Employer Health Tax 33 King Street West PO Box 640 Oshawa ON L1H 8P5 1 866 ONT-TAXS (1 866 668-8297) 1 800 263-7776 (TTY) Website: ontario.ca/finance
Legal name of employer Business Number / EHT account number
Please keep a copy for your records.
If insufficient space, attach list.
First name (please print) Last name Position/Title Date Telephone number Date received
This schedule must be completed by multiple accounts employers and submitted with the annual return of one of the accounts designated by the employer.
Column A Enter all business numbers or Employer Health Tax account numbers of the multiple accounts employer.
Column B Enter the total Ontario remuneration for each account.
Column C Enter the exemption amount to be allocated to each account. A multiple accounts employer may allocate the exemption to any of its multiple accounts to the extent that the sum of the amounts does not exceed the employer’s allowable exemption.
A multiple accounts employer that is associated with other eligible employers must first take its total allowable exemption amount from column E of Schedule 2.
Each account will enter its Allocated Exemption Amount from column C of Schedule 1 on line 2 of its annual return.
Column D Subtract the amount in column C from the corresponding amount in column B.