Request-for-Income-Tax-Deduction-Form-V2

Sep 19, 2026

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Request form for employees seeking changes to income tax deducted at source on non-employment income, including pensions and lump-sum payments. The form explains when to increase, decrease, or cancel extra withholding and clarifies that dollar amounts must be provided since percentages cannot be processed. It includes separate instructions for Quebec residents versus other provinces, plus a privacy consent and authorization section describing how Vestcor uses and discloses personal data to administer the pension plan and comply with law.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Personal information

Changing Your Deduction

Section A (Non-Quebec residents)

Section B (Quebec residents)

Privacy consent and authorization

Submission details

CHANGES TO INCOME TAX DEDUCTION On Non-Employment Income You should use this form if you want to: • Increase tax deducted at source on non-employment income (such as pensions, lump-sum payments, etc. ); • Change or cancel the amount of tax that you asked to have deducted at source when you last filled out this form; • Reduce the amount of tax you pay by installments by having more tax deducted at source. Instructions Please fill out, sign and return this form to the address listed below. We will keep a copy of the completed form in your file incase a Canada Revenue Agency officer asks to see it. If you want to change the amount of your tax deduction later, you can simply fill out another form. Personal information First Name: Last Name: Address: Telephone: Pension Plan Name(s): SIN (optional): / / Vestcor Reference Number: OR Employee ID Number: Changing Your Deduction Section A This section is applicable to all except residents of Quebec. If you are a resident of Quebec, please complete section B and disregard section A. I request that the amount of income tax deducted from each payment be (please indicate a dollar amount, as a percentage cannot be processed): □ Increased by $ □ Decreased* by $ □ Cancel extra income tax deductions Section B Please complete this section if you are a resident of Quebec. Income Tax Regulations in Quebec differ from those in other Canadian provinces-by checking the box below, we will ensure compliance with your respective Income Tax regulations. I request that the amount of income tax deducted from each payment be (please indicate a dollar amount, as a percentage cannot be processed): □ Increased by $ □ Decreased* by $ □ Cancel extra income tax deductions * Vestcor is not allowed to reduce the withholding tax below the amount that it is required by law to withhold. PRIVACY CONSENT: The personal information collected on this form will be used by Vestcor to: identify the employee making the request; set up the income tax deduction; contact the employee as necessary; and ultimately ensure that the pension plan is administered in accordance with the pension plan’s governing documents and applicable legislation. The information will be disclosed to the Canada Revenue Agency as required by law. If you have any questions about the collection and use of this information, contact Vestcor’s Member Services team, by mail at P.O. Box 6000, Fredericton, NB, E3B 5H1, by phone at (506) 453-2296 or 1-800-561-4012, [or by email at ](or by email at info@vestcor.org. In addition)[info@vestcor.org](or by email at info@vestcor.org. In addition)[. In addition](or by email at info@vestcor.org. In addition), please note that Vestcor’s Privacy Statement [is available at ](is available at www.vestcor.org/privacy)[www.vestcor.org/privacy](is available at www.vestcor.org/privacy). AUTHORIZATION: I certify that the information above is accurate. Signature: Date / / Day Month Year Please return completed form as soon as possible to: Vestcor P.O. Box 6000, Fredericton, NB E3B 5H1 Fax: 506-457-7388 For more information, please contact Vestcor at: Telephone: 506-453-2296 or 1-800-561-4012 (toll free) Email: [info@vestcor.org](info@vestcor.org) Website: [vestcor.org](vestcor.org) IMPORTANT: Information submitted via email is not considered secure unless encrypted. If you would like to submit this form via email and do not have a method to encrypt it, please contact our office in order to submit this form electronically in a secure format June 2023

FAQs

Who should use this income tax deduction change form?

Use the form to increase, change/cancel, or reduce installment withholding on non-employment income such as pensions or lump-sum payments. It applies differently depending on whether you are a Quebec resident.

How do I request an adjustment to the withholding tax?

Indicate the dollar amount for increasing or decreasing the amount of income tax deducted from each payment, or select options to cancel extra income tax deductions. Percentages cannot be processed.

What does Vestcor do with the personal information you provide?

Vestcor uses the information to identify the employee, set up the income tax deduction, contact the employee, and administer the pension plan under governing documents and applicable legislation. The information is disclosed to the Canada Revenue Agency as required by law.

Sep 19, 2026

Upload by Fez