D1 – Version 5 – 8 novembre 20192019

INCOME TA X RE TURN

T P -1. D -V
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If you received an identification label,place it here.

Use blue or black ink.

If you are planning to move, see page 16 in the guide.

Information about you

3(see page 21 in the guide)

If this is your first Québec income tax return, check this box.

Last name1

First nameDate of birth

2
46Sex

1

maleApartment2

female5

Street number

Y

Language of communication(if this is your first Québec income tax return)

1YYYFrenchMM

2

DDEnglish

Street name, P.O. box

7City, town or municipality

Province

811

Social insurance numberYour situation on December 31, 2019(see the definition of “spouse on December 31, 2019,” at line 12 in the guide)12

You did not have a spouse. 21

If your situation (line 12) has changed
13 since 2018, enter the date of the change.

2 0 1
M

DD

M

M

DD		 YYM

M

D

D

0

Reason for your arrival or departure (see the guide)DD

before the bankruptcy

2after the bankruptcy

If you are the beneficiary of a designated trust, refer to the guide.

If the above information
concerns a deceased person,
20 enter the date of death.

2 0YM

1

Election concerning the calculation of QPP contributions on income
from self-employment (if you checked box 1). See the guide. ...................
22

If you were resident in Canada for only part of the year, enter
your date of arrival
your date of departure		 Y

2 0 1 9					 MM.

Period covered by the return

Date of bankruptcy(where applicable)
21

If, on December 31, 2019, you were not resident in Québec,state where (prov., terr. or country)
17 you were resident.

2 0

If you entered a date on line 18, enter the income
you earned while you were not resident in Canada.
19 If you did not earn any income, enter 0.

You had a spouse.			 Y

18Postal code
92 0		 YYM

M

DD

Information about your spouse on December 31, 2019
Last name31

If your spouse earned income
from self-employment or received
50 an RL-29 slip, check this box.

First name32
36

Date of birth

If your spouse died in 201937 enter the date of death.
41

Your spouse’s net income (see the guide).
If your spouse had no income, enter 0.

.

MMDD51					 MMDDIf, on December 31, 2019, your spouse was not resident in Québec,state where (prov., terr. or country)
52 he or she was resident.

YYYY

2 0 1 9Social insurance number

Solidarity tax credit
To make sure you get the full amount you’re entitled to, complete Schedule Dand sign up for direct deposit. See page 24 in the guide.
T901 ZZ 84574849
Formulaire prescrit – Président-directeur général

D1 – Version 5 – 8 novembre 2019

Pay close attention to the lines preceded by an arrow.

TP-1.D-V (2019-12)

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Total income
If you held employment outside Canada, check this box.
If you held employment in Canada, outside Québec, check this box.

94.

QPP contribution, RL-1 slip, box B

98.

.

Pensionable salary or wages (QPP), RL-1 slip, box G(see the guide)
98.1
Taxable benefit, RL-1 slip, boxes G-1 and L-2
102.

CPP contribution (see the guide)
Pensionable earnings (CPP)
QPIP premium, RL-1 slip, box H
Commissions received, RL-1 slip, box M

9696.1
9710095.
.

Employment income, RL-1 slip, box A
Correction of employment income, if you received an RL-22 slip (Work Chart 105)
Other employment income (see the guide) Premiums paid to a wage loss replacement plan 165.
Parental insurance benefits, RL-6 slip, box A
Employment Insurance benefits, T4E slip
Old Age Security pension, T4A(OAS) slip
QPP or CPP benefits, RL-2 slip, box C
Payments from a pension plan, an RRSP, a RRIF, a DPSP or a PRPP/VRSP, or annuities
Retirement income transferred by your spouse (see the guide)
Actual amount of eligible dividends 166
Dividends from taxable
Canadian corporations
Actual amount of ordinary dividends 167
Interest and other investment income

Specify: 106.
.

0107.

110
111
114
119
122.

123

.

Taxable amount + 128+ 130.

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Net income.

Total income = 199.

201.

+ 205+ 207.

