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Canada Revenue Agency
Symbol of the Government of Canada

Standard Authorization for Email and Facsimile Transmission

The following authorization must be included with all requests where the requester wishes the Canada Revenue Agency (CRA) to email and/or fax correspondence:

Re: (Advance Income Tax Ruling or Interpretation) Request

Name: (Name of taxpayer in the case of an advance income tax ruling request)

I hereby authorize the CRA to email and/or fax all correspondence concerning the (advance income tax ruling or interpretation) request, (made on behalf of the above-noted taxpayer, in the case of an advance income tax ruling). The correspondence is to be transmitted to email address (insert email address) and/or fax number (insert number).

I am aware that the CRA does not provide assurance with respect to the protection, confidentiality, or security of email or facsimile transmissions. I accept the risks inherent in sending information by email and/or fax. I agree not to hold the CRA or its employees liable for any damage or loss, however caused, arising out of the email and/or facsimile transmissions of correspondence related to my (advance income tax ruling or interpretation) request.

Check one of the following boxes:

Empty Box  This authorization is for correspondence by email only.

Empty Box  This authorization is for correspondence by fax only.

Empty Box  This authorization is for correspondence by email and fax.

__________________________________________________
Requester's name
(taxpayer's name in case of advance income tax ruling request)

__________________________________________________
Requester's signature
(taxpayer's signature in case of advance income tax ruling request)

__________________________________________________
Date