This form is a request for a instalment payment agreement. If approved, taxpayers would have to pay the necessary taxes month after month. However, they must first determine whether they are eligible to execute the application. The main eligibility requirements are: the tax debt does not exceed $25,000; the payment period does not exceed 60 months; all necessary tax returns are filed; and there is no other instalment payment agreement. The information provided in the form is used by the tax board to take a decision on the case of a taxable person and to approve or reject the application. This form is used by people who cannot pay their taxes in full. The instalment payment agreement allows them to make monthly payments to meet their tax obligations. .

Andrew Verboncouer • (920) 562-9601 •