Return For Self-Assessment Of The Provincial Part Of Harmonized Sales Tax Form (Hst)

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RETURN FOR SELF-ASSESSMENT OF
Part 1
THE PROVINCIAL PART OF HARMONIZED SALES TAX (HST)
Working copy
Use this return to self-assess (declare and pay) the provincial part of the HST on goods, services, and intangible property if you are not registered for the goods and services
tax/harmonized sales tax (GST/HST) and if any of the following applies to you (except for self-assessment as a result of the transitional rules for prepayments as explained below):
you brought goods into a participating province (British Columbia, New Brunswick, Newfoundland and Labrador, Nova Scotia, or Ontario) from a non-participating province;
you brought goods into a participating province from another participating province for which the provincial part of the HST is lower;
you imported commercial goods from outside Canada into a participating province; or
you are resident in a participating province and acquire intangible personal property or certain services in a province for consumption, use, or supply significantly (10% or greater)
in participating provinces for which the provincial part of the HST is higher. For purposes of this calculation, the provincial part of the HST for a non-participating province will be
considered 0%.
Also, use this return if you are a person who is required to self-assess the provincial part of the HST on certain pre-payments of taxable supplies made in British Columbia, Nova Scotia
and Ontario. If you are a GST/HST registrant, you should refer to the section "Transitional HST Rules for pre-payments of taxable supplies made in British Columbia, Nova Scotia and
Ontario" on page 3 to determine whether you should use this form.
Complete Part 1 (the top portion) of this return; keep it for your records. Copy your Business Number (if applicable), the reporting period, and the amounts from lines 501, 505, and 515
into the corresponding boxes in Part 2 (the lower portion). Complete the identification section on the back. Send us Part 2 along with your payment.
For information and instructions, see the back of this form.
Year
Month
Day
Business Number
(if you have one)
to
Reporting period
Year
Month
Day
From
R
T
Year
Month
Day
Due date
Tax calculation
Note: See "Tax calculation" on page 3 of this form to determine the value of taxable goods, services, intangible property and the provincial rate.
Value of taxable goods, services, intangible
Provincial rate or
Provincial part of the HST on taxable goods,
property, and prepayments
rate change
services, intangible property and prepayments
1
X
=
10
2
X
=
11
X
3
=
12
4
X
=
13
X
14
5
=
X
6
=
15
7
X
=
16
X
8
=
17
X
9
=
18
Total value of
Total tax due
501
505
taxable goods,
(add lines 10 to 18)
services,
intangible property, and
Enter the payment amount you
515
prepayments (add lines 1 to 9)
are sending with this return.
Privacy Act, Personal Information Bank number CRA PPU 080
Vous pouvez obtenir ce formulaire en français à ou au 1-800-959-3376.
GST489 E (10)
Detach and return lower part (Part 2)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
RETURN FOR SELF-ASSESSMENT OF
Part 2
THE PROVINCIAL PART OF HARMONIZED SALES TAX (HST)
GST489 E (10)
Business Number
(if you have one)
Reporting period
Year
Month
Day
Year
Month
Day
20 5
From
to
R
T
Note
Total value of taxable
Please complete the identification section on page 2
501
goods, services, intangible
of this return.
property, and prepayments
Total tax due
505
Payment enclosed
515
I certify that the information given on this return is, to the best of my knowledge, true, correct, and complete in every respect, and that I am the person required to
file this return, or that I am authorized to sign this return on behalf of that person. It is a serious offence to make a false return.
Name (print)
Signature
Year
Month
Day

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