HBP or LLP.
RRSP or PRPP/VRSP deduction+
Support payments made (deductible amount). See the guide.
Recipient’s social insurance number 224+
Moving expenses. Complete form TP-348-V.
+
Carrying charges and interest expenses (see lines 231 and 260 in the guide)+
Business investment loss. Complete form TP-232.1-V.
Total losses 233
Allowable loss +.
Deduction for residents of designated remote areas. Complete form TP-350.1-V.
+
Deduction for exploration and development expenses+
Deduction for retirement income transferred to your spouse on December 31. Complete Schedule Q. +Deduction for a repayment of amounts overpaid to you (see the guide)+
Deduction for QPP and CPP contributions and QPIP premiums Specify: 248.1+
Other deductions (see the guide)
Specify: 249+
Carry-over of the adjustment of investment expenses (see the guide)+
Add lines 201 through 207, 214 through 231, and 234 through 252.
Total deductions =Subtract line 254 from line 199.
Adjustment of investment expenses (see the guide). Complete Schedule N.
212

Add lines 256 and 260.
If the result is negative, enter 0. Carry the result to page 3.

T902 ZZ 84574850

.

136
139
142
147
148
154
164

Net income ++++
Specify: 149+
Specify: 153++

Add lines 101 and 105 through 164.

Specify: 206

101+ 105+++++++Rental income.
Attach form TP-128-V or your financial statements. Gross income 168
Taxable capital gains (see the guide). Complete Schedule G.
Support payments received (taxable amount)
Social assistance payments, RL-5 slip, box A, and similar financial assistance, RL-5 slip, box B
Income replacement indemnities and net federal supplements
Other income (see the guide)
Net business income (line 34 of Schedule L)

Deduction for workers (see the guide)
Registered pension plan (RPP) deduction, RL-1 slip, box D
Employment expenses and deductions

.

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.

214.

225

.

228
231

.

234.

236
241
245
246
248
250
252
254

.

.

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254

.

= 256+ 260.

Net income = 275

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D1 – Version 5 – 8 novembre 2019

TP-1.D-V (2019-12)

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Attach your documents here (include only the required documents).
If you have a balance due, attach your payment and the remittance slip to page 1.

Page 3

Taxable income

Amount from line 275
Adjustment of deductions (see the guide)
Universal Child Care Benefit and income from a registered disability savings plan (see the guide)
Add lines 275 through 278.
Deductions for strategic investments (see the guide)
Specify: 286
Non-capital losses from other years
Specify: 289.1+
Net capital losses from other years (see lines 276 and 290 in the guide)+
Capital gains deduction (see the guide)+
Deduction for an Indian+
Deductions for certain income (see the guide)+
Miscellaneous deductions (see the guide)
Specify: 296+
Add lines 287 through 297.
Total deductions =Subtract line 298 from line 279. If the result is negative, enter 0.

275.

+ 276+ 278= 279.

298.

Taxable income = 299.

Specify: 277.
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.

Basic personal amount
Adjustment for income replacement indemnities (see the guide)
Subtract line 358 from line 350.
Age amount, amount for a person living alone and amount for retirement income. Complete Schedule B.
Amount for dependants and amount transferred by a child 18 or over enrolled in post-secondary studies. Complete Schedule A.
Amount for a severe and prolonged impairment in mental or physical functions (see the guide)
Add lines 359 through 376.

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15%.
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20%.

389.

+ 390+ 391+ 392.

+ 395+ 396
× 10%  + 397.
+ 398+ 398.1
Non-refundable tax credits = 399.

Tax credit for volunteer firefighters and search and rescue volunteers (see the guide)
Tax credit for career extension (see the guide)Tax credit for recent graduates working in remote resource regions. Complete form TP-776.1.ND-V.

.

Specify: 390.1.

Amount from line 1 of Work Chart 395 393
397.1

15,269 . 00.

×= 389Tax credits for donations and gifts (see the guide)
Home buyers’ tax credit. Complete form TP-752.HA-V.
Tax credit for union, professional or other dues
Tax credit for tuition or examination fees. Complete Schedule T.
Tax credit for tuition or examination fees transferred by a child (see the guide)
Add lines 377.1, 389 through 392, 395 through 397, 398 and 398.1.

350– 358= 359+ 361+ 367+ 376= 377
×= 377.1.

378+ 381
Amount claimed + 385= 388

Multiply line 388 by 20%.

.

.

