Authorization to exchange information with the Canada Revenue Agency (Schedule B)
Please complete this form and return the original to Investissement Québec.
,
(full legal name of company)
a legally constituted corporation (the "Company"), represented by:
(name and title of signatory)
its duly authorized agent, hereby authorizes the CRA, on receipt of this authorization, to supply Investissement Québec with the following information:
-	current amount of unremitted source deductions:
-	current amount of unremitted taxes (GST):
-	current amount of income tax owing:
This authorization is valid for a period ending three (3) years after the date on which the guarantee first comes into force.
Date	Signature	Title of signatory
Address of company:
CRA account number: