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Flag  Canada Revenue
Agency
Agence du revenu
du Canada
EMPLOYEE AND PARTNER GST/HST REBATE APPLICATION  
You do not qualify for this rebate if your employer is a listed financial institution (for example, a person that was, at any time during the year, a bank, an
investment dealer, a trust company, an insurance company, a credit union, or a corporation whose principal business is lending money).
For details on how to complete this form, see Guide T4044, Employment Expenses (for employees) or Guide RC4091, GST/HST Rebate for Partners
(for members of a partnership). This form applies to 2023 and later tax years.
 
Area A – Identification (to be completed by claimant)
Last name First name and initial(s)
   
Tax year of claim (one year per claim) Social insurance number
  2023  
Name of employer or partnership (must be a GST/HST registrant) Business number of employer or partnership
  R T
Area B – Rebate calculation (to be completed by claimant)
GST rebate for eligible expenses on which you paid the GST    
  Eligible expenses, other than capital cost allowance (CCA), on which you paid the GST (total of column 3A    
  of Chart 1 on page 2 of this form)  1
  Eligible CCA on motor vehicles, musical instruments, and aircraft for which you paid the GST    
  (from column 3A of Chart 2 on page 3 of this form) +  2
  Total eligible expenses for the GST rebate (line 1 plus line 2) 64850 =  3
  Eligible GST – multiply line 3 by 5/105  4
HST rebate for eligible expenses on which you paid the HST 3B – 13% HST 3C – 14% HST 3D – 15% HST  
  Eligible expenses, other than CCA, on which you paid the HST (totals        
  of each of columns 3B, 3C, and 3D of Chart 1 on page 2 of this form)  5
  Eligible CCA on motor vehicles, musical instruments, and        
  aircraft for which you paid the HST (3B, 3C, and 3D of Chart 2 +        6
  on page 3 of this form)  
           
  Total (add lines 5 and 6 in each of columns 3B, 3C, and 3D) =  7
  Total eligible expenses for the HST rebate (add the totals
of column 3B, 3C, and 3D together from line 7)
64857    8
     
  Multiply Column 3B line 7 by 13/113  9
     
  Multiply Column 3C line 7 by 14/114  10
     
  Multiply Column 3D line 7 by 15/115  11
Total (add lines 9, 10, and 11).    
For more information to complete this section, see Guide T4044 or Guide RC4091.  12
Total expenses eligible for the HST rebate (from line 4 in Chart 3 on page 3). 64860    13
Rebate for property and services brought into a participating province.    
Enter the result from line 11 in Chart 3 on page 3 of this form.  14
Employee and partner GST/HST rebate (add lines 4, 12, and 14).    
Enter the result on line 15, and enter that amount on line 45700 of your income tax return.  15
Area C – Declaration by claimant's employer or partnership – An authorized officer of your employer or partnership must complete this area only if you
  are claiming a rebate for any expenses included on lines 4, 12, or 14 in Area B (above) for which you were paid an unreasonable allowance.
I certify that for the tax year stated above, the claimant was paid the following allowance(s), which at the time it was paid, I did not consider to be reasonable for
the purposes of subparagraphs 6(1)(b)(v), (vi), (vii), or (vii.1) of the Income Tax Act. I will not include an amount equal to this allowance when determining my
input tax credit or rebate.
  Reason for allowance(s)
Amount received $   (list activities)
Name of employer or partnership
   
Signature of employer Position of Year Month Day
or authorized officer authorized officer
Area D – Certification (to be completed by claimant)
I certify that the information in this document is, to the best of my knowledge, true, correct, and complete and that I am eligible for the employee and partner
GST/HST rebate for the tax year stated in Area A.
   
Signature Year Month Day
 
 
GST370 E (23) Vous pouvez obtenir ce formulaire en français à www.arc.gc.ca ou au 1-800-959-3376.

 
 
Chart 1 – Eligible expenses (other than CCA) on which you paid GST/HST
 
  (1) Total expenses (2) Non-eligible portion of expenses (3) Eligible expenses (col. 1 minus col. 2)
Type of expenses 5% GST 13% HST 14% HST 15% HST 5% GST 13% HST 14% HST 15% HST 5% GST 13% HST 14% HST 15% HST
  A B C D A B C D A B C D
  Accounting and legal fees                        
  Advertising and promotion                        
  Food, beverages, and entertainment                        
  Lodging                        
  Parking                        
  Supplies                        
  Other expenses (please specify)                        
  Tradesperson's tools expenses (for employees)                        
  Apprentice mechanic tools expenses (for employees)                        
  Musical instrument expenses other than CCA                        
  Artists' employment expenses                        
  Union, professional, or similar dues                        
Motor vehicle expenses: Fuel                          
  Maintenance and repairs                        
  Insurance, licence, registration, and interest  
  Leasing                        
  Other expenses                        
Work space in home                          
  Electricity, heat, and water                        
  Maintenance                        
  Insurance and property taxes  
  Other expenses (please specify)                        
  Total eligible expenses (other than CCA) in each of columns 3A, 3B, 3C and 3D          
 
 
 
 
Page 2

 
 
Chart 2 – Capital Cost Allowance (CCA) on which you paid GST/HST
 
  (1) Total expenses (2) Non-eligible portion of expenses (3) Eligible expenses (col. 1 minus col. 2)
  5% GST 13% HST 14% HST 15% HST 5% GST 13% HST 14% HST 15% HST 5% GST 13% HST 14% HST 15% HST
  A B C D A B C D A B C D
Capital cost allowance (CCA) on
motor vehicles, musical
instruments, and aircraft
                       
 
 
Chart 3 – Rebate for property and services brought into a participating province
 
Rebate for property and services brought into a participating province.Do not include any expenses for which you paid the HST (federal and provincial component)
as it should be included in Chart 1.
For more information, go to Situation 5 on our webpage "GST/HST rebate for employees and partners".
  A – 1% HST B – 2% HST C – 8% HST D – 9% HST E – 10% HST  
Eligible expenses, other than CCA, on which
you paid the provincial part of the HST
           
separately  1
Eligible CCA on motor vehicles, musical
instruments, and aircraft for which you paid
           
the provincial part of HST separately  2
Total (add lines 1 and 2 in each of            
columns A, B, C, D, and E)  3
Total expenses eligible for the HST rebate (add the totals of columns A, B, C, D and E together from line 3).
Enter the result on line 13 of Area B on page 1.
64860  4
     
Multiply Column A line 3 by 1/101  5
     
Multiply Column B line 3 by 2/102  6
     
Multiply Column C line 3 by 8/108  7
     
Multiply Column D line 3 by 9/109  8
     
Multiply Column E line 3 by 10/110  9
Total Total (add lines 5, 6, 7, 8 and 9).    
Enter the result on line 14 of Area B. For more information to complete this section, see Guide RC4091.  10
 
Personal information (including the SIN) is collected for purposes of the administration or enforcement of the Excise Tax Act, Part IX, and related programs and activities including administering tax, rebates,
elections, audit, compliance, and collection. The information collected may be used or disclosed for the purposes of other federal 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 241 on Info Source at canada.ca/cra-info-source.
 
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