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HST Exemption Form

Note: This form should only be completed by residential customers who are claiming HST exemption.

All required fields ( * ) must be completed.

Account Holder Information

Account Number: Note: Must start with "29" and be 12 digits in total

Name of Account Holder: *

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.

Certification

To the best of my knowledge, the information contained in this form is accurate and complete.

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