TPF-1.

U-V (2024-10)
Page 1 of 1

Income Tax Return Data 2024

Certification number: RQ24-IP008
1 MORENO
2 GRISLEYDA LISSETTE 199 23 232,97 478 978,75
3 275 22 229,97 479
11 967 658 394 299 22 229,97 481
2111 2112 399 2 562,03

The data in the two-dimensional barcode(s) will be read by

Revenu Québec. It is identical to the data in the income tax
return and the applicable schedules and forms.

This form must be submitted to Revenu Québec along with

the keying summaries (form TPF-1.W-V and, if applicable,
forms TPF-1.X-V, TPF-1.Y-V and TPF-1.Z-V), the income tax
return and the applicable schedules and forms.

Code 1 of 2

Code 2 of 2

This form must be submitted to Revenu Québec. J400 ZZ 74524848

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 TPF-1.W-V (2024-10)
Keying Summary Page 1 of 2
for the Income Tax Return 2024
Authorization number: RQ24-TP03
1 MORENO 7 34 REDTONE MANOR NE
2 GRISLEYDA LISSETTE 8 CALGARY AB 9 T3N 0J7
3 4 2 5 6 1994 04 28 10 SN 9 57557
10.1
31 ESTANGA ESTANGA 32 JONATHAN EDUARDO 455
11 967 658 394 114 241 397 456
12 2 119 245 398 457 0,01
13 122 246 399 2 562,03 458
17 18 123 248 113,29 401 3 112,20 459
1801 166 250 233.1 460
1802 167 252 233.2 462
19 128 260 297.1 463
20 130 275 22 229,97 298.2 466
21 168 276 397.1 470 - 978,75
2111 2112 136 278 398.1 474 978,75
2113 22 137 287 414 476
23 138 289 415 478 978,75
2401 2402 X 139 290 422 480
36 1998 09 04 142 291 424 475
37 147 8 404,42 292 431 1 533,50 477
41 963 191 937 148 293 432 479
50 52 154 295 437 498 514-240-0089
51 7 102,42 169 297 438 499
96 164 299 22 229,97 439
96.1 199 23 232,97 358 441 515
96.2 201 889,71 361 443 516 VP
97 73,39 205 367 445 517
98 849,94 207 376 446
98.1 14 828,55 212 378 447
98.2 214 381 170,93 450
100 215 385 451 853,83
102 224 390 451.1
101 14 828,55 225 391 451.3
105 228 392 452 124,91
165 231 393 453
107 234 395 454
110 236 396 481
111

TPF-1.X-V 4
IndAmend

J401 ZZ 74524849
This form must be submitted to Revenu Québec. Prescribed form

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 TPF-1.W-V (2024-10)
Keying Summary Page 2 of 2
for the Income Tax Return 2024
Authorization number: RQ24-TP03
10.2 5000
10.3 248.1 01
10.4 289.1
10.5 390.1
94 403
95 404
106 405
149 436
153 442
206 444
249 449 14
277 461
286
296

I certify that the data entered on this form corresponds to the data in the income tax return. The information
given in this return and in the attached documents is accurate and complete and fully discloses all my income.
If I am entitled to a refund and entered an amount on line 476, I agree to have the amount applied to the payment
of my spouse's balance due (line 475 of my spouse's return).
If I entered an amount on line 123, it is because I have elected to add part of my spouse's retirement income
to my income.
If I elected (or revoked an election) in Schedule U to stop making Québec Pension Plan contributions on my self-
employment income or my activities as a person responsible for a family-type resource or an intermediate resource,
I accept that it will take effect on the first day of the month I made the election (or revocation).

2025 05 22
Signature Date
J409 ZZ 74524857
This form must be submitted to Revenu Québec. Prescribed form

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 TPF-1.X-V (2024-10)
Keying Summary for the Schedules of the Page 1 of 5
Income Tax Return and for Forms TP-25-V, 2024
TP-274-V, TP-752.PC-V, TP-1029.SA-V, Authorization number: RQ24-TP03
TP-1029.TM-V, TP-1029.61.MD-V and TP-21.4.39-V
MORENO GRISLEYDA LISSETTE 967 658 394

Schedule A Schedule B 36 30.2

1 30 12 7 102,42 37 31.2
(1) (1) 20 26.1 32.2
4 31 21 27.1 33.2
5 21.1 28.1 34.2
7 32 22 29.1 35.2
10 23 30.1 36.2
12 33 27 31.1 37.2
16 34 28 32.1 38.1
21 40 33 33.1 40
(2) 42 34 34.1 41
4 44 36 1 050,90 35.1 42
5 48 40 170,93 36.1 44
7 54 50 37.1 46
10 (2) 60 26.2 78
12 31 64 27.2 96
16 66 28.2 98
21 32 69 29.2 99
(3)
4 33 Schedule C Schedule D
5 34 10 14 1
7 40 11 15 2
10 42 12 16 6
12 44 13 17 11
16 48 1 12
21 54 2 13
(1) (1) 3 14
25 62 4
26 63 5 15
28 65 6
(2) (2) 26 16
25 62 27 32
26 63 28 33
28 65 29 35
(3) (3) 30 36
25 62 31 40
26 63 32 44
28 65 33 46
34 50
35 52

J402 ZZ 74524850
This form must be submitted to Revenu Québec.

