ARCHIVED CD 2000-029: Appendix A
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APPENDIX A
SAMPLE LETTER FROM DEPARTMENT TO RESIDENTS OF QUÉBEC TO REPORT INFORMATION CONCERNING RETROACTIVE LUMP SUM PAYMENTS THAT MAY QUALIFY FOR A QUÉBEC INCOME TAX RECALCULATION
TO: Ministère du Revenu du Québec (MRQ)
EMPLOYEE NAME:
Social Insurance Number (SIN)
:
SUBJECT: Retroactive Lump Sum Payments that may qualify for a Québec Income Tax recalculation
YEAR IN WHICH PAYMENT WAS ISSUED:
TOTAL AMOUNT OF THE RETROACTIVE PAYMENT:
DESCRIPTION/TYPE OF PAYMENT:
Breakdown of principal by year
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Breakdown of interest by year (if applicable)
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
Amount related to year __________ : $__________
DATE:
SIGNATURE OF COMPENSATION ADVISOR:
TELEPHONE NUMBER:
- Date modified: