RC4611 Application for Authorization or Revocation for an Exchange-Traded Fund to Use Particular Methods to Determine Its Provincial Attribution Percentages

Fill out this form if you are a selected listed financial institution that is an exchange-traded fund and you are requesting authorization, or revoking a currently granted authorization, to use particular methods to determine your provincial attribution percentage for each participating province for a fiscal year that ends in the tax year for the fund or for each exchange-traded series of the fund for the purposes of the Special Attribution Method (SAM) formula or the adapted SAM formula.

Ways to get the form

• Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (rc4611-fill-23e.pdf)

• Print and fill out by hand

  • Standard print PDF (rc4611-23e.pdf)

• Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities