2015 T1 Adjustment Request Form Page 2

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Send the completed form to the tax centre as indicated on your notice of assessment for the year being adjusted. You will find the address listed below.
St. John's Tax Centre
Jonquière Tax Centre
Sudbury Tax Centre
Surrey Tax Centre
290 Empire Avenue
2251 René Lévesque Blvd.
1050 Notre-Dame Ave.
9755 King George Blvd.
St. John's NL A1B 3Z1
Jonquière QC G7S 5J1
Sudbury ON P3A 5C1
Surrey BC V3T 5E1
Shawinigan-Sud Tax Centre
Summerside Tax Centre
Winnipeg Tax Centre
4695 12e Avenue
275 Pope Road
66 Stapon Road
Shawinigan-Sud QC G9P 5H9
Summerside PE C1N 6A2
Winnipeg MB R3C 3M2
If you were a newcomer, an emigrant, a non-resident or a deemed resident of Canada, or if you are claiming an Overseas Employment Tax Credit for the year
in question, send the completed form to:
International and OttawaTax Services Office
Post Office Box 9769, Station T
Ottawa ON K1G 3Y4
CANADA
HOW TO COMPLETE THE FORM
Area A: Identification
Complete this area in full so that we know exactly who you are and what return you want us to reassess.
Note
We will accept a change of address only from you or your legal representative. A legal representative can be someone with
your power of attorney, a guardian, or an executor or administrator of your estate.
Area B: Authorization
Complete this area if you are authorizing a person or firm to make this request on your behalf.
You have to authorize us to discuss your tax matters with this person or firm by providing a signed letter or Form T1013,
Authorizing or Cancelling a Representative. You do not have to provide a letter or Form T1013 if there is
already one on file.
The letter of authorization or Form T1013 must indicate Level 2 to make changes to a taxpayer's account.
Note
You can get Form T1013 from our Web site at or by calling 1-800-959-8281.
Area C: Adjustment details
Please provide all details for each change you request (you do not have to show a recalculation of your taxes).
Choose the appropriate plus/minus (+/–) indicator (for losses, e.g. self-employed business loss, chose minus "–").
If you are changing a line on which you already claimed an amount (see Example 1, below) and you did not previously
provide the supporting documentation, you now have to provide supporting documentation for the entire revised amount.
Supporting documentation may include receipts, schedules, or other relevant documents. Your request may be delayed if
you do not provide all required information with this form.
You can get more information about CRA's rules and policies for reassessments from our Web site at or by
calling 1-800-959-8281.
Following is an example of how to complete this area.
Example
Mary filed her 2013 return reporting the following information:
Employment income
$28,600
Union dues
$500
After receiving her notice of assessment, Mary received an additional T4 slip. It showed $200 in income and $20 for union dues.
To request a change to her return, Mary will complete Area C as follows:
Line number from
+
Amount
Name of line from return or schedule
Previous amount
Revised amount
return or schedule
of change
101
Employment income
28,600
+
200
28,800
212
Union dues
500
+
20
520
Note
Even though Mary did not submit receipts with her tax return for the original union dues claim of $500, she must now submit those
receipts along with her additional T4 slip.
Area D: Certification
Make sure either you or your authorized representative signs and dates the request for a change to your return.

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