Form B248 "Registration Form Under the Provisions of the Air Travellers Security Charge Act" - Canada

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Download Form B248 "Registration Form Under the Provisions of the Air Travellers Security Charge Act" - Canada

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Registration Form Under the Provisions of the Air Travellers Security Charge Act
FOR AGENCY USE ONLY
Account number
RDP
Date
Date issued
Account number
Language of
communication
Year
Month
Day
R G
Date of first correspondence
English
Commodity code
French
To be completed by all applicants
Name (enter complete legal name of person or company)
Business address
Postal or ZIP code
Mailing address (if different from business address)
Postal or ZIP code
Change effective
(YYYY-MM-DD)
Is this application made as a result of change of
Former registrant name (if applicable)
Former registration number(s)
Name
Ownership
State full address where books and records are maintained in Canada
Name and address of financial institution at which applicant does business
Name, title and telephone number of proprietor, partners or, in the case of limited companies, president, vice-president, secretary, treasurer
Extension
Name
Title
Telephone number
Year
Month
Day
Year
Month
Day
Date on which business commenced
Fiscal year end
or will commence.
If applicant has branch(es) or division(s), complete the following for each branch or division
Branch or division name
Account number
Will make
1
Yes
No
separate returns
Business address
Mailing address
Contact person
Title
Telephone number
Extension
Major business activity
Commodity code (office use only)
Language of
English
French
communication
Form prescribed by the Minister of National Revenue
Page 1 of 2
B248 E (16)
(Ce formulaire est disponible en français.)
Clear Data
Help
Protected B
when completed
Registration Form Under the Provisions of the Air Travellers Security Charge Act
FOR AGENCY USE ONLY
Account number
RDP
Date
Date issued
Account number
Language of
communication
Year
Month
Day
R G
Date of first correspondence
English
Commodity code
French
To be completed by all applicants
Name (enter complete legal name of person or company)
Business address
Postal or ZIP code
Mailing address (if different from business address)
Postal or ZIP code
Change effective
(YYYY-MM-DD)
Is this application made as a result of change of
Former registrant name (if applicable)
Former registration number(s)
Name
Ownership
State full address where books and records are maintained in Canada
Name and address of financial institution at which applicant does business
Name, title and telephone number of proprietor, partners or, in the case of limited companies, president, vice-president, secretary, treasurer
Extension
Name
Title
Telephone number
Year
Month
Day
Year
Month
Day
Date on which business commenced
Fiscal year end
or will commence.
If applicant has branch(es) or division(s), complete the following for each branch or division
Branch or division name
Account number
Will make
1
Yes
No
separate returns
Business address
Mailing address
Contact person
Title
Telephone number
Extension
Major business activity
Commodity code (office use only)
Language of
English
French
communication
Form prescribed by the Minister of National Revenue
Page 1 of 2
B248 E (16)
(Ce formulaire est disponible en français.)
Clear Data
Help
Protected B
when completed
Branch or division name
Account number
Will make
2
Yes
No
separate returns
Business address
Mailing address
Contact person
Title
Telephone number
Extension
Major business activity
Commodity code (office use only)
Language of
English
French
communication
Branch or division name
Account number
Will make
3
Yes
No
separate returns
Business address
Mailing address
Contact person
Title
Telephone number
Extension
Major business activity
Commodity code (office use only)
Language of
English
French
communication
Account number
Branch or division name
Will make
4
Yes
No
separate returns
Business address
Mailing address
Contact person
Title
Telephone number
Extension
Major business activity
Commodity code (office use only)
Language of
English
French
communication
Enter the numbers that apply to your operation.
Corporate income tax account or SIN
Excise licence number
Payroll (source) deduction account (only one) Import/Export account (only one)
Tick if you do not have to register
After reading the enclosed information, registration is not required by my company or myself.
Certification
I,
certify that this information is, to the best of my knowledge, correct and complete.
Print name
Position or office
Date (YYYY-MM-DD)
Telephone number
Signature
Extension
Personal information provided on this form is protected under the provisions of the Privacy Act and is maintained under Personal Information Bank CRA PPU 224.
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