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Canada Revenue
Agency		 Agence du revenu
du Canada		 Tax-Exempt Earned Income and Contributions Protected B
when completed
  for a Pooled Registered Pension Plan  
 
Complete this form if you are registered or entitled to be registered under the Indian Act and have earned income that is tax
exempt or have made non-deductible pooled registered pension plan (PRPP) contributions using non-deductible PRPP room
from a previous year.
This will let the Canada Revenue Agency calculate and track how much room you have to make non-deductible PRPP
contributions on your tax-exempt earned income for the 2024 tax year.
 
For a complete description of the guidelines and examples where income is tax-exempt and where it is taxable,
go to canada.ca/section87-tax-exemption.
 
Note: Gross tax-exempt employment earnings are reported in box 71 of the T4 slip and gross tax-exempt self-employment
earnings are reported in box 88 of the T4 slip. You may have other tax-exempt earned income that is not included on
an information slip.
 
For more information about PRPPs, go to canada.ca/prpp-information-individuals.
 
For more information about earned income, see Guide T4040, RRSPs and Other Registered Plans for Retirement.
 
Attach a copy of this form to your paper return.
 
 
Taxpayer information
  
 
  Last name First name Social insurance number (SIN)  
   
 
 
 
 
Tax-exempt earned income
  
 
  Enter the total amount of your tax-exempt employment earnings. 58750 1
  Enter the total amount of your tax-exempt self-employment earnings and other tax-exempt
  earned income. 58810 + 2
  Line 1 plus line 2 Total tax-exempt earned income    = 3
 
  Your amount of non-deductible PRPP room will be shown on your 2023 notice of assessment.
 
 
 
Eligible PRPP contributions from tax-exempt income
  
 
  Eligible PRPP contributions include contributions made by an employee and a self-employed individual.
 
  Enter the contributions you made from March 2, 2023, to December 31, 2023 (attach all receipts).   4
  Enter the contributions you made from January 1, 2024, to February 29, 2024 (attach all receipts).   + 5
  Line 4 plus line 5 Total eligible PRPP contributions from tax-exempt income  58820 = 6
 
 
Contributions to a PRPP from tax-exempt earned income are not deductible on your return, but you can use them as a
repayment under the Home Buyers' Plan (HBP) and the Lifelong Learning Plan (LLP).
 
 
Repayment under the HBP and LLP made from PRPP contributions from tax-exempt income
  
 
  Enter the contributions from line 6 that you are designating as your repayments under the HBP and the LLP for 2023.
 
  Contribution designated as a repayment under the HBP 58830 7
  Contribution designated as a repayment under the LLP 58970 + 8
  Total repayment under the HBP and LLP from     
  Line 7 plus line 8 PRPP contributions from tax-exempt income    = 9
 
 
 
 
See the privacy notice on your return.
 
RC383 E (23) (Ce formulaire est disponible en français.)