TP-1015.3-V (2022-01)
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Prescribed form
Complete this form and give it to your employer or payer so that they can determine how much income tax to withhold from the amounts they pay you.
Be sure to read the instructions before you start.
1 Information about the employee or beneficiary
Last name First name
Employee or beneficiary number Date of birth Social insurance number
Y Y Y Y M M D D
2 Personal tax credits
Basic personal amount. Enter $16,143. If you have more than one employer or payer in 2022 and have already claimed this
amount, go to line 10 and enter 0.
1
Amount transferred from one spouse to the other
Maximum amount respecting a spouse
1a $16,143
Your spouse’s estimated taxable income for 2022
1b
Subtract line 1b from line 1a. If the result is negative, enter 0. = 2
Amount for dependants (Work Chart 1) + 3
Amount for a severe and prolonged impairment in mental or physical functions + 5
Age amount, amount for a person living alone and amount for retirement income (Work Chart 2) + 6
Add lines 1 through 6. = 7
Amount for career extension (Work Chart 3) + 9
Add lines 7 and 9. Personal tax credits = 10
3 Additional income tax to be withheld
Enter the additional amount that you would like withheld from each paycheque. Additional income tax to be withheld 11
4 Deductions
Enter the deductions that your employer or payer must take into account to calculate your source deductions.
Housing deduction for residents of designated remote areas 14
Deductible support payments + 15
Add lines 14 and 15.
(Your employer or payer will distribute the amount evenly among the pay periods remaining in the year.) Deductions = 19
5 Exemption
Check box 20 to request an exemption from source deductions of income tax with respect to your employment income for 2022. 20
6 Signature
I certify that the information provided in this return is accurate and complete.
Signature Date
Source Deductions
Return
2022
0
Additional income tax to be withheld
0
Print the form
Print Information
Amount transferred from one spouse to the other
Amount for dependants
Amount for a severe and prolonged impairment in mental or physical functions
Amount for career extension
Deductible support payments
source deductions of income tax
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TP-1015.3-V (2022-01)
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Work Chart 1 – Amount for dependants (see the instructions for line 3)
If you are claiming an amount for more than two children under 18 enrolled in post-secondary studies or more than two other dependants, attach
another sheet containing the requested information and enter the result of your calculations on line 60.
Children under 18
on December 31, 2022
Other dependants
(18 or older)
1st child 2nd child 1st person 2nd person
Amount for children under 18 enrolled in postsecondary studies.
Enter $3,101 per completed term that was started in 2022
(maximum: two terms per child).
40
$4,519 $4,519
Reduction of the amount for other dependants who turned 18
in 2022. Enter the result of the following calculation:
$377 × number of months in the year up to and including the
month of the dependant's birthday
42
N/A N/A
Subtract line 42 from line 40. If the result is negative, enter 0. =
45
Estimated net income
1
of the child or dependant for 2022 47
Subtract line 47 from line 45. If the result is negative, enter 0. = 50
Add all the amounts on line 50. Carry the result to line 3. Amount for dependants 60
Work Chart 2 – Age amount, amount for a person living alone and amount for retirement income
(see the instructions for line 6)
Age amount
Enter $3,395 for each person (you and your spouse) who will be 65 or older in 2022.
70
Amount for a person living alone 75
Additional amount for a person living alone
(single-parent family)
76
$190 × number of months in 2022 in which you are entitled
to the family allowance
77
Subtract line 77 from line 76. = 78
Add lines 75 and 78. = 79
Amount for retirement income (maximum: $3,017) + 80
Amount for retirement income for your spouse on December 31, 2022 (maximum: $3,017) + 81
Add lines 70, and 79 to 81. = 85
Estimated net family income
Add your estimated net income and that of your spouse on December 31, 2022
90
91 $36,590
Subtract line 91 from line 90. If the result is negative, enter 0. = 92
× 93 18.75%
Multiply line 92 by 18.75%. =
95
Subtract line 95 from line 85. If the result is negative, enter 0. = 96
Amount from line 6 of your spouse’s TP-1015.3-V form 97
Subtract line 97 from line 96. Carry the result to line 6.
