Request to Have Additional Income Tax Withheld at Source

This form is to be completed by individuals who wish to request an increase in the amount of income tax normally withheld at source, or to change or cancel a previous request to withhold an amount of additional income tax.

To complete the form, save it to your computer and open it in Adobe Reader.

Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

2019-11 version

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