Retail Sales Tax (RST) Self-declaration form

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Retail Sales Tax (RST) Self-declaration form
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NOTE: You can fill out these fields for printing,
but cannot save the values here
Retail Sales Tax (RST)
Self-declaration
(Pursuant to the Prince Edward Island Retail Sales Tax Act R.S.P.E.I. 1988)
Mail to:
Finance, Energy and Municipal Affairs
Taxation and Property Records
PO Box 1330, Charlottetown, PE C1A 7N1
Tel: (902) 368 4070 Fax: (902) 368 6164
www.taxandland.pe.ca
Email: [email protected]
Deliver to:
95 Rochford Street
Shaw Building, 1st Floor
Charlottetown, PE C1A 3T6
Freedom of Information and Protection of Privacy
Personal information on this form is collected under the authority of Section
31(c) of the Freedom of Information and Protection of Privacy Act and will
be used for the purposes of tax administration and enforcement. Questions
on the collection and use of this information can be directed to the Manager,
Corporate and Tax Administration Services, PO Box 2000, Charlottetown,
PE C1A 7N8 (902) 368-5137.
or: any Access PEI Centre
Please Print
Name:
Province:
Mailing Address:
Postal Code:
City/Town/Village:
Telephone:
List below all goods subject to PEI retail sales tax (RST) on which RST was not previously paid. Attach copies of all
invoices and/or receipts. The purchase price includes duty and freight paid in Canadian funds.
Please Note: If HST has been paid on the designated property, no RST is due.
Date
Invoice Number
Description of Purchase
Supplier/Retailer
Purchase Price
Total purchase price of all taxable goods
Line 1
$
Total tax due and payable (14%)
Line 2
$
Payment enclosed (payable to the Minister of Finance, Energy and Municipal Affairs)
$
Certification
I hereby certify that the information contained in this form is a full and complete statement of all designated property that I
have brought into the province, or received delivery of in the province, on which I have not previously paid the applicable
PEI retail sales tax (RST).
Date
Signature
For Office Use Only
Account Number:
May 2013
Processed By:
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