Age amount, amount for a person living alone and amount for retirement income = 98
1. Do not take into account the amount of the deduction for residents of designated remote areas or any scholarships, bursaries or similar financial assistance. If the child or dependant
was not resident in Canada throughout the year, take into account all of their income, including any income earned while they were not resident in Canada.
0
Amount for a person living alone
(single-parent family)
Amount for retirement income
Amount for retirement income for your spouse on December 31, 2022
TP-1015.3-V (2022-01)
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Work Chart 3 – Amount for career extension (see the instructions for line 9)
Estimated eligible work income 110
Portion of the income on line 110 that you expect to earn before turning 60 or that is related to a previous year (retroactiveamount) 111
Subtract line 111 from line 110.
If you were born in 1957, go to line 118. Otherwise, continue the calculation. =
112
114 $5,000
Subtract line 114 from line 112 (maximum: $11,000 if you were born before January 1, 1957, or $10,000 if you were born after
1957 but before 1963). Carry the result to line 135 and follow the instructions for that line. =
115
Complete lines 118 through 130 only if you were born in 1957.
Amount from line 112
118
Portion of the income on line 112 that you expect to earn before your 65th birthday 119
Subtract line 119 from line 118. = 120
121
$5,000
Amount from line 119
122
Subtract line 122 from line 121. If the result is negative, enter 0. =
125
Subtract line 125 from line 120. = 126
Amount from line 119 127
128
$5,000
Subtract line 128 from line 127 (maximum: $10,000). If the result is negative, enter 0.
129
Add lines 126 and 129 (maximum: $11,000). =
130
Amount from line 115 or line 130, as applicable. If you were born before January 1, 1951, and the amount on line 135 does not
exceed $4,000, carry it to line 9. Otherwise, continue the calculation.
135
Amount from line 110
140
141
$36,590
Subtract line 141 from line 140. If the result is negative, enter 0.
=
142
×
33.33%
Multiply line 142 by 33.33%. =
144
Subtract line 144 from line 135. If the result is negative, enter 0. Carry the result to line 9, unless you were born
before January 1, 1951, in which case you must either carry the amount from line 145 or enter $4,000, whichever is greater.
Amount for career extension = 145
TP-1015.3-V (2022-01)
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Are you required to complete this form?
Complete this form and give it to your employer or payer so that they can
determine how much income tax to withhold from the salaries, wages,
commissions, pension income, parental insurance benefits, Employment
Insurance benefits, wage loss replacement benefits or any other remuneration
they pay you. If you do not complete this form, your employer or payer will
only take into account the basic personal amount to determine the income
tax to be withheld. The deduction code will remain in effect until you give
your employer or payer a new duly completed copy of thisform.
You are not required to complete this form each year to benefit from the
annual indexation of the income tax system.
The personal tax credits and deductions that appear on this form may be
subject to a limit if you are not resident in Canada or if you become a
non-resident during the year. In such cases, contact us.
This form is available on our website atrevenuquebec.ca.
Filing deadline
You must give this form, duly completed, to your employer or payer:
on the day you take up employment, if it is an employer who pays
theremuneration;
before a payer (other than an employer) pays you remuneration for
the first time;
within 15 days after an event that results in a reduction of the amounts
entered on the previously completed copy of form TP-1015.3-V.
You can also give a duly completed copy of this form to your employer or
payer at any time to:
have your employer or payer take into account any tax credits and
deductions to which you are entitled when calculating the amount of
income tax to withhold;
have an additional amount of income tax withheld; or
apply for an exemption from source deductions of Québec income tax
from your employment income.
Reduction in source deductions of income tax
If you are entitled to tax credits and deductions that do not appear on this
form, complete the
Application for a Reduction in Source Deductions of
Income Tax
(form TP-1016-V) so that we can authorize your employer or
payer to reduce the income tax that is withheld.
Line 1 Basic personal amount
If you are filing this form with a second employer or payer, enter “0” on
line 10 so that the basic personal amount is not taken into account twice.
