Form GST507 "Third-Party Authorization and Cancellation of Authorization for Gst/Hst Rebates" - Canada

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Third-Party Authorization and Cancellation of Authorization for GST/HST Rebates
Do not use this area.
Use this form to authorize or cancel the authority of a person to represent you as a claimant for
GST/HST rebates you claimed on Form GST189, General Application for Rebate of GST/HST,
and Form GST498, GST/HST Rebate Application for Foreign Representatives, Diplomatic Missions,
Consular Posts, International Organizations, or Visiting Forces Units.
To authorize a third-party representative, fill out parts A to D. If you are cancelling authorization, fill out
parts A, B, and E.
If you have kept a copy of the original authorization, you may cancel it by filling out Part E on the copy and sending that to us.
Note
Do not use this form:
• to authorize or cancel the authority of a person to represent you as a claimant for rebates you claimed on Form RC7289,
General Application for Rebate of Goods and Services Tax/Harmonized Sales Tax (GST/HST) and Quebec Sales Tax (QST)
for Selected Listed Financial Institutions. Instead, use Form RC7257, Third-party Authorization and Cancellation of
Authorization for GST/HST and QST Rebates for Selected Listed Financial
Institutions.
• to give a representative access to your business number program accounts. Instead, go to
canada.ca/taxes-representative-authorization
to register
them.
Part A – Claimant identification
Claimant's last name or legal name
of business or organization
(include trading name if applicable):
Claimant's first name and initials (individuals only):
Business number (if applicable):
R T
Mailing address
Unit No. – Street No. Street name, PO Box, RR:
City:
Province, territory or state:
Postal or ZIP code:
Country:
Telephone number:
Extension:
GST507 E (20)
(Ce formulaire est disponible en français.)
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Clear Data
Protected B
when completed
Third-Party Authorization and Cancellation of Authorization for GST/HST Rebates
Do not use this area.
Use this form to authorize or cancel the authority of a person to represent you as a claimant for
GST/HST rebates you claimed on Form GST189, General Application for Rebate of GST/HST,
and Form GST498, GST/HST Rebate Application for Foreign Representatives, Diplomatic Missions,
Consular Posts, International Organizations, or Visiting Forces Units.
To authorize a third-party representative, fill out parts A to D. If you are cancelling authorization, fill out
parts A, B, and E.
If you have kept a copy of the original authorization, you may cancel it by filling out Part E on the copy and sending that to us.
Note
Do not use this form:
• to authorize or cancel the authority of a person to represent you as a claimant for rebates you claimed on Form RC7289,
General Application for Rebate of Goods and Services Tax/Harmonized Sales Tax (GST/HST) and Quebec Sales Tax (QST)
for Selected Listed Financial Institutions. Instead, use Form RC7257, Third-party Authorization and Cancellation of
Authorization for GST/HST and QST Rebates for Selected Listed Financial
Institutions.
• to give a representative access to your business number program accounts. Instead, go to
canada.ca/taxes-representative-authorization
to register
them.
Part A – Claimant identification
Claimant's last name or legal name
of business or organization
(include trading name if applicable):
Claimant's first name and initials (individuals only):
Business number (if applicable):
R T
Mailing address
Unit No. – Street No. Street name, PO Box, RR:
City:
Province, territory or state:
Postal or ZIP code:
Country:
Telephone number:
Extension:
GST507 E (20)
(Ce formulaire est disponible en français.)
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Part A – Claimant identification
(continued)
Owner
Name:
Title:
Telephone number:
Extension:
Part B – Third-party representative identification
Name of third-party representative
(include trading name if applicable):
Business number (if applicable):
R T
-
Third
party representative's mailing address
Unit No. – Street No. Street name, PO Box, RR:
City:
Province, territory or state:
Postal or ZIP code:
Country:
Telephone number:
Extension:
Contact person
(if applicable)
Name:
Title:
Telephone number:
Extension:
Part C – Period of authorization
Indicate the period for which this authorization applies:
One transaction – specify:
Year
Month Day
Year
Month Day
Specified period:
From
to
Year
Month Day
Starting on:
until cancelled
Other – specify:
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Part D – Extent of authorization
Check the box that describes the extent of the authorization you are granting to the representative identified in Part B.
