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1202 Form PDF Details

The 1202 form is a request for an extension of time to file income tax returns. This form must be filed by the original due date of the return, or if you received an extension of time to file, by the extended due date. There is no fee charged for filing this form. If you are approved for an extension, your new due date will be whatever it would have been if you had not requested the extension (usually six months from the original due date). Note that an extension of time to file does not extend the period of time in which you are required to pay any taxes that are owed. To find out more information about this form and how to complete it, consult IRS Publication 17: Your Federal Income Tax.

Question	Answer
Form Name	1202 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	ad 1202 form, sc isp 1202, income tax form isp 1202, form 1202

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Service	PROTECTED B (when completed)
Canada	Personal Information Bank HRSDC PPU 146
	Personal Information Bank HRSDC PPU 146

DEEMED PERSON TO REPRESENT THE DECEASED CLIENT FOR THE PURPOSE OF ISSUING A T4A (OAS), T4A (P) and NR4

(Old Age Security and Canada Pension Plan)

INSTRUCTIONS

Complete this form IF:

-You are responsible for the income tax return of a deceased client and there is no executor; AND

-The deceased client was receiving benefits under the Old Age Security Act or the Canada Pension Plan at the time of death.

A.DECEASED CLIENT

First and Last Name:

Social Insurance Number:

Date of death:

Last address:

The deceased was in receipt of (check one or both):

OAS

CPP

B. PERSON TO REPRESENT DECEASED CLIENT

First and Last Name:

Mailing Address:

Telephone Number: (home) (work)

Nature of relationship to deceased:

STATEMENT AND REQUEST

I am responsible for the income tax return of the deceased client and there is no estate. I request to be recognized as the person to represent the deceased client in order to receive the tax information slips (T4A (OAS), T4A (P) and NR4, etc.).

NOTE: A false or misleading statement may result in an administrative monetary penalty and interest, if any, under the Canada Pension Plan or the Old Age Security Act, or in the prosecution of an offence. Any benefits received or obtained to which there was no entitlement would have to be repaid.

Signature of person to represent deceased client

Date

FOR OFFICE USE ONLY

If approved, the person is recognized as the deemed person to represent the deceased client for the purpose of receiving the deceased client's tax information slips (T4A (OAS), T4A (P) and NR4, etc.).

Approve

Deny Reason:

Authorized Signature

Date

Service Canada delivers Human Resources and Skills Development Canada

programs and services for the Government of Canada.

SC ISP-1202 (2013-02-15) E

Disponible en français

Service

Canada

Service Canada Offices

Canada Pension Plan

Mail your forms to:

The nearest Service Canada office listed below.

From outside of Canada: The Service Canada office in the province where you last resided.

Need help completing the forms?

Canada or the United States: 1-800-277-9914

All other countries: 613-990-2244 (we accept collect calls)

TTY: 1-800-255-4786

Important: Please have your social insurance number ready when you call.

NEWFOUNDLAND AND LABRADOR

Service Canada

PO Box 9430 Station A

St. John's NL A1A 2Y5

CANADA

PRINCE EDWARD ISLAND

Service Canada

PO Box 8000 Station Central

Charlottetown PE C1A 8K1

CANADA

NOVA SCOTIA

Service Canada

PO Box 1687 Station Central

Halifax NS B3J 3J4

CANADA

NEW BRUNSWICK AND QUEBEC

Service Canada

PO Box 250 Station A

Fredericton NB E3B 4Z6

CANADA

ONTARIO

For postal codes beginning with "L, M or N" Service Canada

PO Box 5100 Station D

Scarborough ON M1R 5C8

CANADA

ONTARIO

For postal codes beginning with "K or P" Service Canada

PO Box 2013 Station Main

Timmins ON P4N 8C8

CANADA

MANITOBA AND SASKATCHEWAN

Service Canada

PO Box 818 Station Main

Winnipeg MB R3C 2N4

CANADA

ALBERTA / NORTHWEST TERRITORIES AND NUNAVUT

Service Canada

PO Box 2710 Station Main

Edmonton AB T5J 2G4

CANADA

BRITISH COLUMBIA AND YUKON

Service Canada

PO Box 1177 Station CSC

Victoria BC V8W 2V2

CANADA

Disponible en français

SC ISP-3501-CPP (2011-11-15) E

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