Individual Return for Certain Taxes for RRSPs, RRIFs, RESPs or RDSPs

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Identification First name and initial(s) Individual Return for Certain Taxes for RRSPs, RRIFs, RESPs or RDSPs Last name Enter the tax year for this return Year Mailing address: Apt No Street number Street name Information about you PO Box RR Enter your social insurance number: City Prov./Terr Postal code Enter your date of birth: Year Month Day This return is for the annuitant of a registered retirement savings plan (RRSP), or a registered retirement income fund (RRIF), a subscribers of a registered education savings plan (RESP), or a holder of a registered disability savings plan (RDSP), to calculate and remit taxes payable on non-qualified investments, prohibited investments, or advantages. RRSP, PRPP and SPP excess contributions are reported on a T-OVP-S, 207 Simplified Individual Tax Return for RRSP, PRPP, and SPP Excess Contributions. Excess contributions made into an RESP are reported on a TE-OVP Individual Tax Return for RESP Excess Contributions. If you must report taxes on non-qualified investments. advantages or inadequate consideration for RDSP transactions before March 23, 207, complete the RC4532, Individual Tax Return for Registered Disability Savings Plan (RDSP). Before filling out the present return, see the "Important information" and "Definitions" sections on pages 4 and 5. Fill out all the sections that apply to you. Report all amounts in Canadian dollars. Part A Tax payable on non-qualified investments Section Tax calculations Fill out this part if, at any time during the year, your RRSPs or RRIFs and, at any time during the year after March 22, 207 for RESPs and RDSPs, your registered plan trust acquired a non-qualified investment or, a previously acquired property, became non-qualified. If the investment is both a non-qualified investment and a prohibited investment, fill out Part B only. Date non-qualified investment was acquired or the date previously acquired qualified investment became non-qualified Plan account number and issuer, carrier, promoter's name Full description of investment (including number of securities) Fair market value (FMV) at time of acquisition or when it became non-qualified Total FMV of the non-qualified investments = Rate Multiply the amount on line by 50%. Tax payable on non-qualified investments (report this amount on line A of Section 2) = $ 50% RC339 E (7) (Ce formulaire est disponible en français.)

Part B Tax payable on prohibited investments Fill out this part if, at any time during the year, your RRSP or RRIF trust or, at any time during the year, after March 22, 207 your RESP or RDSP trust, acquired a property, that either was a prohibited investment at the time it was acquired or became a prohibited investment after it was acquired. Do not fill out this part, however, if your RRSP or RRIF trust acquired a prohibited investment after March 22, 20, and that property was a prohibited investment held on March 23, 20, by another RRSP or RRIF of which you were the annuitant. Date prohibited investment was acquired, or the date previously acquired property became a prohibited investment Plan account number and issuer, carrier, promoter's name Full description of investment (including number of securities) Fair market value (FMV) at time of acquisition or when it became prohibited Total FMV of the prohibited investments = Rate 50% Multiply the amount on line by 50%. Tax payable on prohibited investments (report this amount on line B of Section 2) = $ Part C Tax payable on an advantage Before you fill out this part, see the definition of advantage on page 5. Fill out this part if, at any time during the year, you or a person not dealing at arm's length with you (including your registered plan) were provided with an advantage in relation to the RRSP or RRIF, and any advantage provided in relation to the RESP or RDSP, the advantage was provided after March 22, 207. Specify the advantage provided Account number and name of payer (issuer, carrier or promoter) Date advantage provided Fair market value (FMV) of the benefit or amount of loan or the amount of registered plan strip Total of all amounts = Total of FMV from line Tax payable on an advantage (report this amount on line C of Section 2) $ 2