To sign and file rebate applications on my behalf. The rebate cheques will be mailed to
me.
To sign and file rebate applications on my behalf and to receive the rebate cheques made payable to me.
The representative identified in this authorization must match the third party identified on the rebate application.
To file rebate applications that I have completed and to receive the rebate cheques made payable to me.
The representative identified in this authorization must match the third party identified on the rebate application.
Is the representative authorized to receive confidential information
from the Canada Revenue Agency concerning rebate claims that
Yes
No
they have filed on your behalf?
I declare that the amount of my rebate(s) filed by my representative has not, or will not, be taken as input tax credits
on my GST/HST return.
Name (print)
Title
Signature
Year
Month Day
Part E – Cancelling the authorization
Year
Month Day
I cancel the authorization for the representative
identified in Part B of this form to act on my behalf as of:
Name (print)
Title
Signature
Year
Month Day
Personal information is collected for purposes of the administration or enforcement of the Excise Tax Act, Part IX, and related programs and activities
including administering tax, rebates, elections, audit, compliance, and collection. The information collected may be used or disclosed for the purposes of
other federal acts that provide for the imposition and collection of a tax or duty. It may also be disclosed to other federal, provincial, territorial or foreign
government institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties or other actions. Under
the Privacy Act, individuals have the right to: access their personal information, request a correction, or file a complaint to the Privacy Commissioner of
Canada regarding the handling of the individual's personal information. Refer to Personal Information Bank CRA PPU 241 on Info Source
at canada.ca/cra-info-source.
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General information
Part A – Claimant identification
Part C – Period of authorization
If you are filing as an individual, print your name and
Tick one box to indicate the period of time you want this
mailing address.
authorization to be in effect. The claim transaction date(s) on
your rebate application(s) (Forms GST189 and GST498) have
If you are filing for a business or other organization, print
to fall within the period covered by this authorization.
the full legal name (include the trading or operating name,
We will keep this authorization on file for the time you specify.
if applicable) and the mailing address.
You do not have to file this form with every rebate application.
The business number (BN) is a 15-digit account identification
number that we issue. Your BN has two parts: nine digits to
Part D – Extent of authorization
identify the organization; and two letters and four digits to
Tick one box to indicate the extent of the authorization and
identify the different types of accounts the organization may
whether or not you want the third-party representative to
have. For example, if your number was for a GST/HST
receive cheques on your behalf.
account, it might be: 12345 6789 RT0001.
You must also indicate whether or not you authorize us to
Owner
release confidential information about your rebate claims
Complete this section if the claimant listed in Part A is not
to your representative.
an individual. An owner is an individual with full authority for
The claimant must sign and date this form.
the business or organization. An owner can be an individual, a
partner of a partnership, a director or an officer of a
Part E – Cancelling the authorization
corporation or organization, a trustee of a trust, or an
individual with delegated authority.
Enter the date that you want to cancel this authorization.
The claimant must sign and date this form.
Part B – Third-party representative identification
If you are authorizing or cancelling third-party authorization
Where do you send this form?
for an individual, enter that person's full name. If the
Send this form to:
authorization or cancellation is for a firm, enter the name of
Canada Revenue Agency
the firm and the BN. If you list a firm as your third-party
Prince Edward Island Tax Centre
representative, you are giving us consent to deal with anyone
275 Pope Road
from that firm.
Summerside PE C1N 6A2
Note
If the representative is not listed in the third-party section
What if you need help?
of the corresponding rebate application form, or this
For more information, go to
canada.ca/gst-hst
or call
authorization form is incomplete or invalid, any applicable
1-800-959-5525.
rebate cheque will be mailed to the claimant.
To get our forms or publications,
go to canada.ca/gst-hst-pub.
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