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Rs web page at canada.ca/discounters. To 1. Client's name (as shown in box 6 of Form RC71) 2. Social insurance number 4. Client's current address 3. Discounter code for this location 5. Tax year From 6. Discounter's name (as shown in Part C of Form RC76) 7. Discounter's permanent mailing address A The actual amount of the refund from the Receiver General is: $ B The amount of the estimated refund was: $ If the actual amount of the refund in box A is more than the estimated refund in b.

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