1b - Toss Me the Life Preserver Buffer - Form 2 of 2 - Follow Up - V2.6

7/27/2019 1b - Toss Me the Life Preserver Buffer - Form 2 of 2 - Follow Up - V2.6

http://slidepdf.com/reader/full/1b-toss-me-the-life-preserver-buffer-form-2-of-2-follow-up-v26 1/7

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“TOSS ME THE LIFE PRESERVER BUFFER!” Follow Up

Version 2.6

Please fill in the information below and we will prepare the letters - requesting Taxpayer Relieffrom penalties and interest and the core tax assessed - and send them for you. The Agency(s)(e.g. CRA-ARC, Member of Parliament, etc.) to whom the letter(s) were sent may call and ask ifyou sent them, your response is “YES”. You will receive an email outlining who the letterswere sent to.

Please print Legibly - INVITED BY: _________________

FULL LEGAL NAME: ________________________________________________________________

Garnishment is (please circle): Wages Bank Account(s) Pensions Assets

Other: ______________________________________________________________________________

Garnisheeing Institution(s), if in place

Name of Institution ___________________________________________________________________

Address of Institution _________________________________________________________________

Manager Name_______________________________________________________________________

Fax (Required): _____________________________ Phone: ________________________________

Your Account/ID Number with Institution: _____________________________________________

Name of Institution ___________________________________________________________________

Address of Institution_________________________________________________________________

Manager Name_______________________________________________________________________

Fax (Required): _____________________________ Phone: ________________________________

Your Account/ID Number with Institution:______________________________________________



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HOW ARE CRA-ARC’S ACTIONS IMPACTING YOU AND CAUSING UNLAWFULUNDUE INHUMANE DURESS AND SUFFERING

Please indicate beside the reason(s) for your request under the taxpayer relief provisions byplacing your initials adjacent to the reason(s).

CRA-ARC error (processing delay that result in taxpayer not being informed,errors in processing);

CRA-ARC delay (undue delays in resolving an objection or an appeal, orprocessing corrected adjusted taxation years);

CRA-ARC abuse of power;

Financial hardship/inability to pay (loss of employment, extreme garnishment ofincome, interest charges , payment of accumulated interest would cause aprolonged inability to provide basic necessities such as food, medical help,transportation or shelter, inability to pay is beyond your control);

Natural or man-made disaster (flood or fire);

Civil disturbance;

Emotional distress / mental distress / injury / serious illness / etc. arising fromCRA-ARC actions;

Under threat, duress and / or coercion arising from CRA-ARC actions (e.g. sincereand honest efforts rejected by CRA-ARC, CRA-ARC refusing paymentarrangements, CRA-ARC reneging on confirmed negotiations, etc.);

Denial of a previously accepted valid tax filings;

CRA-ARC did not behave impartially and undertook group profiling;

Other extraordinary circumstances:



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IT IS UP TO YOU TO ANSWER THEIR QUESTIONS AS TO YOUR SUFFERING,PRIVATION, DEPRIVATION, HARDSHIP, HUMILIATION, HARASSMENT, AND IT’S

DOMINO EFFECTS.

Fill in the detailed outline of your current situation and the hardship this action has caused, e.g.mental stress and instability, and its derived health issues, doctor’s letter, inability to continueworking, knock-on impact on family and family stability, inability to provide basic necessitiesfor other dependents, how this affects work environment or self-employed environment, andanything else you can think of.

How specifically I am suffering, deprived, and experiencing hardship: (In detail). Please feel free tomake your own document, both hand-written and typed, and attach.

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If you have not done so, please attach all copies of letters received from any of these agenciesalong with any other supporting Documentation to us.Written communications will be sent as written from you to the appropriate governmental and

non-governmental agencies involved with your case.

If we have questions, or need clarifications we will be in touch. You will have 4-6 customtailored documents sent for your case. You will receive an email when this has been completed.

