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Protected B when completed
Amateur Athlete Trust Income 09
Tax Return  
Unless otherwise stated, each legislative reference in this return is to the Income Tax Act. Do not use this area.
This return is required to be filed by a registered Canadian amateur athlete association (RCAAA) or "third party"
described on Form T1061 which acts as a trustee for an "amateur athlete trust", in respect of an arrangement described
in subsection 143.1(1.1) when any of the following apply:
the trust makes a distribution, in the tax year, to the individual athlete or former athlete who was, at that time, a non-
resident person
the trust is deemed to have distributed, in the tax year, to the individual athlete or former athlete who has not
competed in an international sporting event as a Canadian national team member for eight years and who was, at
that time, a non-resident person
the trust is deemed to have distributed, in the tax year, to the individual athlete or former athlete who has died and
who, at the time of death, was a non-resident person
the trust is subject to tax under subsection 207.1(5) on an agreement to acquire shares  
File the completed T3ATH-IND return along with the T1061 for the tax year and send us any payment owing.  
Identification and other information
 Is this an amended return? Yes
Is this return a first year filing? Yes
Tax year of return   
 Athlete's last name  Athlete's first name and initials  Account number (if one has been assigned)
 Athlete's address  Athlete's SIN
 City Province/Territory or State Country Postal or ZIP code
Trustee information (Choose only one of the two following options and fill in the required information about the trustee.)
Enter only the information of the trustee that is the CRA's primary contact. Do not enter information for any other trustees.
Option 1 – The trustee is an Individual (For example, a third party, a trustee, a filer, or an administrator)  
 First name of trustee  Last name of trustee  Telephone number
 Address City Province/Territory or State Country  Postal or ZIP code
Option 2 – The trustee is a Non-individual (For example, name of RCAAA, a third party, a corporation, a partnership, or a trust company)  
 Name of non-individual trustee  RCAAA registration number (if applicable)
 First name of contact person  Last name of contact person  Telephone number
 Address City Province/Territory or State Country  Postal or ZIP code
Information about the trust
 Address where the trust keeps its books and records (if different from trustee's address)
 City Province/Territory or State Country  Postal or ZIP code
Date the trust was  Did the trust cease to Yes
 If yes, give the date  
created Year Month Day  exist in the tax year? No
 the trust wound up. Year Month Day  
 Province or Territory of residence of the trust Your language of correspondence:
 English  French
Beneficial ownership information
Answer the following questions to determine if the amateur athlete trust is required to file a T3 Schedule 15, Beneficial Ownership Information of a Trust.
For more information, see Guide T4013, T3 Trust Guide.
1. Does the amateur athlete trust fall outside of the meaning of "express trust" (as that term is defined in the T3 Guide) or for civil
  law purposes was the trust established by law or by judgement? Yes 
  If you answered “yes” to question 1, the trust is not required to complete a T3 SCH15.
  If you answered “No” to question 1, answer question 2.
2. Did the assets held in the trust consist only of those listed in paragraph 150(1.2)(b) with a total fair market value not exceeding
  $50,000 throughout the year? Yes 
  If you answered “yes” to question 2, the trust is not required to complete a T3 SCH15.
  If you answered “No” to question 2, a completed T3 SCH15 must be sent with this T3ATH-IND.
T3ATH-IND E (23) (Ce formulaire est disponible en français.) Page 1 of 2 Canada Logo

Protected B when completed
Calculating Part XII.2 tax and Part XIII non-resident withholding tax
  Use this area to calculate the Part XII.2 tax on distributions of amounts to a non-resident athlete or former athlete.
The Part XII.2 tax is due no later than 90 days after the trust's year-end. Trustees are liable for any Part XII.2 tax not paid by the due date.
  Part 1 – Calculating Part XII.2 tax
  Amounts distributed to, or for the benefit of, the non-resident athlete in the year    1
  Amounts deemed to have been distributed to a non-resident athlete during the year
  (60% of the fair market value of the property held when the athlete died or the trust ceased to exist)       +  2
  Total amount taxable in the year (add lines 1 and 2)   270   =  3
  Part XII.2 tax: Amount from line 3 x 2/3 =    4
  Part 2 – Calculating Part XIII non-resident withholding tax
The trustee has to withhold Part XIII tax and send it to us by the 15th day of the month after the month the tax was withheld. The Part XIII tax is the amount
on line 3 above multiplied by 25%. Provisions of a tax treaty might reduce this amount. We have explained the rates that apply to trust income that residents
of various foreign countries receive in the appendix of Information Circular 76-12, Applicable rate of Part XIII tax on amounts paid or credited to persons in
countries with which Canada has a tax convention.
Report the amount of tax payable on an NR4 Summary, Return of Amounts Paid or Credited to Non-Residents of Canada, and the related NR4 slips,
Statement of Amounts Paid or Credited to Non-Residents of Canada. Subtract any Part XIII tax on distributions the association previously paid showing on
Form NR76, Non-Resident Tax Statement of Account.
Enter the payer's remittance number.  
Agreements entered into to acquire shares of the capital stock of a corporation
(other than from the corporation) at a price that may differ from their fair market value when acquired
Complete this area and Form T2000, Calculation of Tax on Agreements to Acquire Shares, if the trust entered into an agreement (other than for the
acquisition, or the writing by it, of an option listed on a designated stock exchange) to acquire a share of the capital stock of a corporation (other than from
the corporation) at a price different from the fair market value at the time the share may be acquired.
Send us the completed Form T2000 with this return.
  Subsection 207.1(5) tax on agreements to acquire shares (enter the amount calculated on Form T2000)   241    5
Summary of tax or refund
  Tax under subsection 207.1(5) on agreements to acquire shares (from line 5)   140    6
  Part XII.2 tax (line 4 above)   170   +  7
  Total tax payable (add lines 6 and 7)   190   = •8
  Minus: Payments on account   010   •9
  Balance owing or refund (line 8 minus line 9)   090   =  10
  If the result is positive, you have a balance owing. If the result is negative, you have a refund.
Generally, we do not charge or refund a difference of $2 or less.
  Amount enclosed    095   •11
  Balance owing: Pay a balance owing online using CRA’s My Payment service at canada.ca/cra-my-payment. You can also
send us a cheque or money order payable to the Receiver General. Do not mail cash.
Refund code (see the guide for details)  102    12
  Refund: To receive a refund by direct deposit, complete Form T3-DD, Direct Deposit Request for T3.
I,  , certify that the information given on this return and in any attached documents is correct, complete and  
(Print name) fully discloses all of my income.
Signature of amateur athlete trust official   Position or office   Telephone number Date YYYYMMDD  
How to file this return
  By internet By mail
  You have the option to file this return through EFILE.
For more information about this filing method, go to canada.ca/efile.
Sudbury Tax Centre
T3 Trust Returns Program
Canada Revenue Agency
1050 Notre Dame Avenue
Sudbury ON P3A 6C2
Personal information (including the SIN) is collected and used to administer or enforce the Income Tax Act and related programs and activities including administering tax, benefits, audit,
compliance, and collection. The information collected may be disclosed to other federal, provincial, territorial, aboriginal or foreign government institutions to the extent authorized by law.
Failure to provide this information may result in paying interest or penalties, or in other actions. Under the Privacy Act, individuals have a right of protection, access to and correction of
their personal information, or to file a complaint with the Privacy Commissioner of Canada regarding the handling of their personal information. Refer to Personal Information Bank CRA
PPU 015 on Information about Programs and Information Holdings at canada.ca/cra-information-about-programs.
T3ATH-IND E (23) Page 2 of 2