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 TPF-1.X-V (2024-10)
Keying Summary for the Schedules of the Page 3 of 5
Income Tax Return and for Forms TP-25-V, 2024
TP-274-V, TP-752.PC-V, TP-1029.SA-V, Authorization number: RQ24-TP03
TP-1029.TM-V, TP-1029.61.MD-V and TP-21.4.39-V
MORENO GRISLEYDA LISSETTE 967 658 394

Schedule E 218 362 40 Schedule T

402 224 226 363 50 34
409 228 240 401 52 38
411 252 410F 64 40
13 259 70 40.5
15 260 412 40.6
17 262 Schedule Q 40.7
21 263 414 4 41
22 266 418 10 44
60 301 424 426 12 46
308F 428 440 13 48
Schedule H 451 14 51
2001 2004 308.1 452 16 66
2002 2005 310 410S 20 68
2003 22
201 312 412 50 Schedule U
208F 58 1
314 414
208.1 318 418 Schedule R
210 324 326 424 426 11 1.1
328 340 428 440 14 1.2
212 352 451 24 2
359 452 30
214 360 31
218 362 Schedule M 34 2.1
224 226 363 46 38 2.2
228 240 308S 48 40 5
252 60 44 6
259 308.1 62
260 310 Schedule S
262 Schedule N 4
263 312 10 8
208S 14 10
314 16 16
208.1 318 24 171
210 324 326 26 172
328 340 28 181
212 352 30 182
359 32 201
214 360 34 202

J404 ZZ 74524852
This form must be submitted to Revenu Québec.

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 Schedule B – F-V (2024-12) 1 o f 2
SCHEDULE

Tax Relief Measures B

Authorization number RQ24-TP03
If you and your spouse on December 31, 2024, are both entering an amount on line 361, 381 or 462 of your respective returns, you must each
file your own Schedule B.

A Family income
Amount from line 275 of your return 10 22,229 97
Amount from line 275 of your spouse's return (spouse on December 31, 2024) + 12 7,102 42
Add lines 10 and 12. Family income = 14 29,332 39

B Age amount, amount for a person living alone and amount for retirement income
Amount from line 14 15 29,332 39
- 16 40,925 00
Subtract line 16 from line 15. If the result is negative, enter 0. = 18 0 00
You are not entitled to any of these amounts if you had a spouse on December 31, 2024, and the amount on line 18 is more than $87,536,
or if you did not have a spouse on December 31, 2024, and the amount on line 18 is more than $62,907.
If, throughout 2024, you maintained and ordinarily lived in a dwelling in which you lived alone
or only with one or more individuals under the age of 18, or with one or more of your children, grandchildren
or great-grandchildren 18 or older who were full-time students pursuing vocational training at the secondary level
or post-secondary studies, enter $2,069. See line 361 in the guide. 20
Additional amount for a person living alone (single-parent family). See line 361 in the guide.
Social insurance number of the child 18 or older
21.1 + 21
If you were born before January 1, 1960, enter $3,798. + 22
If your spouse on December 31, 2024, was born before January 1, 1960, enter $3,798. + 23
If you entered an amount on line 122 or 123 of your return, complete the work chart below. + 27
If your spouse on December 31, 2024, entered an amount on line 122 or 123 of their return,
complete the work chart below. + 28
Add lines 20 through 28. = 30 0 00
-
Amount from line 18 × 18.75% 31
Subtract line 31 from line 30.
If the result is negative, enter 0. Amount to which you or, if applicable, your spouse is entitled = 32 0 00
Amount claimed on line 361 of your spouse's return (spouse on December 31, 2024) - 33
Subtract line 33 from line 32. Carry the result to line 361 of your return.
Age amount, amount for a person living alone and amount for retirement income = 34

WORK CHART – Amount for retirement income You Your spouse

on December 31, 2024
Total of the amounts from lines 122 and 123 1
Amount from line 1 transferred to an RRSP, a RRIF or a PRPP/VRSP,
or used to purchase an annuity (see line 250, point 4, in the guide) 2
Deduction claimed on line 250, point 6, for a refund of unused contributions
to a PRPP/VRSP included in the amount on line 1 + 3
Deduction claimed on line 293 for the amount on line 1 + 4
Deduction claimed on line 297 (points 9 and 12) for the amount on line 1 + 5
Retirement income transferred to your spouse (amount from line 245) + 6
Add lines 2 through 6. = 7

Subtract line 7 from line 1. 8

× 1.25 1.25
Multiply line 8 by 1.25 (maximum $3,374).
Carry this amount to line 27 and/or line 28, as applicable. = 9 0 00 0 00
NOTE
When life annuity payments made under a retirement compensation arrangement (line 154, point 3) are transferred between spouses, the amounts entered
on lines 123 and 245 of the return must not be included on lines 1 and 6 of the work chart.

