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Payment Arrangement Proposal

This form is to be used by an individual who wish to pay an amount owing to Revenu Québec in monthly instalments under a payment arrangement proposal.

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Using the My Account for individuals online service for proposing a pre-authorized debit payment agreement or the Propose a Monthly Payment Agreement service is the fastest, easiest and most environmentally friendly way to send us the information requested in the form.


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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Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

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2023-04 version

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