Private Corporation Details
Description: Province of Incorporation:
Province of Taxation: Corporate End Year:
Share Structure
Valuation Date:
*Applies to Share Structure, Outstanding Shareholder Loans to the Private Corporation, Investment Accounts, and Other Assets.
Common Shares
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Preferred Shares
Redemption Value per Share:
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Shareholder: Number of Shares: Market Value: Adjusted Cost Basis:
Preferred Automatic Annual Dividend Yield (% of Redemption Value) Type of Dividend (Taxable or Non-taxable)
Historical Data
Notional Accounts
RDTOH End-of-Year Value for Previous Year:
CDA End-of-Year Value for Previous Year:
Divident Refund for Previous Year: Capital Losses Carryover End-of-Year Value for Previous Year:
Before May 23, 1985:
After May 22nd, 1985 and before 1988: In 1988 and 1989:
After 1989 and before 2000: In 2000:
After 2000 and before last year:
Outstanding Shareholder Loans to the Private Corporation
Shareholder: Loan Balance (as of Valuation Date):
Shareholder: Loan Balance (as of Valuation Date):
Share Holder: Loan Balance (as of Valuation Date):
Investment Accounts and Subaccounts
Description: Market Value: Cost Basis:
Annual Fee %: Frequency: Tax Deduction:
Pre-Retirement Return Rates
Total: Interest Rate: Dividends:
Capital Gains: Deferred Growth: Standard Deviation:
Reinvest After Tax Income?
Yes No
Retirement Return Rates
Total: Interest Rate: Dividends:
Capital Gains: Deferred Growth: Standard Deviation:
Reinvest After Tax Income?
Yes No
Subaccounts
Description: Symbol: Market Value: Cost Basis:
Valuation Date:
Description: Symbol: Market Value: Cost Basis:
Valuation Date:
Description: Symbol: Market Value: Cost Basis:
Valuation Date:
Description: Symbol: Market Value: Cost Basis:
Valuation Date:
Description: Symbol: Market Value: Cost Basis:
Valuation Date:
Other Assets
Description: Cost Base: Market Value:
Valuation Date: Deferred Growth: Standard Deviation:
Current Value as of:
Description: Cost Base: Market Value:
Valuation Date: Deferred Growth: Standard Deviation:
Current Value as of:
Description: Cost Base: Market Value:
Valuation Date: Deferred Growth: Standard Deviation:
Current Value as of:
Description: Cost Base: Market Value:
Valuation Date: Deferred Growth: Standard Deviation:
Current Value as of:
Life Insurance Policies
1. Life Insurance Policy
Description: Policy Type: Insured Shareholder:
Benefit Details
Death Benefit: CSV: CSV with Death Benefit:
Coverage Cease at Age: Coverage Cease on Date:
Premium
Premium Frequency: Premium Amount: Cease at Age: Cease on Date:
2. Life Insurance Policy
Description: Policy Type: Insured Shareholder:
Benefit Details
Death Benefit: CSV: CSV with Death Benefit:
Coverage Cease at Age: Coverage Cease on Date:
Premium
Premium Frequency: Premium Amount: Cease at Age: Cease on Date:
3. Life Insurance Policy
Description: Policy Type: Insured Shareholder:
Benefit Details
Death Benefit: CSV: CSV with Death Benefit:
Coverage Cease at Age: Coverage Cease on Date:
Premium
Premium Frequency: Premium Amount: Cease at Age: Cease on Date:
Contributions
Inter-Company Dividends Received
Received From: Dividend Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Received From: Dividend Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Received From: Dividend Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Shareholder Loans to the Private Corporation
Shareholder: Amount: Frequency: Inflation:
Start Date: End Date:
Shareholder: Amount: Frequency: Inflation:
Start Date: End Date:
Shareholder: Amount: Frequency: Inflation:
Start Date: End Date:
Share Purchases
Shareholder:: Share Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Shareholder: Share Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Shareholder: Share Type: Received Amount: Frequency:
Start Date: End Date: Inflation:
Withdrawals
Manual Dividend Distributions
Share Type: Dividend Type: Amount: Frequency:
Start Date: End Date: Inflation: Direct Proceeds to:
Share Type: Dividend Type: Amount: Frequency:
Start Date: End Date: Inflation: Direct Proceeds to:
Share Type: Dividend Type: Amount: Frequency:
Start Date: End Date: Inflation: Direct Proceeds to:
Shareholder Loan Repayments
Shareholder: Amount: Frequency: Start Date:
End Date: Direct Proceeds to:
Shareholder: Amount: Frequency: Start Date:
End Date: Direct Proceeds to:
Shareholder: Amount: Frequency: Start Date:
End Date: Direct Proceeds to:
Share Redemptions
Shareholder: Share Type: Amount: Frequency:
Start Date: End Date: Inflation: Direct Proceeds to:
Shareholder: Share Type: Amount: Frequency:
Shareholder: Share Type: Amount: Frequency:
Start Date: End Date: Inflation: Direct Proceeds to:
Estate Details
Share Options at First Death: Share Options at Second Death:
Estate Freeze: Yes
No Date freeze went into effect: