2023-07-13_mcaltagirone_Tax Exemption_Bayshore.docx

G.S.T. Exemption Declaration

TO:	Bayshore HealthCare Ltd

FROM:								_____

Please print	Last Name			           First Name

_____

Address

_____

City			Province                                Postal Code

RE:	GST/HST Exemption

Services provided by Bayshore Office located in :_______________________________________.

This declaration enables Bayshore Home Health to exempt the GST/HST from qualifying services.

I certify that I am receiving subsidized home care services through a government/publicly funded program established under an Act for health care services and claim an exemption from the GST/HST charged on your home care services, according to Section 13 of Part II of Schedule V to the Excise Tax Act. These services are rendered in my place of residence.

I commit to notify Bayshore Home Health in writing when I am not in receipt of subsidized home care services.  I understand that I would no longer be eligible for GST/HST exemption in that circumstance. Any applicable tax owing would be my responsibility to submit from the date the subsidized services or exemption ended.

Signed ____________________________________this _____________day of ________________, 20__