Tax Court of Canada Rules of Procedure respecting the Canada Pension Plan
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)........................................................ ............................................................................................................................. 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) ..... day of ..... to rule on the question (here describe question ruled on by Respondent).............................. ........................................ ........................................ ........................................ which the Respondent ruled (here describe ruling made)............................... ........................................ ........................................ ........................................ and that ruling was communicated to the Appellant on the (here insert the date of mailing of the ruling) ..... day of .................. |
| 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)............................... ........................................ ........................................ ........................................ which the Respondent decided by stating that (here describe decision made).............. ........................................ ........................................ ........................................ and that decision was communicated to the Appellant on the (here insert the date of mailing of the decision)....................... day of ................................. |
| 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) .... day of.............. whereby (here describe assessment that was appealed for reconsideration)............................ ........................................ ........................................ and the decision of the Respondent on the reconsideration was that (here insert the decision made on the reconsideration of the assessment) ........................................ ........................................ ........................................ which decision was communicated to the Appellant on the (here insert the date of mailing of the decision).............................. day of.................................. |
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 ..... day of ....... (year) ........
| ...............................................................Signature of Appellant, Appellant’s counsel or Appellant’s agent |
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
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