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Election of a Designated Supplier – Program for Administering the Consumption Tax Exemption for First Nations
CA-1010-V

Complete this form if you are a retail dealer operating a service station situated on a reserve or in a First Nations settlement in Québec and you do not use the IT solution designated by Revenu Québec to send us the information about your sales of fuel to First Nations members, band councils, tribal councils and band-empowered entities.

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This form can be signed electronically.

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

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2023-07 version

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