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Standard form


(Quick edit form) - 2023
Box description Box
Taxable amounts 16
Amounts deemed received by the annuitant(Deceased) 18
Amounts deemed received by the annuitant(Deregistration) 20
Other income or deductions 22
Excess amount 24
Spousal or common-law partner RRIF 26
Income tax deducted 28
Transfers on breakdown of marriage or common-law part. 35
Advanced Life Deferred Annuity purchase 37
Spouse's or common-law partner's social insurance number * 32
Last name (print letters) - First name - Initials  
Name of payer (carrier) of fund