Alberta Form At4805 PDF Details

When most people think about Alberta, they probably think about the Rocky Mountains and other natural wonders. However, there is a lot more to Alberta than just its picturesque landscape. The province also has a thriving economy, thanks in part to its rich oil reserves. If you're thinking of doing business with Alberta, or if you're just curious about what the province has to offer, you'll want to familiarize yourself with the Alberta Form At4805. This document is essential for anyone doing business with the government of Alberta, and it covers everything from company registration to tax requirements. So what exactly is included in the Alberta Form At4805? Let's take a closer look.

QuestionAnswer
Form NameAlberta Form At4805
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesExemption, Aug-12, exemptions, ALBERTA

Form Preview Example

ALBERTA INDIAN/INDIAN BAND DECLARATION

ALBERTA FUEL AND TOBACCO TAXES

Tax and Revenue Administration

This Declaration form may be completed by an Indian who is registered under the Indian Act, who is 16 years of age or older; or by an authorized signing officer on behalf of an Indian Band with all or part of its reserve located in Alberta or with an office in Alberta. Once approved, Alberta Treasury Board and Finance will issue an Alberta Indian Tax Exemption Card, which you must present to purchase fuel or tobacco free of provincial tax on Indian Reserves from stores which are registered with Alberta Treasury Board and Finance.

Send the completed form to: TAX AND REVENUE ADMINISTRATION, 9811 109 ST, EDMONTON AB T5K 2L5. If you have any questions, telephone 780-427-3044. If calling long distance within Alberta, call 310-0000 then enter 780-427-3044. Fax 780-427-0348

A. Type of Applicant:

 

Individual

 

(please check one)

 

OR

Band Name:

 

 

 

 

 

 

Indian Band

Name:

 

 

 

 

 

 

 

Band Number:

 

 

If type of applicant is "Indian Band", complete only item 5 and the Declaration box.

For Office Use Only

19

B.Reason for Application:

First Card

OR

 

Address Change

OR

 

Replacement Card

 

 

 

Only

 

 

CHECK ONE BOX TO

 

 

 

 

 

 

 

 

 

 

 

 

INDICATE THE REASON:

If you had an Alberta Indian Tax Exemption Card before, please specify the name used on your prior card.

Stolen

Damaged

Lost

Name Change

Expired

Same, or

1.Your Registry Number:

(If not known, please call your band office)

Must be 10 digits

Y Y Y Y M M D D

2.

Date of Birth:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Note: If the Registry Number and Date of Birth are not completed, the Declaration form will be returned to you.)

3.

Last Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle

4.

First Name:

 

 

 

 

 

 

 

 

 

Name(s):

Apt. #

5.Mailing Address:

City/Town:Province:

Area Code

Postal Code:

Telephone Number:

DECLARATION: I HEREBY DECLARE AND AGREE THAT

1.The information given on this form is true and correct.

2.I am the person described on this form or the person designated to sign on behalf of the band.

3.The fuel and/or tobacco that I will buy free of provincial tax will not be resold.

4.The information provided on this form may be communicated to retailers who sell fuel and/or tobacco on Indian reserves, for the sole purpose of administering exemptions from tax.

Signature:

 

Date:

(Note: This Declaration form must be signed. If it is not signed, this form will be returned to you.)

If the applicant signs with an "X", then someone 18 years of age or older, who knows the applicant must witness the mark.

Witness:

 

Date:

Personal information is collected on this form for the purpose of administering the Fuel Tax Act and the Tobacco Tax Act. It is protected by the privacy provisions of the Freedom of Information and Protection of Privacy Act. Questions about the collection of this information should be directed to the telephone numbers and address listed at the top of this form.

AT4805 (Aug-12)

Form authorized and prescribed by the President of Treasury Board and Minister of Finance

Page 1 of 1

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1. First, once completing the T5K, start with the section containing next blank fields:

Stage # 1 of filling in resold

2. Immediately after the last section is filled out, proceed to enter the applicable details in all these - Last Name, First Name, Mailing Address, ProvinceTerritory, Middle Names, Postal Code, CityTown, Telephone, DECLARATION I HEREBY DECLARE AND, The information given on this form, Signature, Date, Note This Declaration form must be, YYYYMMDD, and Witness Name.

Step number 2 in filling in resold

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