Y4B1 ZZ 89526649 Prescribed form B

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 Schedule B – F-V (2024-12) 2 o f 2

C Medical expenses
Medical expenses (see line 381 in the guide) 36 1,050 90
Family income (amount from line 14) 37 29,332 39
× 3%
-
Multiply line 37 by 3%. = 879 97 39 879 97
Subtract line 39 from line 36. If the result is negative, enter 0.
Carry this amount to line 381 of your return. Medical expenses = 40 170 93
NOTE
If you enter an amount on line 40, you may also be entitled to the refundable tax credit for medical expenses. See Part D below.

D Refundable tax credit for medical expenses

You are not entitled to this credit if the amount on line 14 is over $56,050.
You can claim this tax credit if you meet all of the following conditions:
You were resident in Québec on December 31, 2024.
You were resident in Canada throughout 2024.
You were 18 or older on December 31, 2024.
Your work income (line 10 of the work chart under point 1 at line 462 in the guide) is $3,645 or more.

Amount from line 40 above 41 170 93

Disability supports deduction
(see line 250, point 7, in the guide) + 42
Add lines 41 and 42. = 43 170 93
x 25%
Multiply line 43 by 25% (maximum $1,425). = 44 42 73

Family income (amount from line 14) 45 29,332 39

- 46 27,550 00
Subtract line 46 from line 45. If the result is negative, enter 0. = 47 1,782 39
x 5%
-
Multiply line 47 by 5%. = 48 89 12
Subtract line 48 from line 44. If the result is negative, enter 0.
Carry this amount to line 462 of your return. Refundable tax credit for medical expenses = 50 0 00

E Independent living tax credit for seniors

You can claim this tax credit if you meet both of the following conditions:
You were resident in Québec on December 31, 2024.
You were 70 or older on December 31, 2024.
Expenses incurred for the purchase, lease and installation of eligible equipment or fixtures 60
- 62 250 00
Subtract line 62 from line 60. If the result is negative, enter 0. = 64
Expenses incurred for one or more stays in a functional rehabilitation transition unit + 66
Add lines 64 and 66. = 67
× 20%
Multiply line 67 by 20%.
Carry the result to line 462 of your return. Independent living tax credit for seniors = 69

Enclose this schedule with your return.

If you want to keep a copy for your records, see the guide. Y4B2 ZZ 89526650 B

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 Schedule U – F-V (2024-12) 1 of 8
SCHEDULE
Québec Pension Plan (QPP)
Contribution and Deduction U
Authorization number RQ24-TP03

Read the instructions on pages 6 to 8 before completing this schedule.

How to complete this schedule

Situation Part to complete

In 2024, you elected (or revoked an election) to stop making QPP contributions on your employment income by completing
form RR-50-V, Election to Stop Contributing to the Québec Pension Plan, or Revocation of an Election, and giving it to your Part A, section 1
employer(s).
You want to elect (or revoke an election) to stop making QPP contributions on your income from self-employment
Part A, section 2
or your income as a person responsible for a family-type resource or an intermediate resource.
You entered amounts on lines 98, 98.1 and, if applicable, 98.2 of your return, you had no income from self-employment
Part B
and you want to calculate the amount you can deduct on line 248.
You were 18 or over but under 73 at the end of the year, you want to calculate your QPP contribution on income from self-employment
(line 445 of your return) and the amount you can deduct on line 248, and you meet all the following conditions:

You earned one of the following:

– income from self-employment (line 27 of Schedule L)
– income as a person responsible for a family-type resource or an intermediate resource
Part C
(line 40 of Schedule L if you received an RL-29 slip; line 27 of Schedule L if you did not)
– employment income on which you want to make an optional contribution
You did not enter an amount on line 96, 96.1 or 96.2.
The amounts you entered on lines 98 and 98.2 total less than $4,348.
You did not elect, in a previous year, to stop making QPP contributions on your income from self-employment
or your income as a person responsible for a family-type resource or an intermediate resource.

