — Interest from Bonds, Debentures, and Notes: CAD $[Box 13]

Box 14 — Other Interest Income: CAD $[Box 14]

Box 15 — Foreign Income: CAD $[Box 15]

Box 18 — Capital Gains Dividends: CAD $[Box 18]

Box 19 — Accrued Income: CAD $[Box 19]

Box 17 — Royalties: CAD $[Box 17]

All amounts are reported in Canadian dollars (CAD). Foreign income has been converted to CAD at the applicable exchange rate.

Certification

I certify that the information given on this T5 slip is, to the best of my knowledge, correct and complete.

This T5 — Statement of Investment Income is issued pursuant to section 201(1) of the Income Tax Regulations under the Income Tax Act (R.S.C. 1985, c. 1, 5th Supp.). The payer is required to file this information return with the Canada Revenue Agency on or before the last day of February following the calendar year to which this slip relates.

The recipient should retain this slip for their records and use the information to complete their T1 General Income Tax and Benefit Return. Dividends from Canadian corporations are subject to the gross-up and dividend tax credit mechanism under Income Tax Act s. 82(1) and s. 121. Interest income is fully taxable. Capital gains dividends are reported as capital gains. Foreign income may be eligible for the foreign tax credit under s. 126.

Authorized Representative of Payer

________________

Signature

Date: ________________

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What Is a T5 — Statement of Investment Income (Canada)?

A T5 — Statement of Investment Income in Canada reports investment income paid to a recipient to the Canada Revenue Agency, governed primarily by the Income Tax Act (R.S.C. 1985, c. 1 (5th Supp.)).

The T5 slip is issued by financial institutions (banks, credit unions, trust companies), corporations paying dividends, investment dealers, and any other person or entity that pays or credits investment income exceeding $50 in a calendar year. The types of investment income reported include dividends from taxable Canadian corporations (both eligible and other than eligible), interest from bonds, debentures, treasury bills, and bank accounts, foreign investment income held through Canadian financial intermediaries, capital gains dividends from mutual fund corporations, accrued income on anniversary dates for investment contracts, and royalty income.

Canada’s dividend taxation system uses a unique gross-up and dividend tax credit mechanism under Income Tax Act s. 82(1) and s. 121 that is designed to integrate corporate and personal income tax. The T5 slip reports both the actual dividend amount paid and the grossed-up taxable amount, along with the corresponding federal dividend tax credit. This system confirms that dividend income is taxed at approximately the same rate as other income, once the corporate tax already paid by the company is taken into account through the dividend tax credit.

The legal framework governing the T5 — Statement of Investment Income (Canada) in Canada draws on several key statutes and regulatory bodies. Under Canadian law, PIPEDA and provincial privacy legislation govern personal data processed under this agreement. The Competition Act (R.S.C. 1985, c. C-34), enforced by the Competition Bureau, protects consumer rights. Section 15 of the Canada Business Corporations Act governs corporate obligations. Provincial superior courts and the Federal Court of Canada have jurisdiction for civil matters. The Canada Revenue Agency (CRA) administers tax compliance obligations. Parties executing a T5 — Statement of Investment Income (Canada) in Canada should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Access to Information Act (R.S.C. 1985, c. A-1) sets the foundational requirements.

When Do You Need a T5 — Statement of Investment Income (Canada)?

A T5 slip must be issued for any calendar year in which a person or entity pays or credits more than $50 of investment income to a Canadian resident. The $50 threshold applies to each type of investment income separately — for example, if a bank pays $40 in interest and a corporation pays $60 in dividends, only the corporation must issue a T5 for the dividends. However, many financial institutions issue T5 slips even for amounts below $50 as a service to their clients.

Banks and credit unions issue T5 slips for interest earned on savings accounts, chequing accounts, Guaranteed Investment Certificates (GICs), and term deposits. Corporations issue T5 slips when they pay dividends to shareholders — the slip must designate whether the dividends are eligible (from income taxed at the general corporate rate) or other than eligible (from income taxed at the small business rate). Investment dealers and mutual fund companies issue T5 slips for interest, dividends, and foreign income earned through investment accounts that are not registered (i.e., not RRSP, TFSA, or RESP accounts — income in registered accounts is generally not reportable on T5 slips).