Tax payable on non-qualified investments from Part A of Section Section 2 Summary of taxes due A Tax payable on prohibited investments from Part B of Section Tax payable on an advantage from Part C of Section Add lines A, B and C = Minus: allowable refund of tax on non-qualified and/or prohibited investments (see page 4) B C D E Line D minus line E For more information on all payment options, go to canada.ca/payments. Generally, we do not charge a difference of $2 or less. Total tax payable Balance owing $ = Certification Name: I, (Signature of the annuitant, subscriber or holder) certify that the information given on this return and in any attached documents is correct and complete. For professional tax preparers only Address: Telephone: Date: Telephone: Personal information is collected under the Income Tax Act to administer tax, benefits, and related programs. It may also be used for any purpose related to the administration or enforcement of the Act such as audit, compliance and the payment of debts owed to the Crown. It may be shared or verified with other federal, provincial/territorial 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 the right to access their personal information and request correction if there are errors or omissions. Refer to Info Source at canada.ca/cra-info-source, personal information bank CRA PPU 005. Important return filing information Filing due date You have to file this return with a payment for any balance due no later than June 30 of the year following the end of the calendar year. Supporting documents Keep all your documents in case we ask to see them at a later date. Penalties If you file your return after the due date, we will charge you a late-filing penalty. The penalty is 5% of the balance owing plus % of the balance owing for each full month that the return is late, to a maximum of 2 months. Your late-filing penalty may be higher if you were charged a late-filing penalty on a return for any of the three previous years. Interest If you have a balance owing, you will be charged compound daily interest starting July of the year following the end of the calendar year. This includes any balance owing if we reassess your return. In addition, you will be charged interest on the penalties defined above, starting the day after your return is due. Refund of taxes paid on non-qualified or prohibited investments If you disposed of a non-qualified investment or a prohibited investment reported, or previously reported, in Parts A and B, you may be entitled to a return of taxes paid if: the registered plan trust disposes of the property in question before the end of the calendar year following the calendar year in which the tax arose; or the property ceases to be a non-qualified or prohibited investment before the end of the calendar year following the calendar year in which the tax arose. However, no refund will be issued if it is reasonable to expect that the annuitant, subscriber or holder knew, or should have known, at the time the property was acquired by the trust, that the property was, or would become, a non-qualified or a prohibited investment. (continued on next page) 3

Important return filing information (continued) Note To claim a refund, you must: send a letter explaining why you are requesting a refund (you can attach the letter with this form); and attach the appropriate documents detailing the information relating to the acquisition and disposition of the non-qualified or prohibited property. The documents must contain: the name and description of the property; the number of shares or units; the date the property was acquired or became non-qualified or prohibited property; and the date of the disposition or the date that the property became qualified or ceased to be prohibited. If you disposed of a non-qualified or a prohibited investment reported in Parts A and B in the same calendar (tax) year that the non-qualified or prohibited investment was acquired then remittance of the tax is not required. However, remittance of the tax is required if it is reasonable to expect that the annuitant, subscriber or holder knew, or should have known, at the time the property was acquired by the registered plan trust, that the property was, or would become, a non-qualified or prohibited investment. Waiver of liability We may waive or cancel all or part of the taxes if we determine it is fair to do so after reviewing all factors, including whether: the tax arose because of a reasonable error; the extent to which the transaction or series of transactions that gave rise to the tax also gave rise to another tax under the Income Tax Act; and the extent to which payments have been made from the person s registered plan. To consider your request, we require a letter from you explaining why the tax liability arose, and why it would be fair to cancel or waive all or part of the tax. Mailing address: Send you request to one of the following address: Canada Revenue Agency Sudbury Tax Centre Pension Workflow Team Post Office Box 20000 Station A Sudbury ON P3A 5C Canada Revenue Agency Winnipeg Tax Centre Pension Workflow Team Post Office Box 4000 Station Main Winnipeg MB R3C 3M2 For more information on registered plans, see Guide T4040, RRSPs and Other Registered Plans for Retirement, the information sheet RC4064, Registered Disability Savings Plans (RDSP) or information sheet RC4092, Registered Educational Savings Plans, folio S3 F0 C, Qualified Investments RRSPs, RESPs, RRIFs, RDSPs and TFSAs, and Income Tax Folio S3 F0 C2, and folio Prohibited Investments RRSPs, RRIFs and TFSAs. Definitions Advantage an advantage is any benefit, loan, or debt that depends on the existence of the registered plan other than: registered plan distributions; administrative or investment services in connection with the registered plan; loans on arm's length terms; payments or allocations (such as bonus interest) to the registered plan by the issuer, carrier or promoter; or an amount paid under or because of the Canada Disability Savings Act, the Canada Educational Savings Act or under a designated provincial program; a benefit provided under an incentive program that is offered to a broad class of persons in a normal commercial or investment context and not established mainly for tax purposes. An advantage includes any benefit that is an increase in the total fair market value (FMV) of the property held in connection with the registered plan that can reasonably be considered attributable, directly or indirectly, to one of the following: a transaction or event (or a series of transactions or events) that would not have occurred in a normal commercial or investment context where parties deal with each other at arm s length and act prudently, knowledgeably, and willingly with each other, and one of the main purposes of which is to enable the controlling individual (or another person or partnership) to benefit from the tax-exempt status of the plan; a payment received in substitution for either: a payment for services provided by the controlling individual (or another person not at arm's length with the controlling individual); or a payment of a return on investment or proceeds of dispositions for property held outside of the plan by the controlling individual or a person not dealing at arm's length with the controlling individual. a swap transaction; or specified non-qualified investment income that has not been paid from the registered plan within 90 days of the controlling individual receiving a notice from CRA requiring them to remove the amount from the plan. An advantage also includes a registered plan strip or any benefit that is income (excluding the dividend gross-up), or a capital gain that is reasonably attributable, directly or indirectly, to one of the following: a prohibited investment in respect of the registered plan or any other plan of the controlling individual; an amount received by the controlling individual of the registered plan, (or by a person not dealing at arm s length with the controlling individual) if it is reasonable to consider that the amount was paid in relation to, or would not have been paid but for, property held in connection with the plan, and the amount was paid in substitution for either a payment: for services provided by the controlling individual (or another person not dealing at arm's length with the controlling individual); or of a return on investment or proceeds of disposition. (continued next page) 4