A Election to stop making QPP contributions or revocation of an election

made in a previous year
1 Employment income
Complete this section if, in 2024, you elected (or revoked an election) to stop making QPP contributions on your employment income by completing
form RR-50-V and giving it to your employer(s).
First employer
Name of first employer
1

Election to stop making QPP contributions Revocation of an election to stop making QPP contributions
Month that immediately follows the date the form was filed Month that immediately follows the date the form was filed
with your employer (Part 4 of form RR-50-V) with your employer (Part 4 of form RR-50-V)
Election month Revocation month
1.1 2024 1.2 2024
M M M M

Second employer
Name of second employer
2

Election to stop making QPP contributions Revocation of an election to stop making QPP contributions
Month that immediately follows the date the form was filed Month that immediately follows the date the form was filed
with your employer (Part 4 of form RR-50-V) with your employer (Part 4 of form RR-50-V)
Election month Revocation month
2.1 2024 2.2 2024
M M M M

Y4U1 ZZ 89528549
Prescribed form U

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025 [RQ]
 2 Income from self-employment Schedule U – F-V (2024-12) 2 of 8
Complete this section if you are self-employed or a person responsible for a family-type resource or an intermediate resource, you were
65 or over but under 73 at the end of the year, you receive a retirement pension from the QPP or the Canada Pension Plan (CPP) and you want
to elect (or revoke an election) to stop making QPP contributions.
Do not complete this section if you only have employment income. Instead, complete form RR-50-V, Election to Stop Contributing to the Québec
Pension Plan, or Revocation of an Election, send it to us and give a copy to your employer(s).
Check the applicable box.
Election Revocation of an election
You want to stop making QPP contributions and you understand that: You want to resume making your QPP
No future retirement pension supplement will be allocated or counted as of the effective contributions.
date of the election. If you are revoking an election made in a
You will have to revoke your election and start making QPP contributions again if your QPP previous year, enter the month in which you
or CPP retirement pension is cancelled (by the payer organization or at your request). want the revocation to take effect in 2024.
Revocation month
If you are electing to stop making QPP contributions, enter the month in which you want the 6 2024
election to take effect in 2024. It cannot precede the month you turn 65 and start receiving M M
a retirement pension from the QPP. For example, if you turn 65 in June, you can choose any
month from June to December. The revocation remains in effect until you
make a new election to stop making QPP
Election month
contributions in another year or until
5 2024 December 31 of the year you turn 72.
M M

The election will stay in effect until you revoke it or until December 31 of the year you turn 72.

B Deduction for QPP contributions on employment income

Complete this part if you entered amounts on lines 98, 98.1 and, if applicable, 98.2 of your return and you had no income from self-employment.

If you had income from self-employment, complete Part C instead.

Do not complete this part if you entered an amount on line 96, 96.1 or 96.2 of your return. Instead, complete form LE-35-V, Contribution and Deduction
Related to the QPP or the CPP.
QPP contribution (line 98 of your return) (maximum $4,160) 10 849.94
× 0.156250
Multiply line 10 by 0.156250. = 11 132.80

Pensionable salary or wages (QPP) (line 98.1 of your return) (maximum $68,500) 12 14,828.55
Personal QPP exemption. See the instructions for Part B. - 13 3,500.00
Subtract line 13 from line 12. = 14 11,328.55
× 1%
Multiply line 14 by 1%. = 15 113.29
Amount from line 11 or line 15, whichever is less 16 113.29
Additional contribution to the QPP (line 98.2 of your return) (maximum $188) 17
QPP contribution (line 98 of your return) 17.1 849.94
Amount from line 10 - 17.2 849.94
Subtract line 17.2 from line 17.1.
+
If the result is negative, enter 0. = 0.00 17.3 0.00
Add lines 17 and 17.3. = 17.4 0.00
Pensionable salary or wages (QPP) (line 98.1 of your return) (maximum $73,200) 18 14,828.55
Maximum pensionable earnings. See the instructions for Part B. - 19 68,500.00
Subtract line 19 from line 18. If the result is negative, enter 0. = 20 0.00
× 4%
Multiply line 20 by 4%. = 21 0.00
Amount from line 17.4 or line 21, whichever is less + 22 0.00
Add lines 16 and 22.
Carry the result to line 248 of your return. Deduction for QPP contributions on employment income = 23 113.29

Y4U2 ZZ 89528550
U

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 Schedule U – F-V (2024-12) 3 of 8

C QPP contribution and deduction on income from self-employment

Do not complete this part if you elected to stop making QPP contributions in January 2024 or a previous year and the election is still in effect.

Do not complete this part if you entered amounts on lines 96, 96.1 and, if applicable, 96.2 of your return. Instead, complete form LE-35-V, Contri-
bution and Deduction Related to the QPP or the CPP.
Net business income (line 27 of Schedule L). If the amount is negative, enter 0.
See the instructions for Part C to find out whether this amount has to be reduced in proportion
to the applicable number of months. 30
Pensionable earnings of a person responsible for a family-type resource or an intermediate resource (line 40 of Schedule L).
See the instructions for Part C to find out whether this amount has to be reduced in proportion
to the applicable number of months. + 31
Employment income on which you want to make an optional contribution. See the instructions for Part C. + 32
Add lines 30 through 32. = 33

QPP contribution (line 98 of your return) 34

Additional contribution to the QPP (line 98.2 of your return) + 35
Add lines 34 and 35. = 36
÷ 6.4%
Divide line 36 by 6.4%. = 38
Personal QPP exemption. See the instructions for Part C. + 39
Add lines 38 and 39. = 40
Pensionable salary or wages (QPP) (line 98.1 of your return) - 41
-
Subtract line 41 from line 40. If the result is negative, enter 0. = 42
Subtract line 42 from line 33. If the result is negative, enter 0. = 43
Maximum pensionable earnings. See the instructions for Part C. 44
Amount from line 39 - 45
Subtract line 45 from line 44. If the result is negative, enter 0. = 46
Amount from line 38 - 47
Subtract line 47 from line 46. If the result is negative, enter 0. = 47.1

Amount from line 43 or line 47.1, whichever is less 47.2

× 12.8%
Multiply line 47.2 by 12.8%. = 48

Additional maximum pensionable earnings.

