T4RSP Statement of Registered Retirement Savings Plan Income

2017V1 - updated 2016-10-27

<Return>

<T4RSP>

<T4RSPSlip>

<RCPNT_NM>

<snm></snm>
Recipient last name
- Required 20 alphanumeric
- First 20 letters of the recipient 's last name
- Omit titles such as Mr., Mrs., etc.
- Do not include first name or initials

<gvn_nm></gvn_nm>
Recipient first name
- 12 alphanumeric
- First 12 letters of the recipient 's first given name
Note: If only initials are available, provide the recipient 's first initial.

<init></init>
Recipient initial
-1 alphanumeric
- Initial of the recipient 's second given name

</RCPNT_NM>

<RCPNT_ADDR>

<addr_l1_txt></addr_l1_txt>
Recipient address - line 1
- 30 alphanumeric
- First line of the recipient 's address

<addr_l2_txt></addr_l2_txt>
Recipient address - line 2
- 30 alphanumeric
- Second line of the recipient 's address

<cty_nm></cty_nm>
Recipient city
- 28 alphanumeric
- City in which the recipient is located.

<prov_cd></prov_cd>
Recipient province or territory code
- 2 alpha
- Canadian province or territory in which the recipient is located or the state in the USA where the recipient is located
- Use the abbreviations listed in the pdf document entitled "T619 - Electronic
media transmittal" under section: Transmitter province or territory code.
- when the recipient’s country code is neither CAN nor USA, enter ZZ in this field.

<cntry_cd></cntry_cd>
Recipient country code
- 3 alpha
- the country in which the recipient is located
- use the alphabetic country codes as outlined in the International Standard (ISO) 3166 Codes for the Representation of Names of Countries.
- Always use CAN for Canada and USA for the United States of America.

<pstl_cd></pstl_cd>
Recipient postal code
- 10 alphanumeric
- The recipient Canadian postal code, format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9
- or the recipient 's USA zip code
- or where the recipient's country code is neither CAN nor USA, enter the foreign postal code.

</RCPNT_ADDR>

<sin></sin>
Recipient’s social insurance number (SIN)
- Required 9 numeric
- T4 RSP slip, box 12
- When the recipient has failed to provide a SIN, enter zeroes in the entire field.

<ctrct_nbr></ctrct_nbr>
Contract number
- Required 12 alphanumeric
- T4RSP slip box 14
- The Registered Retirement Savings plan contract number

<bn></bn>
Business Number (BN)
- Required 15 alphanumeric, 9 digits RP 4 digits, example 000000000RP0000
- T4RSP slip, box 61
- Account number of payer or issuer of plan
- Must correspond to the "Business Number (BN)" on the related T4RSP Summary record
- Enter the account number as used on Form PD7A.
Note: To process a return, the complete BN is required.

<sps_cntrb_ind></sps_cntrb_ind>
Contributor spouse or common-law partner indicator
- Required 1 numeric
- T4RSP slip, box 24
- Indicate whether the annuitant’s spouse or common law partner has ever
contributed to the registered retirement savings plan
- If spouse or common-law partner has never contributed or if you are single, code as 1
- If spouse or common-law partner has contributed to this plan, code as 2

<sps_sin></sps_sin>
Contributor spouse or common-law partner social insurance number (SIN)
- Required if spouse or common–law partner contribution indicator is 2
- 9 numeric
- T4RSP slip box 36
- Enter zeroes in the entire field if:
- the spouse or common–law partner contribution indicator is 1
- the spouse or common–law partner SIN is not available
- you are single

<rpt_tcd></rpt_tcd>
Report Type Code
- Required 1 alpha
- Originals = O
- Amendments = A
- Cancel = C
Note: An amended return cannot contain an original slip.

<T4RSP_AMT>
All of the amounts are 9 numeric. Enter dollars and cents.

<annty_pay_amt></annty_pay_amt>
Annuity payments
- T4RSP slip, box 16

<rfnd_prem_amt></rfnd_prem_amt>
Refund of premiums
- T4RSP slip, box 18

<rfnd_excs_amt></rfnd_excs_amt>
Refund of excess amounts
- T4RSP slip, box 20

<wdrw_pay_amt></wdrw_pay_amt>
Withdrawal and commutation payments
- T4RSP slip, box 22

<deem_rcpt_dth_amt></deem_rcpt_dth_amt>
Deemed receipt on death
- T4RSP slip, box 34

<deem_drgst_amt></deem_drgst_amt>
Deemed receipt on deregistration
- T4RSP slip, box 26

<oth_inc_dedn_amt></oth_inc_dedn_amt>
Other Income or Deductions
- T4RSP slip, box 28
- If negative amounts are being reported, include the "–"indicator before the dollar amount.

<tx_ddct_amt></tx_ddct_amt>
Tax deducted
- T4RSP slip, box 30

<tx_pay_amt></tx_pay_amt>
Tax-paid amount
- T4RSP slip, box 40

<llp_wdrw_amt></llp_wdrw_amt>
Lifelong Learning Plan (LLP) withdrawal
- T4RSP slip, box 25

<hbp_rrsp_wdrw_amt></hbp_rrsp_wdrw_amt>
Home Buyers Plan (HBP) Withdraw Amount from RRSP
- T4RSP slip, box 27
- Amount withdrawn from an RRSP by an eligible individual participating in the Home Buyer’s Plan

<mrrg_bkdn_tramt></mrrg_bkdn_tramt>
Transfers on marriage or common-law relationship breakdown
- T4RSP slip, box 35
- Amount directly transferred under a decree, order, or judgment of a court or under a written agreement relating to a division of property between the individual’s current or former spouse or common-law partner in settlement of rights arising from the breakdown of the relationship

</T4RSP_AMT>

</T4RSPSlip>

<T4RSPSummary>

<bn></bn>
Business Number (BN)
- Required 15 alphanumeric, 9 digits RP 4 digits, example 000000000RP0000
- Account number of payer or issuer of plan
- Enter the account number as used on Form PD7A Statement of Account for Current Source Deductions.
Note: In order to process a return, the complete BN is required.

