Worksheet NT428 |
2023 |
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Use this worksheet to calculate the amounts to enter on your Form NT428, Northwest Territories Tax. | ||||||||||||

Keep this worksheet for your records. Do not attach it to your return. |
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Line 58080 – Age amount (if you were born in 1958 or earlier) |
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If the amount from line 23600 of your return is: | ||||||||||||

• $42,335 or less, enter $8,116 on line 58080 of your Form NT428 |
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• $96,442 or more, enter "0" on line 58080 of your Form NT428 |
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Otherwise, complete the calculation below. | ||||||||||||

Maximum amount | 1 |
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Amount from line 23600 of your return | 2 |
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Income threshold | – | 3 |
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Line 2 minus line 3 (if negative, enter "0") | = | 4 |
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Applicable rate | x 15% | 5 |
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Line 4 multiplied by the percentage from line 5 | = | ► | – | 6 |
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Line 1 minus line 6 (if negative, enter "0") | = | 7 |
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Enter the amount from line 7 on line 58080 of your Form NT428. | ||||||||||||

Line 58200 – Amount for infirm dependants age 18 or older |
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Complete one column for each dependant. If you have more than three dependants, use a separate sheet of paper. |
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Dependant 1 |
Dependant 2 |
Dependant 3 |
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Base amount | 1 |
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Dependant's net income from line 23600 of their return | – | – | – | 2 |
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Line 1 minus line 2 (if negative, enter "0") | ||||||||||||

(maximum $5,499 per dependant) |
= | = | = | 3 |
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Amount claimed for this dependant on line 58160 | ||||||||||||

of your Form NT428, if any | – | – | – | 4 |
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Allowable amount for this dependant: | ||||||||||||

line 3 minus line 4 (if negative, enter "0") | = | = | = | 5 |
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Add the amounts from line 5 for columns 1, 2 and 3 (and others, if any). | 6 |
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Enter the total from line 6 on line 58200 of your Form NT428. | ||||||||||||

Line 58400 – Caregiver amount |
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Complete one column for each dependant. If you have more than three dependants, use a separate sheet of paper. |
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Dependant 1 |
Dependant 2 |
Dependant 3 |
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Base amount | 1 |
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Dependant's net income from line 23600 of their return | – | – | – | 2 |
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Line 1 minus line 2 (if negative, enter "0") | ||||||||||||

(maximum $5,500 per dependant) |
= | = | = | 3 |
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Amount claimed for this dependant on line 58160 | ||||||||||||

of your Form NT428, if any | – | – | – | 4 |
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Allowable amount for this dependant: | ||||||||||||

line 3 minus line 4 (if negative, enter "0") | = | = | = | 5 |
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Add the amounts from line 5 for columns 1, 2 and 3 (and others, if any). | 6 |
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Enter the total from line 6 on line 58400 of your Form NT428. | ||||||||||||

5012-D E (23) | (Ce formulaire est disponible en français.) | Page 1 of 3 | ||||||||||

Line 58440 – Disability amount for self |
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Complete this calculation if you were under 18 years of age on December 31, 2023: |
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Base amount | 1 |
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Maximum amount | 2 |
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Total child care and attendant care expenses for you | ||||||||||||||||||||||

claimed by you or another person | 3 |
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Threshold for child and attendant care expenses | – | 4 |
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Line 3 minus line 4 (if negative, enter "0") | = | ► | – | 5 |
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Line 2 minus line 5 (if negative, enter "0") | = | ► | + | 6 |
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Line 1 plus line 6 | (maximum $18,956) |
= | 7 |
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Enter the amount from line 7 on line 58440 of your Form NT428. | ||||||||||||||||||||||

Line 58480 – Disability amount transferred from a dependant |
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Complete this calculation for each dependant. If you have more than one dependant, use a separate sheet of paper. |
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Note: |
If you and your dependant were not residents of the same province or territory at the end of the year, special rules may apply. For more information, call the Canada Revenue Agency at 1-866-426-1527. |
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Base amount | 1 |
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If the dependant was under 18 years of age on December 31, 2023, complete lines 2 to 12. |
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If the dependant was 18 years of age or older, enter "0" on line 6 and continue on line 7. |
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Maximum amount | 2 |
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Total child care and attendant care expenses for this | ||||||||||||||||||||||

dependant claimed by you or another person | 3 |
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Threshold for child and attendant care expenses | – | 4 |
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Line 3 minus line 4 (if negative, enter "0") | = | ► | – | 5 |
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Line 2 minus line 5 (if negative, enter "0") | = | ► | + | 6 |
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Line 1 plus line 6 | (maximum $18,956) |
= | 7 |
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Enter the amount from line 28 of the dependant's Form NT428. | + | 8 |
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Line 7 plus line 8 | = | 9 |
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Dependant's taxable income from line 26000 of their return | – | 10 |
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Line 9 minus line 10 (if negative, enter "0") | = | 11 |
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Enter whichever is less: |
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amount from line 7 or line 11. | Allowable amount for this dependant |
12 |
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Enter on line 58480 of your Form NT428 the total of allowable amounts claimed for all dependants. |
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Line 58729 – Allowable amount of medical expenses for other dependants |
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Complete one column for each dependant. If you have more than three dependants, use a separate sheet of paper. |
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Dependant 1 |
Dependant 2 |
Dependant 3 |
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Medical expenses for other dependant | 1 |
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Enter the amount from line 41 of the dependant's | ||||||||||||||||||||||

Form NT428. | – | – | – | 2 |
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Line 1 minus line 2 (if negative, enter "0") | ||||||||||||||||||||||

(maximum $5,000 per dependant) |
= | = | = | 3 |
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Add the amounts from line 3 for columns 1, 2 and 3 (and others, if any). | 4 |
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Enter the total from line 4 on line 58729 of your Form NT428. | ||||||||||||||||||||||

5012-D E (23) | Page 2 of 3 |

Line 61520 – Northwest Territories dividend tax credit |
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Amount from line 12000 of your return | A |
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Amount from line 12010 of your return | – | B |
x | 6% | = | 1 |
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Amount A minus amount B | = | C |
x | 11.5% | = | + | 2 |
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Line 1 plus line 2 | = | 3 |
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Enter the amount from line 3 on line 61520 of your Form NT428. | ||||||||||||||||||||||

Line 65 – Northwest Territories political contribution tax credit |
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Calculate the amount to enter on line 65 of your Form NT428 as follows: | ||||||||||||||||||||||

• | For contributions of $100 or less, enter the amount of your contributions on line 65. |
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• | For contributions of $900 or more, enter $500 on line 65. |
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Otherwise, complete the calculation below. | ||||||||||||||||||||||

Enter your total political contributions from line 62550 of your Form NT428. | 1 |
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– | 2 |
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Line 1 minus line 2 (cannot be negative) | = | 3 |
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x 50% | 4 |
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Line 3 multiplied by the percentage on line 4 | = | 5 |
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+ | 6 |
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Line 5 plus line 6 | (maximum $500) |
= | 7 |
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Enter the amount from line 7 on line 65 of your Form NT428. | ||||||||||||||||||||||

5012-D E (23) | Page 3 of 3 |