See the instructions for Part C. 53
Amount from line 44 - 54
Subtract line 54 from line 53. = 55
Amount from line 41 56
Amount from line 44 - 57
Subtract line 57 from line 56.
If the result is negative, enter 0. = 58

Amount from line 55 or line 58, whichever is less 59

× 4%
Multiply line 59 by 4%. = 60

Amount from line 35 or line 60, whichever is less 61

÷ 4%
Divide line 61 by 4%. 62
Amount from line 35 63
Amount from line 61 - 64
Subtract line 64 from line 63. If the result is negative, enter 0. = 65
÷ 4%
+
Divide line 65 by 4%. = 66
Continued on the next page.

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 Schedule U – F-V (2024-12) 4 of 8

Amount from line 34 67

Add lines 33 and 41 (maximum $68,500). 68
Amount from line 39 - 69
Subtract line 69 from line 68.
If the result is negative, enter 0. = 70
× 6.4%
-
Multiply line 70 by 6.4% (maximum $4,160). = 71
Subtract line 71 from line 67. If the result is negative, enter 0. = 72
÷ 4%
+
Divide line 72 by 4%. = 73
If you entered an amount on line 73, add lines 62, 66 and 73. If not, enter 0. = 74

Add lines 40 and 74. 75

Amount from line 41 or line 75, whichever is less 76

Add lines 33 and 76. 77

Amount from line 44 - 78
Subtract line 78 from line 77. If the result is negative, enter 0. = 79
Amount from line 74 - 80
Subtract line 80 from line 79. If the result is negative, enter 0. = 81

Amount from line 55 82

Amount from line 74 - 83
Subtract line 83 from line 82. If the result is negative, enter 0. = 84

Amount from line 33 85

Amount from line 74 86

Amount from line 41 87

Amount from line 44 - 88
Subtract line 88 from line 87.
-
If the result is negative, enter 0. = 89
-
Subtract line 89 from line 86. If the result is negative, enter 0. = 90
Subtract line 90 from line 85. If the result is negative, enter 0. = 91

Amount from line 81, line 84 or line 91, whichever is less 92

× 8%
Multiply line 92 by 8%. = 93
Amount from line 48 + 93.1
Add lines 93 and 93.1. = 94
Amount from line 71 95.1
Amount from line 41 95.2
Amount from line 33 + 95.3
Add lines 95.2 and 95.3. = 95.4
Amount from line 53 or line 95.4, whichever is less 95.5
Amount from line 44 - 95.6
Subtract line 95.6 from line 95.5.
If the result is negative, enter 0. = 95.7
× 4%
+
Multiply line 95.7 by 4%. = 95.8
Add lines 95.1 and 95.8. = 95
Amount from line 36 - 96
Subtract line 96 from line 95. If the result is negative, enter 0. = 97
× 2
Multiply line 97 by 2. = 98
Amount from line 94 or line 98, whichever is less.
Carry this amount to line 445 of your return. QPP contribution on income from self-employment 99
Continued on the next page.

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 Schedule U – F-V (2024-12) 5 of 8

Amount from line 48 100

× 0.421875
Multiply line 100 by 0.421875.
If you entered an amount on line 31, see "Special cases" in the instructions for Part C. = 101

Amount from line 48 102

× 0.156250
+
Multiply line 102 by 0.156250. = 103

Amount from line 34 104

× 0.156250
Multiply line 104 by 0.156250. = 105

Amount from line 33 106

Amount from line 41 + 107
Add lines 106 and 107. = 108
Amount from line 39 - 109
Subtract line 109 from line 108. If the result is negative, enter 0. = 110

Amount from line 46 or line 110, whichever is less 111

× 1%
Multiply line 111 by 1%. = 112
Amount from line 105 or line 112, whichever is less + 113
Add lines 101, 103 and 113. = 114

Amount from line 93 or line 99, whichever is less + 115

Amount from line 35 116
Amount from line 34 116.1
QPP contribution (line 98 of your return)
(maximum $4,160) - 116.2
Subtract line 116.2 from line 116.1.
+
If the result is negative, enter 0. = 116.3
Add lines 116 and 116.3. = 116.4

Amount from line 41 117

Amount from line 33 + 118
Add lines 117 and 118 (maximum $73,200). = 119
Amount from line 44 - 120
Subtract line 120 from line 119. If the result is negative, enter 0. = 121
× 4%
Multiply line 121 by 4%. = 122

Amount from line 116.4 or line 122, whichever is less + 123

Add lines 114, 115 and 123.
Carry the result to line 248 of your return. QPP deduction for income from self-employment = 124

Enclose this schedule with your return.