<PAYR_NM>

<l1_nm></l1_nm>
Payer name - line 1
- required 30 alphanumeric
- First line of payer or issuer's name
- If "&" is used in the name area enter as "&amp;"
- Must correspond to the name used on Form PD7A

<l2_nm></l2_nm>
Payer name - line 2
- 30 alphanumeric
- Second line of payer's or issuer's name
- Must correspond to the name used on Form PD7A

<l3_nm></l3_nm>
Payer name - line 3
- 30 alphanumeric
- Use for "care of" or "attention"

</PAYR_NM>

<PAYR_ADDR>

<addr_l1_txt></addr_l1_txt>
Payer address - line 1
- 30 alphanumeric
- First line of the payer or issuer's address

<addr_l2_txt></addr_l2_txt>
Payer address - line 2
- 30 alphanumeric
- Second line of the payer or issuer's address

<cty_nm></cty_nm>
Payer city
- 28 alphanumeric
- City in which the payer or issuer is located

<prov_cd></prov_cd>
Payer province or territory code
- 2 alpha
- The Canadian province or territory in which the payer or issuer is located or the state in the USA where the payer or issuer is located
- Use the abbreviations listed in the pdf document entitled "T619 - Electronic media transmittal" under section: Transmitter province or territory code.
- When the payer or issuer's country code is neither CAN nor USA, enter ZZ in this field.

<cntry_cd></cntry_cd>
Payer country code
- 3 alpha
- Country in which the payer or issuer is located
- Use the alphabetic country codes as outlined in the International Standard (ISO) 3166 Codes for the Representation of Names of Countries.
- Always use CAN for Canada, and USA for the United States of America.

<pstl_cd></pstl_cd>
Payer postal code
- 10 alphanumeric
- Payer or issuer’s Canadian postal code, format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9
- or the payer or issuer’s USA zip code
- or when the payer or issuer’s country code is neither CAN nor USA, enter the foreign postal code.

</PAYR_ADDR>

<CNTC>

<cntc_nm></cntc_nm>
Contact name
- Required 22 alphanumeric
- Contact's first name followed by last name for this return
- Omit titles such as Mr., Mrs., etc.

<cntc_area_cd></cntc_area_cd>
Contact area code
- Required 3 numeric
- Area code of telephone number

<cntc_phn_nbr></cntc_phn_nbr>
Contact telephone number
- Required 3 numeric with a (-), followed by 4 numeric.
- Telephone number of the contact

<cntc_extn_nbr></cntc_extn_nbr>
Contact extension
- 5 numeric
- extension of the contact

</CNTC>

<tx_yr></tx_yr>
Taxation year
- required 4 numeric
- Taxation year (e.g., 2005)

<slp_cnt></slp_cnt>
Total number of T4RSP slip records
- Required 7 numeric
- Total number of T4RSP slip records filed with this T4RSP Summary

<rpt_tcd></rpt_tcd>
Report Type Code
- Required 1 alpha
- Originals = O
- Amendments = A
Note: An amended return cannot contain an original slip.
The total amounts are those reported from the T4RSP slips filed with this T4RSP Summary. The field length is set for each amount at 13 numeric characters. Enter dollars and cents.

<T4RSP_TAMT>

<tot_annty_pay_amt></tot_annty_pay_amt>
Total annuity payments
- Accumulated total of annuitants' annuity payments

<tot_sps_rfnd_amt></tot_sps_rfnd_amt>
Total refund of premiums to spouse or common-law partner
- Accumulated total of refunds of premiums made to an annuitant's spouse or common-law partner

<tot_rfnd_excs_amt></tot_rfnd_excs_amt>
Total refund of excess amounts
- Accumulated total of refunds of excess amounts

<tot_wdrw_pay_amt></tot_wdrw_pay_amt>
Total withdrawal and commutation payments
- Accumulated total of amounts withdrawn and/or commuted

<tot_deem_drgst_amt></tot_deem_drgst_amt>
Total deemed receipts on deregistration
- Accumulated total of amounts deemed to have been received as the result of the deregistration of annuitants' registered retirement savings plans

<totr_inc_dedn_amt></totr_inc_dedn_amt>
Total other income or deductions
- Accumulated total of amounts paid as other income or deductions
- If negative amounts are being reported, include the "–"indicator before the dollar amount.

<tot_itx_ddct_amt></tot_itx_ddct_amt>
Total income tax deducted
- Accumulated total of income tax deducted
<tot_deem_dth_amt></tot_deem_dth_amt>
Total deemed receipt on death
- Accumulated total of amounts deemed to have been received by deceased annuitants immediately before their deaths

<tot_tx_pay_amt></tot_tx_pay_amt>
Total tax paid amount
- Accumulated total of tax paid amount

<tot_llp_wdrw_amt></tot_llp_wdrw_amt>
Total Lifelong Learning Plan (LLP) withdrawals
- Accumulated total of LLP withdrawals

<tot_hbp_wdrw_amt></tot_hbp_wdrw_amt>
Total of Home Buyers Plan (HBP) withdraw amounts from RRSP
- Accumulated total of Home Buyers Plan withdrawals from Registered Retirement Savings Plan

<tot_mrrg_tramt></tot_mrrg_tramt>
Total transfers on marriage or common-law relationship breakdown
- Accumulated total of transfers on marriage or common-law relationship breakdown

</T4RSP_TAMT>

</T4RSPSummary>

</T4RSP>

</Return>

Date modified:

2016-10-27