However, if you no longer work for the employer or no longer receive
amounts from the payer with whom you claimed this amount, file a new
copy of this form with your current employer or payer.
Instructions
Line 2 Amount transferred from one spouse to
theother
If you expect to have a spouse on December 31, 2022, you can claim
the amount transferred from one spouse to the other. However, you cannot
claim the amount if your spouse receives indemnities further to an
industrial accident, a precautionary cessation of work, a traffic accident
or an act of good citizenship, or because they were the victim of acrime.
To calculate your spouse’s estimated taxable income, refer to lines 101
through 299 of their income tax return for 2021. To claim the amount
transferred from one spouse to the other, you and your spouse must each
file an income tax return for 2022.
Spouse
The person to whom you are married, with whom you are living in a
civil union or who is your de facto spouse.
De facto spouse
A person of the opposite sex or of the same sex who, at any time in 2022:
is living in a conjugal relationship with you and is the biological
or adoptive parent (legally or in fact) of at least one of your
children; or
has been living in a conjugal relationship with you for at least 12
consecutive months (the 12-month period is considered to have
been uninterrupted if you live apart because of the breakdown of
your relationship for a period of less than 90 days).
Spouse on December 31, 2022
The person:
who was your spouse at the end of that day and from whom you
were not living separate and apart at that time because of the
breakdown of your relationship. If, on December 31, 2022, you
and your spouse were separated because of the breakdown of your
relationship and your separation lasted fewer than 90 days, you
are considered to have had a spouse on December 31, 2022; or
who was your spouse at the time of their death in 2022, provided
you and your spouse had not been living separate and apart for 90
days or more at that time because of the breakdown of your
relationship and you did not have a new spouse on December31,2022.
Line 3 Amount for dependants
Amount for a child under 18 enrolled in post-secondary studies
If you expect to be supporting at least one child under 18 enrolled in
post-secondary studies on December 31, 2022, complete Work Chart 1.
If the child transfers the unused portion of their credits to their spouse,
you cannot claim the amount for a child under 18 enrolled in post-secondary
studies with respect to that child.
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Child under 18 enrolled in post-secondary studies
A person born after December 31, 2004, who, in 2022, is a full-time
student pursuing vocational training at the secondary level or
postsecondary studies, and whom you are supporting. The person
maybe:
your or your spouse’s child;
a person of whom you or your spouse has the custody and
supervision (legally or in fact);
your child’s spouse;
the spouse of your spouse’s child.
Amount for other dependants
If you expect to be supporting at least one other dependant who is 18
or older in 2022, complete Work Chart 1.
Other dependant
A person who meets all three of the following conditions:
The person is 18 or older in 2022.
The person is related to you by blood, marriage or adoption.
The person ordinarily lives with you and is supported by you.
The person is not your spouse, is not a person who transfers the unused
portion of their credits to their spouse and is not a child who is transferring
an amount for a child 18 or over enrolled in post-secondarystudies.
Line 5 Amount for a severe and prolonged
impairment in mental or physical functions
If, in 2022, you or your spouse is entitled to claim the amount for a severe
and prolonged impairment in mental or physical functions, you can enter
$3,584 for each person with such an impairment, as certified by a health
professional. For more information, refer to the
Certificate Respecting an
Impairment
(form TP-752.0.14-V).
Line 6 Age amount, amount for a person living alone
and amount for retirement income
The age amount, amount for a person living alone and amount for retirement
income can be reduced on the basis of your estimated net family income.
To calculate your estimated net family income, refer to lines101 through
275 on your income tax return and, if applicable, on your spouse’s return.
Note that you cannot claim this amount if your estimated net family
income is more than $78,261 and you have a spouse on December31,2022,
or if your estimated net family income is more than $56,245 and you do
not have a spouse on December 31, 2022.
Amount for a person living alone (line 75 of Work Chart 2)
If, throughout 2022, you expect to maintain and ordinarily live in a
dwelling in which you live alone or only with one or more people under
18, or one or more of your children, grandchildren or great-grandchildren
18 or over who are full-time students pursuing vocational training at the
secondary level or post-secondary studies, enter $1,850.