Y4U5 ZZ 89528553
If you want to keep a copy for your records, see the guide. U

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 Schedule U – F-V (2024-12) 6 of 8

Instructions
Québec Pension Plan (QPP) contributions to Stop Contributing to the Québec Pension Plan, or Revocation
of an Election, send it to us and give a copy to your employer(s).
The QPP is a mandatory public insurance plan for workers 18 or over
whose yearly income is more than $3,500. You must contribute until Be sure to keep proof that you receive a QPP or CPP retirement pension
the year you turn 73, which means that you will not pay contributions so that you can provide it on request.
on the salary and earnings you receive as of January 1 of that year.

Effective election date

Part A – Section 2
The election comes into effect on the first day of the month in which
Eligibility you made it. We will stop calculating your QPP contribution as of the
first day of the election month. Note that the election cannot come into
You can elect to stop making QPP contributions if you meet all the effect before January 1, 2024.
following conditions:
Revocation
You are self-employed or a person responsible for a family-type
To revoke an election to stop making QPP contributions, complete
resource or an intermediate resource.
this schedule and file it with your income tax return for the year in which
You were at 65 or over but under 73 at the end of the year. you want the revocation to apply.
You receive a QPP or Canada Pension Plan (CPP) retirement
pension. If you made an election during the year and you want to resume
You did not revoke an election to stop making QPP contributions your QPP contributions, you cannot revoke it until you file your income
during the year. tax return for the following year.

You can make the election as of the day after your 65th birthday.
Example
NOTE If you elected to stop making QPP contributions in June, you will
have to wait until at least January 1 of the following year to revoke
It is usually better to continue making QPP contributions after you
your election and resume your QPP contributions.
turn 65. For more information, go to the Retraite Québec website
at retraitequebec.gouv.qc.ca.
The revocation takes effect on the first day of the month you made the
Conditions for the election
revocation. We will calculate your QPP contributions as of the first
You can only complete this schedule once a year. If you elect to stop month covered by the revocation.
making QPP contributions one year, you cannot revoke the election
until the following year. Part B
Line 13 Personal exemption
Example If none of the situations in Table 1 on page 7 applied to you in 2024,
If you elected to stop making QPP contributions in June, you will enter $3,500 on line 13. Otherwise, determine the number of months
have to wait until at least January 1 of the following year to revoke to consider using column C. Then, find that number in Table 2 on page 8
your election and resume your QPP contributions. and enter the corresponding amount from column B on line 13.

Likewise, if you revoke an election you made in a previous year, you will Line 19 Maximum pensionable earnings
have to wait until the following year to make a new election to stop If none of the situations in Table 1 on page 7 applied to you in 2024,
making contributions. enter $68,500 on line 19. Otherwise, determine the number of months
to consider using column C. Then, find that number in Table 2 on page 8
Election and enter the corresponding amount from column C on line 19.
To make the election to stop making QPP contributions, complete this
schedule and file it with your income tax return for the year in which you
want the election to apply.

If you are self-employed or a person responsible for a family-type

resource or an intermediate resource, the election will apply to your
income from self-employment only. To make this election for your
employment income for the same year, complete form RR-50-V, Election

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 Schedule U – F-V (2024-12) 7 of 8

Part C Special cases

If you are self-employed and all your business income is deductible
Optional contribution on certain types of employment income
on line 297 (points 7, 9 and 12), you cannot deduct the contribution
If the total QPP and CPP contributions you made as an employee payable in respect of that business. If necessary, we will correct
in 2024 (lines 98, 98.2, 96 and 96.2 of your return) were the amount you enter on line 248.
less than $4,348 and you want to increase your QPP benefits, you can
make an additional contribution on all or part of the income reported
on line 107 and on certain income included on line 101 (see "Optional
If you are a person responsible for a family-type resource or an
contribution to the Québec Pension Plan (QPP)" in the instructions
intermediate resource and you received an RL-29 slip, you cannot
for line 101). If you decide to make an additional contribution, check
claim a deduction for the contribution payable on the earnings
box 444 on your return and complete Part C of this schedule.
you entered on line 40 of Schedule L. If you entered amounts
on lines 30 and 32 of Schedule U, contact us.
However, if you entered amounts on lines 96, 96.1 and, if applicable,
96.2, complete form LE-35-V, Contribution and Deduction Related
to the QPP or the CPP, instead of this schedule. Do not enclose the form Lines 30 and 31 Applicable number of months
with your return, but keep it for your records. If situation 1, 2, 3, 5 or 6 in Table 1 below applied to you, multiply the
net business income to enter on line 30 or the pensionable earnings
to enter on line 31 by the result of the following calculation:
You must request the optional contribution no later than June 15 of
the applicable number of months according to column B in Table 1
the second year following the year for which you want to make
divided by 12.
the contribution.
Indian Line 39 Personal exemption
If you are an Indian, complete the following lines in Part C as follows: If none of the situations in Table 1 below applied to you in 2024,
enter $3,500 on line 39. Otherwise, determine the number of months
to consider using column C. Then, find that number in Table 2 on page 8
On line 30, include the net business income you can deduct on
and enter the corresponding amount from column B on line 39.
line 293, if you are making a QPP contribution on it.

