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Tax Court of Canada Rules of Procedure respecting the Canada Pension Plan (SOR/90-689)

Regulations are current to 2024-11-26 and last amended on 2023-07-05. Previous Versions

SCHEDULE 5(Section 5)Form of Notice of Appeal

IN THE TAX COURT OF CANADA

In re the Canada Pension Plan

BETWEEN:

Appellant,

and

The Minister of National Revenue,

Respondent.

NOTICE OF APPEAL

Notice of appeal is hereby given by (here insert name and full postal address of Appellant) blank line

blank line

blank line from

Applies to a ruling on request under para. 26.1(1)(d) or (e) C.P.P.
  • (i) 
    the ruling regarding a contribution, made by the Respondent on a request made to the Respondent on the (here insert the date the request for a ruling was made to the Respondent) blank line day of blank line to rule on the question (here describe question ruled on by Respondent) blank line
    • blank line
    • blank line
    • blank line

    which the Respondent ruled (here describe ruling made) blank line

    • blank line
    • blank line
    • blank line

    and that ruling was communicated to the Appellant on the (here insert the date of mailing of the ruling) blank line day of blank line

Applies to a decision made under s. 27.3 C.P.P.
  • (ii) 
    the decision on a question, regarding a contribution, made by the Respondent on the Respondent’s own initiative, namely, whether (here describe question determined by Respondent) blank line
    • blank line
    • blank line
    • blank line
    • which the Respondent decided by stating that (here describe decision made) blank line
      • blank line
      • blank line
      • blank line
    • and that decision was communicated to the Appellant on the (here insert the date of mailing of the decision) blank line day of blank line
Applies to a decision on appeal under s. 27.1 C.P.P.
  • (iii) 
    the decision of the Respondent on an appeal to the Respondent for the reconsideration of an assessment made on the (here insert the date of the appeal for reconsideration of the assessment) blank line day of blank line whereby (here describe assessment that was appealed for reconsideration) blank line
    • blank line
    • blank line
    • and the decision of the Respondent on the reconsideration was that (here insert the decision made on the reconsideration of the assessment) blank line
      • blank line
      • blank line
    • which decision was communicated to the Appellant on the (here insert the date of mailing of the decision) blank line day of blank line

  • A Statement of Facts

    (Here set out in consecutively numbered paragraphs a statement of the allegations of fact.)

  • B The Reasons which the Appellant Intends to Submit

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

  • C Address for Service

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

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

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

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

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

  • SOR/99-213, s. 2
  • SOR/2007-145, s. 8
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