| Box |
Line Description |
Federal Slip |
|
Notes: |
|
|
Year |
|
| 14 |
FHSA contract number |
14 |
| 16 |
FHSA identification number |
16 |
| 18 |
Contributions |
18 |
|
| 20 |
Qualifying withdrawals |
20 |
|
| 22 |
Taxable withdrawals |
22 |
|
| 24 |
FHSA beneficiary distributions received |
24 |
|
| 26 |
Amount deemed received on FHSA cessation |
26 |
|
|
Recorded due to spouse's death? |
|
Yes No |
| 28 |
Security for a loan |
28 |
|
| 30 |
Income tax deducted |
30 |
|
| 32 |
RRSP transfers in |
32 |
|
| 34 |
Spousal RRSP transfers in |
34 |
|
| 36 |
Designated - RRSP/RRIF transfers out |
36 |
|
| 38 |
Designated - withdrawals |
38 |
|
| 60 |
Name of payer (issuer) of plan |
60 |
| 61 |
Payer (issuer's) account number |
61 |
| |
|
|
|
|