Part 1 - Eligible section 217 income Detail Amount * Rate % ** Non-Resident Tax Old age security pension x = 1 Canada Pension Plan and Quebec Pension Plan benefits + x = 2 Other pensions and superannuation + x = 3 Registered retirement savings plan (RRSP) payments + x = 4 Pooled registered pension plan (PRPP) payments + x = 5 Registered retirement income fund (RRIF) payments + x = 6 Death benefits + x = 7 Employment insurance benefits + x = 8 Retiring allowances + x = 9 Registered supplementary unemployment benefit plan payments + x = 10 Deferred profit-sharing plan payments + x = 11 Amounts received from, or the purchase price of, a retirement compensation arrangement + x = 12 Prescribed benefits under a government assistance program + x = 13 Auto Pact benefits + x = 14 Add lines 1 to 14. 133 = 443 = •15 Enter the total of the amounts from lines 207, 208, 232, 250, and 256 of your return, that apply only to the eligible section 217 income. - 16 The amount at box 133, minus line 16 (if negative, enter "0"). 148 = 17 The amount at box 133 is your total section 217 eligible income. The amount at box 443 is your non-resident tax required to be withheld on the eligible section 217 income. The amount at box 148 is your total section 217 eligible income after adjustments. * Amount - Do not include the following amounts: • any supplement received under the Old Age Security Act; • an amount transferred to acquire an annuity contract, registered pension plan, RRSP, PRPP, or RRIF following an authorization from the CRA. • an amount exempt under the Income War Tax Act; and • any amount that can reasonably be regarded as attributable to services rendered while you were not resident in Canada, and while you were not employed or were only occasionally employed, in Canada. ** Rate - If you were a resident of a country that Canada has a tax treaty with, enter the appropriate rate of withholding from the applicable tax treaty. If you are unsure of the tax treaty rate, refer to Web site at www.cra.gc.ca/treaties. If you were a resident of a country with which Canada does not have a tax treaty enter 25%. Note: 25% has been entered as the default rate value. This can be overwritten as required.