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  1. Revenue Canada          STATEMENT OF ALLOWABLE                                 Taxation                 AUTOMOBILE EXPENSES                                   ───────────────────────────────────────────────────────────────────────────────Name:                                    SIN: _ _ _ _ _ _ _ _ _                ───────────────────────────────────────────────────────────────────────────────                                                                               Automobile Expenses:                                                                                                                                                 Total Kilometres driven in taxation year to earn income...          (A)                                                                                       Total Kilometres driven in taxation year..................          (B)                                                                                       Gas and Oil...................................                                                                                                                Repairs and Maintenance.......................                                                                                                                Insurance.....................................                                                                                                                License.......................................                                                                                                                Parking.......................................                                                                                                                Car Washes....................................                                                                                                                Short Term Rentals............................                                                                                                                Lease payments if car is leased...............                                                                                                                Interest Expense on money borrowed to purchase                                                                                                                Capital Cost Allowance if car is owned........                                                                                                                Other:(specify)...............................                                                                                                                ..............................................                                                                               ───────────────                          Total automobile expenses.............                                                                                                                Less: Total rebates, allowances, reimburse-                                                                                                                         ments, you receive in respect of these                                                                                                                        espenses...............................                                                                               ───────────────                                                                                                          Net automobile expenses..............               (C)                                                             ═══════════════                                                                                           Allowable automobile expenses= (A) / (B) * (C)