Please print the following and fax it to: (905) 331-0407
I claim exemption from Ontario retail sales tax under the provisions of the Retail Sales Tax Act on the following goods or taxable services, contracts of insurance or benefits plan (Please describe services below):
IMPORTANT
The person buying the goods or the taxable service, or entering into a contract of insurance or benefits plan for which an exemption is claimed must complete this certificate and give it to the supplier.
The supplier is to keep this form as stated in the regulations. This certificate is valid for four years.
Every person who makes a false statement on a Purchase Exemption Certificate or misuses the certificate is liable, if convicted, to a fine of not less than $500.00 and an amount of not more than double the amount of the tax that should have been paid, or that was evaded, or to imprisonment for a term not more than two years, or to both.