The filing deadline for T5 slips is the last day of February following the calendar year in which the income was paid or credited. Electronic filing is mandatory for filers issuing more than 50 T5 slips in a year. Recipients need T5 slips to accurately complete their T1 General Income Tax and Benefit Return, particularly Schedule 4 (Statement of Investment Income) and the federal worksheet for the dividend tax credit calculation.

Parties in Canada should prepare a T5 — Statement of Investment Income (Canada) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Canadian law, PIPEDA and provincial privacy legislation govern personal data processed under this agreement. The Competition Act (R.S.C. 1985, c. C-34), enforced by the Competition Bureau, protects consumer rights. Section 15 of the Canada Business Corporations Act governs corporate obligations. Provincial superior courts and the Federal Court of Canada have jurisdiction for civil matters. The Canada Revenue Agency (CRA) administers tax compliance obligations. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your T5 — Statement of Investment Income (Canada)

A properly completed T5 slip must identify the payer by full legal name and address. Unlike T4 and T4A slips, the payer’s Business Number is not a mandatory field on the T5 slip itself but must be included on the T5 Summary filed with the CRA. The recipient’s full legal name, Social Insurance Number (SIN) or Business Number (BN), and mailing address are required for identification and CRA matching.

The dividend section is the most complex part of the T5 because of Canada’s gross-up and tax credit system. Box 24 reports the actual dollar amount of eligible dividends paid, Box 25 reports the taxable amount after the 38% gross-up (i.e., Box 24 multiplied by 1.38), and Box 26 reports the federal dividend tax credit at 15.0198% of the taxable amount. For other than eligible dividends, Box 10 reports the actual amount, Box 11 reports the taxable amount after the 15% gross-up (Box 10 multiplied by 1.15), and Box 12 reports the federal dividend tax credit at 9.0301% of the taxable amount.

Box 13 reports interest from bonds, debentures, treasury bills, and promissory notes, while Box 14 reports other interest (bank accounts, GICs, term deposits). Box 15 reports foreign investment income converted to Canadian dollars at the applicable Bank of Canada exchange rate. Box 18 reports capital gains dividends from mutual fund corporations or investment corporations — these are treated as capital gains by the recipient. Box 19 reports accrued income on the anniversary date of investment contracts under the accrual rules of Income Tax Act s. 12(4). Box 17 reports royalty income from natural resources or intellectual property. The recipient type field indicates whether the income is paid to an individual, joint account holders, a corporation, or a trust.

Additional compliance elements for a T5 — Statement of Investment Income (Canada) used in Canada include: Under Canadian law, PIPEDA and provincial privacy legislation govern personal data processed under this agreement. The Competition Act (R.S.C. 1985, c. C-34), enforced by the Competition Bureau, protects consumer rights. Section 15 of the Canada Business Corporations Act governs corporate obligations. Provincial superior courts and the Federal Court of Canada have jurisdiction for civil matters. The Canada Revenue Agency (CRA) administers tax compliance obligations. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.

Sources & Citations

Statutory citations link to official government sources.

  1. R.S.C. 1985, c. C-34CA official
  2. R.S.C. 1985, c. A-1CA official

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APA

Forms Legal. (2026). T5 — Statement of Investment Income (Canada) (Canada) [Legal document template]. Forms Legal. https://forms-legal.com/canada/government/tax-forms/form-t5-statement-of-investment-income-canada

MLA

"T5 — Statement of Investment Income (Canada) (Canada)." Forms Legal, 2026, https://forms-legal.com/canada/government/tax-forms/form-t5-statement-of-investment-income-canada.

BibTeX
@misc{formslegal-form-t5-statement-of-investment-income-canada,
  author       = {{Forms Legal}},
  title        = {T5 — Statement of Investment Income (Canada) (Canada)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/canada/government/tax-forms/form-t5-statement-of-investment-income-canada}},
  note         = {Free legal document template. Based on Access to Information Act (R.S.C. 1985, c. A-1)}
}

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Based on Access to Information Act (R.S.C. 1985, c. A-1) — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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