InstructionsYearEnter the year you want to reduce the OAS recovery tax at the source. Identification
Estimated current-year gross income from all sourcesEnter the amounts that apply on lines 1 to 11. If you are submitting this form:
1 – Employment income: Annual income from employment before deductions 2 – OAS Pension: Annual pension amount before tax deductions (do not subtract OAS recovery tax) 3 – CPP/ QPP Benefits: Annual pension amount before tax deduction 4 – Other pensions and superannuation: Annual pension income including elected split pension income before tax deduction 5 – Taxable amount of dividends from taxable Canadian corporations: Eligible and other than eligible dividends 6 – Interest and other investment income: All investment income 7 – Net rental income: taxable net income (if a loss, show the amount in brackets) 8 – Taxable capital gains: Gains reported on information slips or disposition of property 9 – Registered retirement savings plan (RRSP) income: Withdrawals and annuity payments 10 – Registered retirement income fund (RRIF): Minimum and excess amounts 11 – Other income: The type of income, such as business or professional income Deductions from current-year incomeEnter the estimated amounts you expect to deduct on lines 13 and 14 when filing your return for the year: 13 – Carrying charges and interest expenses: Deductions to earn interest and other investment income 14 – Other deductions: The type of deduction but exclude pension income splitting as it is not a deduction to reduce OAS recovery tax Non-refundable tax credits in the current year
Refundable tax credits in the current yearOn lines 20 to 24, enter the estimated income tax amount that will be deducted from all sources of income: 20 – Income tax deducted from your RRSP or RRIF 21 – Income tax deducted from your CPP or QPP (specify CPP or QPP on the line below) 22 – Income tax deducted from your OAS benefits (do not include OAS recovery tax) 23 – Income tax deducted from all your other current-year sources (if you are a resident of Quebec, enter federal income tax only) 24 – Tax instalments paid to date for the current year CertificationSign and date this form to certify the information provided and to authorize Service Canada to reduce your OAS recovery tax. Send your requestSend this filled out form with copies of all supporting documents (3): Online: Individuals or their representatives can submit online through My Account or Represent a Client at canada.ca/taxes:
By Mail or Fax: Sudbury Tax Centre (3) Keep your original supporting documents for your records. |