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Flag Canada Revenue
Agency		   加拿大税务局 Protected B
when completed
 
Cancel Authorization for a Representative
 
Representatives Individuals and business owners
Cancel your authorization to a client's information faster
online using "Represent a Client."
Go to canada.ca/cra-login-services and log in.		 If you are a Canadian individual or business, you can view,
add, or modify an authorized representative online using
our online services at canada.ca/cra-login-services.
 
Use this form to cancel authorization for an existing representative or delegated authority. For more information, see page 3.
 
 
Step 1 – Identification of accounts
  
 
  Complete all lines that apply. Use this section to identify your accounts (as a client or taxpayer), not to identify the
representative.
 
  I am cancelling my representative's access to all of my accounts identified below.
 
  SIN, TTN, or ITN First name on the tax or benefit account Last name on the tax or benefit account
       
 
  信托账户号码 Trust name
  T    
 
  Non-resident account number Non-resident account name
  N R    
 
  Business number Business name
     
 
 
  If you provided a business number, choose one of the following business options:
 
  Option 1 – Remove access to all my business number program accounts.
 
  Option 2 – Remove access to specific business number program accounts.
 
  For a list of supported program identifiers, see page 3.
 
  Program identifier
(two letters)		 All reference
numbers		 A specific reference number
(four digits)		  
 
    or  
 
    or  
 
 
 
Step 2 – Representative information
  
 
  Choose one of the following options and fill in the required information:
 
  Option 1 – I am cancelling authorization for a specific individual:
 
  Individual's first name Last name
     
 
  Rep ID Group ID  Business number (BN)   
 
  Option 2 – I am cancelling authorization for a firm:
 
  Firm name
   
  Option 3 – I am cancelling authorization for all representatives.
 
 
AUT-01X E (23) (Ce formulaire est disponible en français.) Page 1 of 3      
Protected B when completed
 
 
Step 3 – Certification
  
 
  You must have signing authority for the individual, trust, or business in order to sign this form. Forms that cannot be
processed will be returned to the individual or business. We may contact you to confirm the information you have given.
 
  Choose the appropriate option (for an individual, trust, business or non-resident account):
 
  I am the: taxpayer
 
  administrator, executor, liquidator, power of attorney, trustee, or legal guardian
or parent of a taxpayer under the age of 16
 
  Choose the appropriate option (for a business):
 
  I am the: owner
 
  corporate director, corporate officer, individual with delegated authority, officer of a non-profit
organization, partner of a partnership, or trustee of a trust
 
  This form will not be processed if your name does not match the one in our records. To avoid processing delays, verify that
we have complete and valid information on file for you before signing this form.
 
  First name Last name Telephone number
       
 
  I certify that the information given on this form is correct and complete.
 
  Signature:   Date (YYYYMMDD):   
 
  Once completed, send this form to your tax centre within six months of the date it was signed or it will not be processed.
For more information, see page 3.
 
Personal information (including the SIN) is collected for the purposes of the administration or enforcement of the Income Tax Act, the Excise Tax Act, the Tax
Administration Act, and related programs and activities including administering tax, benefits, audit, compliance, and collection. The information collected may be
used or disclosed for purposes of other federal and provincial acts that provide for the imposition and collection of a tax or duty. It may also be disclosed to other
federal, provincial, territorial or foreign government institutions to the extent authorized by law. Failure to provide this information may result in interest payable,
penalties or other actions. Under the Privacy Act, individuals have the right to access their personal information, request correction, or file a complaint to the
Privacy Commissioner of Canada regarding the handling of the individual's personal information. Refer to Personal Information Bank CRA PPU 005,
CRA PPU 015, CRA PPU 047, CRA PPU 063, CRA PPU 094, CRA PPU 140, CRA PPU 178, CRA PPU 218, and CRA PPU 223 on
Info Source at canada.ca/cra-info-source.
 
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