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REGISTERED CHARITY ADJUSTMENT REQUEST
If you are an authorized person, you can use this form to submit changes to the information filed on Form T3010, Registered Charity Information Return, on Form TF725, Registered Charity Basic Information Sheet (BIS) and to the information as it appears on Form T1242, Registered Charity Information Return Summary. You can also use Section B to change the charity's address at any time. Most of the information collected on this form is available to the public, except where it is identified as confidential. To learn more about what information on Form T3010 is available to the public, see Guide T4033, Completing the Registered Charity Information Return, available at www.cra.gc.ca/charities. You cannot use this form to change the name, designation, or fiscal period end of the charity. You can find details about how to change this information on our Web pages, or call us at 1-800-267-2384. Please see the reverse side for information on how to complete this form. Mail or fax the completed form to our address or fax number found on the reverse side of this form.

Section A ­ Identification
Name of charity BN/registration number (##### ####RR####)

Section B ­ Change of mailing address
New address Effective date of new address

City

Province or territory

Postal code

Section C ­ Form T3010 adjustment details
Use the line numbers from Form T3010 when completing this form. Changes requested using this form will result in changes to Form T3010, and, where applicable, to Form T1242 and the BIS. To make the changes, list the details of the changes you want to make below, remembering to use the line numbers from Form T3010. If a change affects more than one section of Form T3010, note the changes for each area in the table below. See the reverse of this form for examples of how to complete this section. Indicate fiscal period end of adjustment (Use a separate form for each fiscal period that requires adjustment.) Line numbers as they appear on Form T3010 Original information or amount New information or amount

Other details or explanations (attach a separate sheet if required)

Section D ­ Authorization and certification (confidential data)
Name of person who completed this form (please print)

Telephone number (day)

Position in charity (if applicable)

Firm name (if applicable)

Address of firm (if applicable)

Street no. and name

City

Province or territory

Postal code

Authorization

was submitted previously

is attached

I certify the information given on this form and all documents attached is, to the best of my knowledge, correct and complete.

Signature of authorized person

Date

T1240 E (10)

(Ce formulaire existe en français.)

HOW TO COMPLETE THIS FORM
Section A ­ Identification
Enter the charity's name, as it appears in our records, and its BN/registration number. When you complete this form, you must use your RR account number (e.g., 12345 6789RR1234).

Section B ­ Change of mailing address
Use this section to change the charity's mailing address. Also provide the effective date of the new address.

Section C ­ Form T3010 adjustment details
Use the line numbers from Form T3010 when you complete this form. In the box provided, enter the end date of the fiscal period to which the change applies. Provide details for each change you have submitted. In the first column, enter the line number from Form T3010 that you are changing. In the second column, enter the information or amount that you filed on Form T3010. In the third column, enter the revised information or amount. