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Agence du revenu
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Electronic Filing of a Pre-authorized Debit Agreement
Tax year :  2023
The information on this form relates to the tax year shown in the top right corner. Before you fill out this form, read the information and instructions section below.
Fill out this form only if you want to authorize your electronic filer to create a pre-authorized debit agreement for you with the CRA, to schedule your Individual
Income Tax payment on filing for the current tax year only. The individual identified in Part A (or the individual's legal representative) must sign Part B. Your
electronic filer must fill out Part C. Give the signed original of this form to your electronic filer and keep a copy for yourself.
Part A – Identification and address as shown on your tax return
  First name Last name Social insurance number
  Mailing address: Apt number – Street number and Street name PO Box RR City Prov./Terr Postal code
Part B – Pre-authorized debit agreement
  Do you want to pre-authorize the Canada Revenue Agency (CRA) to withdraw a specified amount from your bank account? If yes, fill in the
information below:
  I hereby authorize the electronic filer identified in Part C below to create this personal pre-authorized debit on my behalf. I authorize the CRA to automatically
withdraw the funds from my bank account as shown in the agreement details below. I also acknowledge that I have read and understood the information about
pre-authorized debits below.
  Signature (individual identified in Part A or legal representative)   Name and title of legal representative     Year  Month  Day   
  One-time payment for your Income Tax and Benefit Return, to be withdrawn on  for the amount of  
         Year         Month    Day   
  Branch number Institution number Account number  
Part C – Electronic filer identification
  By signing Part B above, I declare that the following person or firm is creating a personal pre-authorized debit agreement for the person named in Part A.
  Name of person or firm: Electronic filer number:   
Privacy Act, personal information bank number CRA PPU 005
Information and instructions
Part B – Pre-authorized debit agreement Recourse rights
Pre-authorized debit (PAD) is an online payment option. Through this option,
you agree to authorize the CRA to withdraw a pre-determined amount from
your bank account to pay tax on a specific date.

Cancelling or modifying your PAD
If you would like to cancel or make changes to your PAD agreement, go
to canada.ca/my-cra-account and select "CRA Sign in/Register". Any
changes made will require five business days to take effect. You can also
submit your request to the CRA by fax at 204-983-0924 or mail it to the
following address:
You have certain recourse rights if any debit does not comply with this
agreement. For example, you have the right to receive reimbursement for any
debit that is not authorized or is not consistent with this PAD Agreement. For
more information on your recourse rights, contact your financial institution or
visit payments.ca.

Account authorization
You guarantee that you have full authority for completing a pre-authorized
debit from your bank account.
PAD Unit
Revenue Processing Section
Winnipeg Tax Centre
66 Stapon Road
Winnipeg MB R3C 3M2
Please note that changes submitted to the CRA by fax or mail may take up to
30 days to take effect. If you do not inform the CRA of such changes on time,
you may be subject to a fee if the financial institution is unable to process a
debit according to your agreement.
T185 E (23) (Ce formulaire est disponible en français.) Page 1 of 1 Canada Logo