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Canada Revenue Agency |
加拿大税务局 | Protected B when completed | ||||||||||
| Election to Stop Contributing to the Canada Pension Plan, or Revocation of a Prior Election |
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| Use this form if you are an employee who is at least 65 years of age but under 70, you are receiving a Canada Pension Plan (CPP) or Quebec Pension Plan (QPP) retirement pension, and one of the following applies: |
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| • | you are making or will be required to make CPP contributions and you do not want to contribute | ||||||||||||
| • | you stopped making CPP contributions in a previous year and you want to restart | ||||||||||||
| Do not use this form if one of the following applies: | |||||||||||||
| • | your income is only from self-employment earnings, in which case you should fill out Schedule 8, Canada Pension Plan contributions and overpayment, or Form RC381, Inter-Provincial Calculation for CPP and QPP Contributions and Overpayments, instead, and file it with your income tax and benefit return |
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| • | you only contribute to the Quebec Pension Plan. For more information, visit revenuquebec.ca/en | ||||||||||||
| Send the original completed form to the Winnipeg Tax Centre. Go to page 2 for instructions on how to fill out this form and other helpful information. | |||||||||||||
| Part A – Identification | |||||||||||||
| First name and initials | Last name | Social insurance number (SIN) | |||||||||||
| Mailing address: apartment number – street number and name | |||||||||||||
| City | Province or territory | Postal code | Date of | Year | Month | Day | |||||||
| birth | |||||||||||||
| Part B – Eligibility | |||||||||||||
| 1. | Are you an employee who is at least 65 years of age but under 70? | Yes | No | ||||||||||
| 2. | Are you receiving a CPP or QPP retirement pension? | Yes | No | ||||||||||
| If you answered yes to questions 1 and 2, go to question 3 below. If you answered no to either question, you cannot fill out this form at this time. |
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| 3. | Earlier in this calendar year, did you elect to stop making CPP contributions OR revoke an election so you | Yes | No | ||||||||||
| can restart making CPP contributions? | |||||||||||||
| If you answered yes to question 3, you cannot fill out this form until next year. | |||||||||||||
| If you answered no to question 3, fill in Part C to stop making CPP contributions, or Part D to restart making CPP contributions, whichever applies. |
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| Part C – Election and certification | |||||||||||||
| If you fill out this part, do not fill out Part D. | |||||||||||||
| I want to stop making CPP contributions. I certify that the information given on this election is correct and complete. | |||||||||||||
| Date | |||||||||||||
| Signature of employee | Year Month Day | ||||||||||||
| Part D – Revocation and certification | |||||||||||||
| If you fill out this part, do not fill out Part C. | |||||||||||||
| I want to restart making CPP contributions. I certify that the information given on this revocation is correct and complete. | |||||||||||||
| Date | |||||||||||||
| Signature of employee | Year Month Day | ||||||||||||
| Personal information (including the SIN) is collected for the purposes of the administration or enforcement of the Income Tax Act and related programs and activities including administering tax, benefits, audit, compliance, and collection. The information collected may be used or disclosed for purposes of other federal acts that provide for the imposition and collection of a tax or duty. It may also be disclosed to other federal, provincial, territorial, or foreign government institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties, or other actions. Under the Privacy Act, individuals have a right of protection, access to and correction of their personal information, or to file a complaint with the Privacy Commissioner of Canada regarding the handling of their personal information. Refer to Personal Information Bank CRA PPU 070 on Info Source at canada.ca/cra-info-source. |
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| CPT30 E (23) | (Ce formulaire est disponible en français.) | Page 1 of 2 |  |
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