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HST Exemption Form
Note: This form should only be completed by residential customers who are claiming HST exemption.
Account Holder Information
Account Number: (Optional)
Note: Must start with "29" and be 12 digits in total
Name of Account Holder:
Community:
Email:
Phone:
First Nation Band Name:
Certificate of Indian Status Card Number:
Note: Must be 10 digits
GST / HST Tax Exemption
I claim exemption from GST / HST under the following category:
Status Indian that is using electricity on a reserve.
Indian owned sole proprietorship or partnership that is using electricity on a reserve.
Indian Band Office / Band empowered schools, hospitals or Social Service entities that are using electricity on a reserve.
Incorporated Band empowered entities for band management activities that are using electricity on a reserve.
Certification
To the best of my knowledge, the information contained in this form is accurate and complete.
Submit