Supplement to Form ON00939 – Receipt Listing

Use this form if you are claiming a rebate on the following form, list the details of your purchases: • Form ON00939, Application for Rebate of the Ontario Portion of the Harmonized Sales Tax (HST) for First Nations Attach this form to your application form. Maximum 100 receipts per application. Receipts with HST of $5.00 or less should be listed at the end of this form and do not need to be included with your submission.

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Form Number on00941
Title Supplement to Form ON00939 – Receipt Listing
Description Use this form if you are claiming a rebate on the following form, list the details of your purchases: • Form ON00939, Application for Rebate of the Ontario Portion of the Harmonized Sales Tax (HST) for First Nations Attach this form to your application form. Maximum 100 receipts per application. Receipts with HST of $5.00 or less should be listed at the end of this form and do not need to be included with your submission.