,transcrib]'s note3
  7,front page7

,canada ,rev5ue ,ag5cy

                          ,,gst#aj 7#jh7

        ,applic,n or ,revoc,n (!
       ,au?oriz,n 6,file ,sep>ate
     ,,gst/,,hst ,returns & ,rebate
        ,applic,ns = ,bran*es or
                ,divi.ns
    
  ,use ? =m if y >e a ,,gst/,,hst
regi/rant & y want 6file sep>ate
,,gst/,,hst returns = yr bran*es or
divi.ns4 ,y c al use ? =m if y >e a
public s]vice body t is 5titl$ 6rebates
& y want 6file sep>ate rebate applic,ns
= yr bran*7es7 or divi.n7s74 ,public
s]vice bodies t >e al regi/rants %d
-plete all sec;ns ( ? =m4
  ,? =m m/ 2 -plet$ 0yr h1d (fice4 ,once
we au?orize y 6file sep>ate ,,gst/,,hst
returns & rebate applic,ns1 yr        #a
                ,,gst#aj
au?oriz,n w 2 9 e6ect until we revoke x
9 writ+4
  ,pl1se 9dicate if y >e3
    a regi/rant ----
    a public s]vice body ----
    bo? ----
    
        ,id5tific,n--,h1d (fice
    
,-plete "n ----
,trad+ "n 7if di6]5t f "n7 ----
,busi;s ,numb] ----,,rt----
,mail+ a4ress ----
,c;y ----
,prov9ce ----
,po/al code ----
,3tact p]son ----
,title ----
,teleph"o numb] ----
,major busi;s activ;y ----



                                      #b
     ,id5tific,n--,bran* or divi.n
    
,-plete "n ----
,trad+ "n 7if di6]5t f "n7 ----
,busi;s ,numb] ----,,rt----
,mail+ a4ress ----
,c;y ----
,prov9ce ----
,po/al code ----
,3tact p]son ----
,title ----
,teleph"o numb] ----
,major busi;s activ;y ----

  ,li/ ! requir$ 9=m,n = any a4i;nal
bran*es or divi.ns on ! back ( ? =m or
on a sep>ate %eet ( pap]1 & atta* x 6?
=m4
  ,eligibil;y--,y m/ answ] yes 6! foll[+
"qs 6be eligi# 6apply = ? au?oriz,n4 ,d
n -plete ? "p if y >e revok+ an
au?oriz,n4


                                      #c
          ,id5tific,n--,bran*
,>e y ! h1d (fice (! regi/rant or !
  public s]vice body8
  ,yes ---- ,no ----
,is ea* bran* or divi.n specifi$ 9 ?
  applic,n sep>ately id5tifia# 0loc,n or
  0! nature ( xs activities8
  ,yes ---- ,no ----
,>e sep>ate records1 books ( a3.t1 &
  a3.t+ sy/ems ma9ta9$ = ea* bran* or
  divi.n li/$ 9 ? applic,n8
  ,yes ---- ,no ----
,regi/rants--,is ea* bran* or divi.n
  specifi$ 9 ? applic,n 5gag$ 9 -m]cial
  activities 9 ,canada8
  ,n/,a ---- ,yes ---- ,no ----
,public s]vice bodies--,>e y 5titl$
  6,,gst/,,hst rebates8
  ,n/,a ---- ,yes ---- ,no ----

         ,applic,n or revoc,n (
               au?oriz,n
    
  ,! h1d (fice (! regi/rant or public
s]vice body li/$ on ? =m applies =1   #d
          ,applic,n or revoc,n
or revokes1 ! au?oriz,n 6file sep>ate
,,gst/,,hst returns & rebate applic,ns =
ea* bran* or divi.n li/$ on ? =m4

,i1 7pr9t7 ----1 c]tify t ! 9=m,n giv5
  on ? =m & 9 any atta*$ docu;t is1 6!
  be/ ( my k1 true1 correct1 & -plete 9
  e respect1 & t ,i am au?oriz$ 6sign on
  2half (! regi/rant or ! public s]vice
  body specifi$ on ? =m4

---- ,applic,n
---- ,revoc,n
,e6ective date ( ? applic,n or revoc,n3
  7,ye>/,mon?/,"d7 ----

,signature ( au?oriz$ p]son ----
,title ----
7,ye>/,mon?/,"d7 ----

  ,privacy ,act ,p]sonal ,9=m,n ,bank
,,rcc/;,p-,,pu-#jhj

                                      #e
          ,applic,n or revoc,n
,transcrib]'s note3
  7,back page7

  ,li/ ! requir$ 9=m,n = any a4i;nal
bran*es or divi.ns on a sep>ate %eet (
pap]1 & atta* x 6? =m4

