Employer Health Tax
Employer Health Tax Act
This waiver is for use by a taxpayer to waive the time limit within which the Minister may assess, reassess or make additional assessments under the Employer Health Tax Act.
A completed copy of this waiver is to be hand delivered to a Ministry of Finance official, or delivered to the Ministry of Finance Tax Advisory Services Branch 33 King Street West PO Box 627 Oshawa ON L1H 8H5 within the time limit specified in subsection 8(1)(b) of the Employer Health Tax Act.
This is a permanent waiver with respect to the specified year.
A waiver which stipulates a time limit will not be accepted.
This waiver may be revoked under subsection 8(1.0.1) of the Employer Health Tax Act, by filing a Notice of Revocation of Waiver.
This waiver must be signed by a signing officer with the authority to bind the taxpayer in respect of all of the accounts listed below.
Name of taxpayer Year to which the waiver applies
Unit/Floor/Suite Street number and name Other postal information – PO Box/Station/Rural Route/Concession City/Town/Municipality Province Postal code
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Name of authorized officer (print) Position or Office Signature Date Date received by the Ministry