Tax Court of Canada Rules of Procedure respecting the Canada Pension Plan

IN THE TAX COURT OF CANADA

In re the Canada Pension Plan

NOTICE OF INTERVENTION

Notice of intervention is hereby given by (here insert name and full postal address of Intervener)

........................................................................................................................

...................................................................on the appeal of (here insert name of Appellant)

.................................................................

made on the (here insert the date of the notice of appeal) ....................... day of...........

A. Statement of Facts Footnote ^(*)

(Admit or deny the facts alleged in the notice of appeal and set out in consecutively numbered paragraphs a statement of such further facts upon which the Intervener intends to rely.)

B. The Reasons which the Intervener Intends to Submit Footnote ^(*)

(Here set out the reasons on which the Intervener intends to rely.)

C. Address for Service

(Here set out the address for service of documents: Footnote ^(**)

• (a) name and address of Intervener’s counsel, if any, or

• (b) name and address of Intervener’s agent, if any.)

Dated at (city, town or village), this ....... day of ........... 20....

• Return to footnote ^(*)Attention is directed to subsection 9(3), which permits Interveners, instead of setting forth a statement of facts and reasons, to rely on the statements of facts and reasons pleaded in the notice of appeal or any other intervention.

• Return to footnote ^(**)If the Intervener is not represented by a counsel or an agent, the address given at the commencement of the notice of intervention shall be the Intervener’s address for service.