If any of the offices call, please be aware that you would not have yet signed the letters and theymay be inquiring if you actually sent them… the correct response is “YES”.

Sanitized copies of what was sent out will be provided upon request.

Be prepared to prove your financial hardship later in this way if required:

We recommend:

1) fax or email scan this completed form in immediately

2) Prepare after you fax in this form for phone calls you may receive

Full financial disclosure may be requested: it may help you to show:

- Supporting documents could include financial statements (an income and expense statement,assets and liabilities statement), current mortgage statement and property assessment, loansand monthly bills, bank statements for three months, current investment statements, copies ofcredit card statements, etc.

Please Note:

YOUR URGENT DOCUMENTS WILL GO OUT FIRST – SHORTLY AFTER YOU SUBMIT THISFORM

– YOU HAVE TIME:

…you can provide your above prepared details when you get CALLED BACK (laterpresumably)

- GET THIS SENT IN ASAP – TO GET THE BALL ROLLING FOR YOU - RIGHT NOW -BEFORE YOU EVEN HAVE THE ABOVE PREPARED

– THIS SAVES YOU TIME AND IDEALLY BUYS YOU THE TIME YOU NEED - RIGHTAWAY…



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Requested Donations for Life Preserver Buffer Service

Toss Me The Life Preserver Buffer: $500.00 per issue,

Per round of issue if further help is requestedAdditional Documents: $100.00 per

_______By my initials, I certify SAFEGUARD SHIELD ASSOCIATION requires an active credit card kepton file at all times. Even if I currently have no credit card, I will obtain and maintain a CanadaPost pre-paid VISA (not a pre-paid Gift Card VISA) from my nearest post office and will keep itactively funded.

_______By my initials, I acknowledge that my Credit Card was already charged earlier by my personal consenton the phone for the Toss Me A Life Preserver Documents and can be charged again if I requestfurther assistance.

_______By my initials, I acknowledge that no intellectual property (IP) is transferred to me, and isconsidered under perpetual non-compete agreement

_______By my initials, I acknowledge and agree that in all jurisdictions this is not legal advice, tax advice,counseling, counseling fraud, nor the like even remotely, and any assistance to me is clearlyconducted only in good faith with clean hands, for me, in my best interests, and at my request.



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DONATION INFORMATION:

CASH, DEBIT, e-TRANSFER, MASTERCARD, VISA (AMERICAN EXPRESS NOT ACCEPTED)CHEQUE, BANK DRAFT, MONEY ORDER made payable to:

“SafeGuard Shield Association”Filling the information below, stands as your inherent personal guarantee that there is full understandingon your part, and that, as already agreed, “no refunds or chargeback’s” will ever be initiated under anycircumstances, and that all payments due will be completed, even if the credit card changes; and youagree to duly update SAFEGUARD SHIELD ASSOCIATION immediately; and upon any request, with acurrent credit card to resume your donations for the highest good of all. If you do not have a personalcredit card, you agree to obtain and maintain a working Canada Post pre-paid Visa card and place it onfile herein.

$ ALREADY CHARGED TO CREDIT CARD

CREDIT CARD #

EXPIRY DATE

3-DIGIT NUMBER (BACK OF CARD)

PRINTED NAME AS IT APPEARS ON CARD

POST-CONSENT CONFIRMATORY SIGNATURE

I fully agree by my signature to remain at all times in good faith with this agreement and standing underbit.ly/DSSA-disclaimer which will be enforced only if I dishonor this agreement.

Agreed this ________________________________ day of ______________________________________20___

X __________________________________________ __________________________________________ Applicant Signature Print Applicant’s FULL Legal Name

X __________________________________________ __________________________________________ Arms-length Witness Signature Print Arms-Length Witness FULL Legal Name

Please fax or Scan this Application, and any CRA-ARC Garnishment and other pertinent to:Fax: (760) 999-8068 or email to: [email protected]