Employer Health Tax
Employer Health Tax Act
This notice is for use by a taxpayer to revoke, under subsection 8(1.0.1) of the Employer Health Tax Act, a waiver previously filed, in respect of the time limit for issuing reassessments.
A separate Notice of Revocation must be completed for each waiver to be revoked.
A completed copy of this notice, along with a copy of the waiver previously filed, 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
The waiver will be revoked automatically on the day that is one year after the date the Notice of Revocation is filed with the Minister of Finance.
A copy of the notice will be returned to the taxpayer indicating the date filed with the Minister of Finance.
A Notice of Revocation of Waiver cannot be rescinded or cancelled once it has been filed with the Minister of Finance.
This Notice of Revocation of 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
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.
I hereby request revocation of the attached waiver for the year ended December 31, Date on which relevant waiver was signed Name of authorized officer (print) Position or Office Signature Date Date received by the Ministry