9964E (2022/12)
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If you are completing this application, please:
• print clearly
• provide all required information
•
ensure that an authorized person signs the certification, for example, the sole proprietor, partner, officer or director
•
sign and return the completed application to the address in the ‘Contact Us’ section on the last page of this guide.
Note that failure to provide all required information may cause a delay in processing your application.
Application to Produce
Growing Raw Leaf Tobacco for Agronomic Research Section
For each type of raw leaf tobacco (flue-cured and non flue-cured) enter the total number of acres to be planted, the
total kilograms of raw leaf tobacco to be produced per acre, the targeted yield in kilograms and the yield from the
previous growing year in kilograms, if applicable.
Indicate in the spaces provided, the purpose of the research being conducted and the person or company that the
research is being performed for.
Land Location(s) Section
For each land location on which you plan to produce raw leaf tobacco, describe the land including the location, lot,
concession and township information as well as the 911 address. Include the name of the land owner and the
estimated acres for raw leaf tobacco production. Indicate whether you own this land, are leasing it from others or if
you are leasing it to other growers.
If you lease land after having completed and submitted this application, please inform the Ministry of Finance
immediately to provide details about the lease arrangement. You can contact the ministry using the address and/or
telephone number provided on the last page of this guide.
Certification Section
The application must be signed and dated by an authorized signing officer. The information contained in the
application must, to the best of the knowledge and belief of the authorized signing officer, be true, correct and
complete. Information provided to the ministry in this application may be disclosed where necessary for verification
purposes only.
If this application is signed by a third party (such as your accountant or solicitor), the Ministry of Finance needs your
authorization for the third party to represent you; and, the Ministry of Finance must receive a completed Authorizing
or Cancelling a Representative form for that third party in order for the application to be processed. Forms are
available on the Ministry of Finance’s website ontario.ca/finance. Send the original signed form to the Ministry of
Finance at the address provided in the ‘Contact Us’ section below.
The name and title of the person signing the application must be printed legibly in the space provided.
Changes to Information Provided
If any information reported to the Ministry of Finance changes from what has been reported on this application, you
must promptly notify the Ministry of Finance and provide the changed information.
Contact Us
If you have further questions, contact:
Ministry of Finance
Raw Leaf Tobacco
33 King Street West
PO Box 620
Oshawa ON L1H 8E9
1-866-ONT-TAXS (1-866-668-8297) extension 16160
Fax: 905-433-5680
TTY (Teletypewriter): 1-800-263-7776