DTC Retainer Form
The person signing below are:
The Applicant has been preliminarily assessed by SOS Supportive Options & Solutions (SOS), who believes the Applicant’s medical condition could meet the Canada Revenue Agency (CRA) requirements for their disability tax credit programs.
The Receiver is a supportive family member, who has been identified as the possible receiver of the potential refund.
The Applicant and/or Receiver agree:
SOS Supportive Options & Solutions LTD. agrees:
Applicants Name: Receivers Name: Address: City: Province: Postal Code: Telephone: Email:
Leave this empty:
Your legal name
Your email address
Signed by Nellie Krombach
Signed On: September 22, 2021
If you have questions about the contents of this document, you can email the document owner.
Document Name: DTC Retainer Form
Agree & Sign