Election of a Designated Supplier - Program for Administering the Fuel Tax Exemption for Indians

Complete this form if you are a retail dealer operating a service station situated on a reserve or in an Indian settlement in Québec and you do not use the automated solution designated by Revenu Québec to send us the information about your sales of fuel to Indians.

To complete the form, save it to your computer and open it in Adobe Reader.

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2013-02 version

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