287
289
290
292
293
295
297
298

Non-refundable tax credits

Multiply line 377 by 15%.
Expenses for medical services not available in your area
Medical expenses. Complete Schedule B.
Interest paid on a student loan. Complete Schedule M.
Add lines 378 through 385.

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Income tax and contributions

Income tax on taxable income.
Complete Work Chart 401. If you must complete form TP-22-V or TP-25-V, check box 403.
Non-refundable tax credits (line 399)
Subtract line 406 from line 401. If you must complete Part A of Schedule E, enter the amount from line 413
of Schedule E instead. If you are completing form TP-766.2-V, check box 404.
If you are completing Part 4 of form TP-766.2-V, check box 405.
Tax credit for contributions to authorized Québec political parties (Work Chart 414)
414
Dividend tax credit+ 415
Tax credits for Capital régional et coopératif Desjardins shares, RL-26 slip, boxes B and D+ 422
Tax credit for a labour-sponsored fund (see the guide)+ 424
Add lines 414 through 424.
= 425
Subtract line 425 from line 413. If the result is negative, see line 431 in the guide.
Credits transferred from one spouse to the other (see the guide)
Subtract line 431 from line 430, or enter the amount from line 18 in Part B of Schedule E.
If the result is negative, enter 0. Carry the result to page 4.

T903 ZZ 84574851

403

401.

– 406

.

= 413

.

404
405.
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.
.
.

425

.

= 430
– 431.

= 432.

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Amount from line 432

TP-1.D-V (2019-12)

Page 4.

432

437 2 2
Annual registration fee for the enterprise register (see the guide)+ 438
Is the information in the enterprise register correct?
436YesNo
QPIP premium on income from self-employment or employment outside Québec. Complete Schedule R.
+ 439
Advance payments of tax credits, RL-19 slip, box A, B, C, D or G+ 441
Special taxes and tax adjustment (see the guide)
Specify: 442+ 443
QPP contribution on income from self-employment (Work Chart 445)
444
+ 445
Contribution to the health services fund. Complete Schedule F.
+ 446
Premium payable under the Québec prescription drug insurance plan.
Complete Schedule K or enter the number corresponding to your situation in box 449.
449+ 447
Add lines 432 through 447.
Income tax and contributions = 450.
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Refund or balance due

Québec income tax withheld at source,
as shown on your RL slips or other information slips
451.
Amount from line 58 of your Schedule Q– 451.1.
Subtract line 451.1 from line 451.
= 451.2
451.2.
Québec income tax withholding transferred by your spouse+ 451.3
QPP or CPP overpayment+ 452
Income tax paid in instalments+ 453
Transferable portion of the income tax withheld for another province+ 454
Tax credit for childcare expenses. Complete Schedule C.
+ 455
Tax credits respecting the work premium. Complete Schedule P.
+ 456
QPIP overpayment+ 457
Tax credit for home-support services for seniors. Complete Schedule J.
+ 458
QST rebate for employees and partners+ 459
Tax shield+ 460
Other credits (see the guide) Specify: 461+ 462
Senior assistance tax credit+ 463
Add lines 451.2 through 463.
Income tax paid and other credits = 465
Financial compensation for home-support services (see the guide)+ 466
Add lines 465 and 466.
= 468

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Subtract line 468 from line 450.
To find out how to register for direct deposit or update your direct deposit information,
see page 17 in the guide.
Amount from line 470, if it is negative
Refund transferred to your spouse. See the guide before entering an amount.
–Subtract line 476 from line 474.
Refund =Accelerated refund (see the guide)468.

= 470.

Refund.

474
476
478
480

Amount from line 470, if it is positive
Amount transferred by your spouse. See the guide before entering an amount.
Subtract line 477 from line 475. You are not required to pay a balance of less than $2.Amount enclosed. Complete the remittance slip and make your cheque or money order payable
to the Minister of Revenue of Québec. Attach your payment and the remittance slip to page 1.

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Balance due

475
– 477
Balance due = 479

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481

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I certify that, in this return and the documents attached to it, the information about me is accurate and complete and fully discloses all of 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.

Signature X

DateArea code Telephone (home or cell)
498

Area code Telephone (work)

Extension499

We may compare the information in this return with information obtained from other sources or communicate it to other government departments and bodies.
© Revenu Québec

T904 ZZ 84574852.
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