          ,9=m,n ab ? applic,n
    
     ,9=m,n = public s]vice bodies
    
  ,? applic,n c 2 us$ 0select$ public
s]vice bodies1 *>ities1 & qualify+ non-
pr(it organiz,ns t >e 5titl$
6,,gst/,,hst rebates4 ,y m/ h be5 a
public s]vice body on ! la/ "d (a claim
p]iod1 or ! la/ "d (a fiscal ye> t
9cludes ! claim p]iod1 9 : y >e claim+ a
rebate4 ,a select$ public s]vice body is
def9$ z a s*ool au?or;y1 a univ]s;y1 or
a public college t is e/abli%$ & op]at$
o!rwise ?an = pr(it4 ,x al 9cludes a
hospital au?or;y or a municipal;y4
                                      #f
          ,9=m,n ab ? applic,n
  ,g5],y1 if y >e eligi# =a ,,gst/,,hst
rebate1 y file "o rebate applic,n p]
claim p]iod4 ,h["e1 if y h divi.ns or
bran*es ) 4t9ct op],ns1 y c1 if y meet !
eligibil;y crit]ia li/$ 2l1 apply =
au?oriz,n 6file sep>ate rebate applic,ns
= ea* bran* or divi.n4 ,once we approve
yr applic,n1 y m/ use ! same fiscal ye>
5d & claim p]iod = yr bran*es or divi.ns
& yr h1d (fice4 ,bran*es or divi.ns n
li/$ on yr applic,n >e n au?oriz$ 6file
sep>ate rebate applic,ns4
  ,if ! public s]vice body is a
regi/rant1 bran*es or divi.ns li/$ on ?
=m m/ al file sep>ate ,,gst/,,hst
returns4

          ,9=m,n = regi/rants
    
  ,z a g5]al rule1 y m/ file "o
,,gst/,,hst return = ea* report+ p]iod1
cov]+ all yr -m]cial activities 9 t
p]iod4 ,h["e1 y may h bran*es or divi.ns
) 4t9ct op],ns = : y wd pref] 6file   #g
          ,9=m,n = regi/rants
sep>ate returns4 ,? applic,n all[s y1 if
y meet ! eligibil;y crit]ia li/$ 2l1
6apply = au?oriz,n 6file sep>ate returns
= ea* eligi# bran* or divi.n4 ,once we
approve yr applic,n1 ea* ( yr bran*es or
divi.ns specifi$ on ! applic,n m/ use !
same fiscal ye> z yr h1d (fice4
  ,:5"e applica#1 bran*es & divi.ns li/$
on ? =m m/ al file sep>ate rebate
applic,ns4

              ,g5]al 9=m,n
    
          ,eligibil;y crit]ia
    
  ,y c apply = au?oriz,n 6file sep>ate
,,gst/,,hst returns & rebate applic,ns =
yr bran*es or divi.ns if y meet ! foll[+
crit]ia3
    --,y m/ 2 ! h1d (fice (! regi/rant
      or ! select$ public s]vice body1
      *>;y1 or qualify+ non-pr(it
      organiz,n4
                                      #h
              ,g5]al 9=m,n
    --,y m/ 2 9volv$ 9 "o or m
      activities 9 sep>ate bran*es or
      divi.ns4
    --,yr bran*es or divi.ns m/ 2
      sep>ately id5tifia# 0_! loc,n or !
      nature ( _! activities4
    --,y m/ keep sep>ate records1 books
      ( a3.t1 & a3.t+ sy/ems = ea* bran*
      or divi.n specifi$ 9 ? applic,n4
    
                 ,dur,n
    
  ,once we au?orize y 6file sep>ate
,,gst/,,hst returns & rebate applic,ns =
yr bran*es or divi.ns1 ! au?oriz,n
rema9s 9 e6ect until we revoke x 9
writ+4






                                      #i
                ,revoc,n
    
  ,we may revoke yr au?oriz,n if3
    --y d n meet all ! 3di;ns =!
      au?oriz,n or o!rwise d n -ply )
      require;ts (! ,excise ,tax ,act2
    --we det]m9e t ! au?oriz,n is no
      l;g] requir$2 or
    --y reque/ ! revoc,n 0-plet+ !
      applic,n or revoc,n ( au?oriz,n
      sec;n ( ? =m4
    
  ,s5d yr -plet$ =m & atta*;ts 6yr tax
s]vices (fice4 ,y c f9d ! a4ress at
_+www.cra.gc.ca/tso_:4









                                     #aj