Definitions (continued) Note If the advantage is extended by the issuer, carrier or promoter of a registered plan, or a person with whom the issuer, carrier or promoter is not dealing at arm s length, the issuer, carrier or promoter and not the controlling individual of the plan, is liable to pay the tax resulting from the advantage. They must file Form RC298, Advantage Tax Return for RRSP, TFSA, RDSP, or RESP issuers or RRIF carriers. Controlling individual of a registered plan, for the purpose of this form, means: the holder of a RDSP; a subscriber of a RESP; the annuitant of a RRIF or RRSP. Prohibited investment this is property to which the controlling individual of the registered plan is closely connected, it includes: a debt of the controlling individual; debt or share of, or an interest in, a corporation, trust, or partnership in which the controlling individual has a significant interest (generally a 0% or greater interest, taking into account non-arm's length holdings); and a debt or share of, or an interest in, a corporation, trust, or partnership with which the controlling individua, does not deal at arm's length. A prohibited investment does not include a mortgage loan that is insured by the Canada Mortgage and Housing Corporation or by an approved private insurer. It also does not include certain investment funds and certain widely held investments which reflect a low risk of self-dealing. Registered plan means a RDSP, RESP, RRIF or RRSP. Registered plan Strip the amount of a reduction in the FMV of property held in connection with the registered plan, if the value is reduced as part of a transaction, or event, or a series of transactions, or events for which one of the main purposes is to enable the controlling individual, or a person who does not deal at arm s length with the controlling individual, to obtain a benefit in respect of property held in connection with the registered plan, or to obtain a benefit as a result of the reduction but does not include an amount that is: included in the income of a person under section 46, 46., 46.3, 46.4; withdrawn under the Home Buyers' Plan or the Lifelong Learning Plan; or a permitted transfer of funds from one plan to another. accumulated income payments made to an RDSP where subsection 46.(.2) of the Income Tax Act applies; refund of payments under a RESP; or the non-taxable portion of a disability assistance payment made from an RDSP. Specified non-qualified investment income income (excluding the dividend gross-up), or a capital gain that is reasonably attributable, directly or indirectly, to an amount that is taxable for any registered plan of a controlling individual (for example, subsequent generation income earned on non-qualified investment income or on income from a business carried on by a registered plan). Swap transaction this is any transfer of property between the registered plan or RRIF and the controlling individual (or a person not at arm's length with the controlling individual) occurring after June 20 for RRSP and RRIF and June, 207 for RESP and RDSP, subject to certain exceptions. The following are not considered to be "swap transactions": a payment out of or under the registered plan in satisfaction of all or part of the controlling individual s interest in the registered plan; or transfers to a RRIF under 46.3(2)f), a payment into an RESP under subsection 46.()a) or b) (definition of contribution), and a payment into an RDSP under subsection 46.4() a) to d) (definition of contribution); transfers for value of prohibited and non-qualified investments where the controlling individual is entitled to a refund under section 207.04(4) on the transfer ; transfer of property between two registered plans of the same type of the same controlling individual. The swap transaction rules will apply only after 202to transactions undertaken to remove a property from a RDSP or RESP, and after 2027 for transactions undertaken to remove a transitional prohibited property from the RDSP or RESP if it is reasonable to conclude that tax would be payable under Part XI.0of the Income Tax Act if the property remains in the RDSP or RESP An exception is provided for RRSP and RRIF only, to allow individuals to "swap-out" a non-qualified or prohibited investment provided that the conditions for a refund of the 50% tax on such investments are met. To qualify under this exception, the individual must be entitled to a refund of the tax on disposition of the investment (generally inadvertent cases that are promptly resolved). In addition, we will extend this exception, on an administrative basis, to cover swaps of nonqualified investments that were subject to the pre-march 23, 20 rules, provided that the conditions applicable to a refund are met. Swap transactions that are undertaken to remove an investment from a RRSP or RRIF that would otherwise result in tax under Part XI.0 if left in the plan are permitted to continue to occur until the end of 202. Transitional prohibited property a property of a particular trust of a registered plan of a controlling individual that: for a RRIF or an RRSP, held on March 22, 20 the property that was a prohibited investment on March 23, 20; for an RESP or an RDSP, held on March 22, 207 the property that was a prohibited investment on March 23, 207. 5