Part 4 – Cancel your representative(s)

You can cancel your representative(s) using My Account
at canada.ca/my-cra-account, or by calling 1-800-959-8281. An authorization stays in effect until you cancel it, it reaches the expiry date you choose, or we are notified of your death.

Your representative can also immediately cancel their own authorization using Represent a client at canada.ca/taxes- representatives, or by making a request by telephone or in writing.

Part 5 – Signature and date

To protect your confidential tax information, we will not accept or act on any information given on this form unless you or a legal representative has signed and dated this form.

Your responsibilities

It is your responsibility to monitor and understand the transactions your representative completes on your behalf, and to make sure that the information for your representative is current. You can view your transactions using My Account.

The CRA often adds new online services that your representative can access. It is your responsibility to review these services and decide if your representative should still be authorized to represent you. If you feel your representative is not acting in your best interest, you should immediately remove their access to your information.

By Signing this form you are confirming you have read the entire disclosure agreement under the heading "Authorizing or Cancelling a Representative" and agree to all terms and conditions within.

Credit Consent

I/we warrant and confirm that the information given in the mortgage application form to VERICO Paragon Mortgage Inc. and /or it’s licensee Paragon Pragmatic Lending is true and correct and I/we understand that it is being used to determine my/our credit responsibility and to evaluate and respond to my/our request for mortgage financing. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureaus) and each source is hereby authorized to provide you with such information. I/we also understand, acknowledge and agree that the information given in the mortgage application form as well as other information you obtain in relation to my/our credit history may be disclosed to potential mortgage lenders, mortgage insurers, life and/or disability insurance providers, other service providers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship.
I/we further acknowledge and agree that each potential mortgage lender, mortgage insurer, mortgage life and/or disability insurance provider, or service provider to whom you provide mortgage application and/or my/our personal information is permitted to receive such application and information and maintain records relating to me/us and my/our mortgage application and to hold, use, communicate and disclose personal information about me/us, including my/our Social Insurance Number (SIN) if I/we provide it, and collect personal information from me/us, you and from third persons, including credit bureaus, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, mortgage insurer, life and/or disability insurer or other service provider.
I/we agree to indemnify VERICO Paragon Mortgage Inc. and/or it’s licensee Paragon Pragmatic Lending against and save you harmless from any and all claims in damages or otherwise arising from such disclosure on your part. I/we agree to pay applicable legal, property appraisal, registration fees and expenses incurred in connection with this mortgage application. You are also authorized to retain the application whether or not the relative mortgage is approved. I/we acknowledge that VERICO Paragon Mortgage Inc. and/or Paragon Pragmatic Lending may be paid a referral fee from the mortgage lender and/or the mortgage life insurance provider for placement of this mortgage.



By Signing below, I/We agree this is full acceptance of the terms above.