Modèle de document

Personal income tax - Application for exemption from withholding tax

Letter template available only in French.

The exemption applies to you if you receive income from fixed or variable income investments and your reference tax income is less than certain amounts (indicated in the letter).

The sample letter allows you to request an exemption from the deduction made as an advance of income tax.

    Go to the letter template

    For details, please use the practical information sheets :

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du modèle de lettre : Ministry of Finance

    Verified 29 December 2025 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)