On line 31, include your pensionable earnings as a person responsible Line 44 Maximum pensionable earnings
for a family-type resource or an intermediate resource that constitute
If none of the situations in Table 1 below applied to you in 2024,
income situated on a reserve or premises, if you are choosing to pay
enter $68,500 on line 44. Otherwise, determine the number of months
a QPP contribution on them.
to consider using column C. Then, find that number in Table 2 on page 8
and enter the corresponding amount from column C on line 44.
On line 32, include the employment income that you can deduct on
line 293, on which QPP contributions were not withheld at source and
on which you are making an optional QPP contribution. Line 53 Additional maximum pensionable earnings
If none of the situations in Table 1 below applied to you in 2024,
If all the employment or business income on which you are making an enter $73,200 on line 53. Otherwise, determine the number of months
optional contribution is deductible on line 293, you cannot claim to consider using column C. Then, find that number in Table 2 on page 8
a deduction for the optional contribution. and enter the corresponding amount from column D on line 53.

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 Schedule U – F-V (2024-12) 8 of 8

TABLE 1 Months to consider when calculating the QPP contribution and deduction

C
A B Months
Situation Applicable number of months to consider for
the calculation

1. You turned 18. Number of months between your birthday

and the end of the year

2. You started receiving a disability pension under the QPP or CPP. Number of months between the beginning of
the year and the month you were declared disabled
(including that month). If you also received
a retirement pension under the QPP, include Same as
the months for which you received it. the applicable
number of months
3. You started receiving a retirement pension under the QPP Number of months in the year for which you received
and you were receiving a disability pension under the QPP on January 1. the retirement pension under the QPP

4. You are completing a deceased person's income tax return. Number of months between the beginning of the year
and the month the person died (including that month)

5. You were 65 or over but under 73, you received a retirement pension Number of months between the beginning 12
under the QPP or CPP and you elected to stop making QPP contributions of the year and the month you made the election
on your income from self-employment or your income as a person (not including that month)
responsible for a family-type resource or intermediate resource.

6. You were 65 or over but under 73, you received a retirement pension Number of months between the month you made 12
under the QPP or CPP and you revoked an election to stop making QPP the election and the end of the year
contributions on your income from self-employment or your income (including the month you revoked the election)
as a person responsible for a family-type resource or intermediate resource.

TABLE 2 Monthly proportions

A B C D
Number of months Maximum Maximum Additional maximum
personal exemption pensionable earnings pensionable earnings
1 $291.67 $5,708.33 $6,100
2 $583.33 $11,416.67 $12,200
3 $875.00 $17,125.00 $18,300
4 $1,166.67 $22,833.33 $24,400
5 $1,458.33 $28,541.67 $30,500
6 $1,750.00 $34,250.00 $36,600
7 $2,041.67 $39,958.33 $42,700
8 $2,333.33 $45,666.67 $48,800
9 $2,625.00 $51,375.00 $54,900
10 $2,916.67 $57,083.33 $61,000
11 $3,208.33 $62,791.67 $67,100
12 $3,500.00 $68,500.00 $73,200

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Québec Medical expenses for the year ending 31/12/2024
31-12-2024

Patient's Name: GRISLEYDA LISSETTE MORENO

Details of expense
Employee-paid premiums for private health services plans (RL-1) 587 40
Contributions paid by the employer under a private health insurance plan (RL-1 box J) 463 50
Subtotal 1,050 90

Total medical expenses claimed on line 36 of schedule B 1,050 90

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 Work Charts – F-V (2024-12)

Work Charts 2024

201 WORK CHART – Deduction for workers
Eligible work income (lines 101, 107 and, if positive, 105, minus the amount from box 211 of your RL-1 slip).
See line 201 in the guide. 1 14,828 55
Amounts received under a work-incentive project (see line 154, point 2, in the guide) + 2
Net amount of research grants (see line 154, point 3(j), in the guide) + 3
Wage Earner Protection Program (WEPP) payments (see line 154, point 12, in the guide) + 4
Net business income (line 27 of Schedule L). If the result is negative, enter 0. + 5
Add lines 1 through 5. = 6 14,828 55
Amount entitling you to a deduction on line 293 for any of the sources of income listed on lines 1 through 5 above - 7
Subtract line 7 from line 6. = 8 14,828 55
× 6%
Multiply line 8 by 6%.
Carry the result to line 201 of your return (maximum $1,380). Deduction for workers = 9 889 71