Additional amount for a person living alone
(single-parent family) (line 76 of Work Chart 2)
You can enter $2,284 if you are entitled to the amount for a person living
alone for 2022 and:
you live, at some time in 2022, with one or more of your children 18
or older who are full-time students pursuing vocational training at the
secondary level or post-secondary studies; and
you are not entitled to the family allowance for the month of
December2022.
Amount for retirement income (line 80 of Work Chart 2)
Enter the lesser of the following amounts:
the amount of income you expect to receive in 2022 that qualifies for
the retirement income amount, multiplied by 1.25;
• $3,017.
Amount for retirement income for your spouse on
December31, 2022 (line 81 of Work Chart 2)
Enter the lesser of the following amounts:
the amount of income your spouse on December 31, 2022, expects
to receive in 2022 that qualifies for the retirement income amount,
multiplied by 1.25;
• $3,017.
Line 9 Amount for career extension
You can claim the amount for career extension if you meet the
followingconditions:
You expect to be resident in Québec on December 31, 2022.
You will be 60 or older on December 31, 2022.
Your estimated eligible work income is more than $5,000.
To calculate the amount, complete Work Chart 3.
Eligible work income
Employment income, net business income, the net amount of research
grants, Wage Earner Protection Program payments and amounts
received under a work-incentive project. The following types of income
are excluded:
employment income that consists solely of taxable benefits relating
to previous employment;
employment income from an employer with whom you are not
dealing at arm’s length, or from an employer that is a partnership in
which you and one of the members are not dealing at arm’s length;
amounts deducted in the calculation of your taxable income (for
example, the amounts deducted on lines 293 and 297 of the income
tax return).
TP-1015.3-V (2022-01)
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Line 11 Additional income tax to be withheld
You can request that an additional amount of income tax be withheld to
avoid owing an amount when you file your income tax return. Before you
determine how much additional income tax should be withheld, you must
estimate the amount that you will owe for the year. To do this, you can:
base your estimate on the amount you owed when you filed last year’s
income tax return; or
use form TP-1026-V,
Calculation of Instalment Payments to Be Made
by Individuals
.
Once you have estimated the amount you will owe, divide it by the number
of pay periods left in the year.
If you would like to change or cancel the amount of additional income tax
being withheld, you must complete a new copy of this form and give it to
your employer or payer.
Line 14 Housing deduction for residents
of designated remote areas
If you expect to live in a prescribed northern zone or a prescribed
intermediate zone for a period of at least six consecutive months beginning
or ending in 2022, you can enter the lesser of the following amounts:
20% of your estimated net income for 2022 (do not take into account
the amount of the deduction for residents of designated remote areas);
100% (50% for an intermediate zone) of one of the following
amounts:
$22 multiplied by the number of days in 2022 you expect to live
in such a zone, if no other person living in the same dwelling
claims this deduction, or
$11 multiplied by the number of days in 2022 you expect to live
in such a zone, in all other cases.
For more information, consult guide TP-350.1.G-V,
Deduction for Residents
of Designated Remote Areas
.
Line 15 Deductible support payments
If, in 2022, you expect to make support payments to your spouse or former
spouse, to the mother or father of your child, or to a third party for the
benefit of your child or one of the aforementioned people, you can enter
the amount of support on line 15, provided, as a rule, you meet the
following conditions:
The support is paid as a periodic allowance further to an order or a
written agreement for the maintenance of the recipient, the
maintenance of one of the recipient's children, or the maintenance of
the recipient and the child, and you are living apart from the recipient
at the time the payments are made.
The support payments are not subject to the measures concerning the
tax treatment of support payments.
For further information, refer to
The Tax Effects of Separation and Divorce
(IN-128-V).
Box 20 Exemption from source deductions of income tax
You can ask your employer to not withhold income tax from your
employment income if you expect the total of your income from all sources
to be less than the result of the following calculation: the amount on
line10, plus the amount on line 19. Note that this exemption cannot be
requested for remuneration that is not employment income. This request
is valid only for 2022.