248 Deduction for QPP and CPP contributions and QPIP premiums
Deduction for QPP and CPP contributions on employment income Code 01 113 29
Deduction for QPP and CPP contributions and QPIP premiums on income from self-employment Code 02
Add amounts for codes 01 to 02.
Carry the result to line 248 of your return. Deduction for QPP and CPP contributions and QPIP premiums = 113 29

358 WORK CHART – Adjustment for income replacement indemnities

Gross annual income used to determine your income replacement indemnities 1
÷ 366
Divide line 1 by 366. = 2
Number of days in 2024 included in the period for which you received indemnities × 3 0
Multiply line 2 by line 3. = 4
Income replacement rate × 5 0.00 %
Multiply line 4 by line 5. = 6

10 49 33
Income replacement rate × 11 0.00 %
Multiply line 10 by line 11. = 12
Number of days indicated on line 3 × 13 0
Multiply line 12 by line 13. = 14

Enter the amount from line 6 or 14, whichever is less (maximum: $18,056). If the amount is negative, enter 0.
Carry the result to line 358 of your return. Adjustment for income replacement indemnities 16

Keep this page for your files.

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 Work Charts – F-V (2024-12)

401 WORK CHART – Income tax on taxable income

Taxable income (line 299 of your return) 1 22,229 97
If your taxable income on line 1 above:
is $51,780 or less, enter it on line 2 of column A;
is more than $51,780 but not more than $103,545, enter it on line 2 of column B;
is more than $103,545 but not more than $126,000, enter it on line 2 of column C;
is more than $126,000, enter it on line 2 of column D.
A B C D
Taxable income (see the instructions above) 2 22,229 97
- 3 0 00 51,780 00 103,545 00 126,000 00
Subtract line 3 from line 2. = 4 22,229 97
× 5 14% 19% 24% 25.75%

Multiply line 4 by line 5. = 6 3,112 20

+ 7 0 00 7,249 20 17,084 55 22,473 75

Add lines 6 and 7.

Carry the result to line 401 of your return.
Income tax on taxable income = 8 3,112 20

451 WORK CHART – Income tax deducted

RELEVE 1 INNOTEX MONTREAL INC + 853 83
Carry the result to line 451 of your return Total income tax deducted = 853 83

457 WORK CHART – Quebec parental insurance plan (QPIP) overpayments

QPIP premiums (amount from line 97) 1 73 39

PPIP insurance earnings 2 14,855 05

Single rate × 3 0.494%
Theoretical contribution (line 2 multiplied by line 3) (maximum: $464.36) = 4 73 38
Line 1 less line 4, enter "0" if negative.
Carry the result to line 457 of your return. Quebec parental insurance plan (QPIP) overpayments = 5 0 01

462 WORK CHART – Work-related income for refundable tax credit for medical expenses
Employment income (lines 101, 105 and 107) 1 14,828 55
Employment income consisting solely of taxable benefits that you received from
previous employment (this income may be shown in box 211 of your RL-1 slip) 2
Wage loss replacement benefits (line 107, point 2) + 3
Deductions claimed on lines 205 and 207 + 4
-
Add lines 2 through 4. = 5 5
Subtract line 5 from line 1. If the result is negative, enter "0". = 6 14,828 55
Net income self-employment (lines 22 through 26 of Schedule L). Do not take losses into account. + 7
Income supplement received under a government work-incentive project (line 154, point 2) + 8
Wage earner protection program (line 154, point 12) + 9
Add lines 6 through 9. If the result is less than $3,645, you are not entitled to the refundable tax credit
for medical expenses.
Work-related income for refundable tax credit for medical expenses = 10 14,828 55

Keep this page for your files.

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 Work Charts – F-V (2024-12)

452 WORK CHART – QPP contributions overpaid

QPP contribution (line 98 of your return) 1 849 94
Additional QPP contribution (line 98.2 of your return) + 2 0 00
Add lines 1 and 2. QPP contributions deducted at source = 3 849 94
Earnings with regard to which a for which base and additional contributions are required 4 11,328 55
Multiply line 4 by 6.4%. x 6.4%
Base and additional contributions required under the QPP = 5 725 03 - 5 725 03
Earnings with regard to which a for which Second additional contribution is required 6 0 00
Multiply line 6 by 4.0%. x 4.0%
Second additional contribution required under the QPP = 7 0 00 - 7 0 00
QPP contribution on income from self-employment (line 445 of your return) 8 0 00
Multiply line 8 by 50%. x 50%
QPP contribution on income from self-employment at 50% = 9 0 00 - 9 0 00
Amount from line 3 minus lines 5, 7 et 9
Carry the result to line 452 of your return. QPP contributions overpaid = 10 124 91

Keep this page for your files.

SIN: 967 658 394 MORENO, GRISLEYDA LISSETTE 011E14v28.21 22 May 2025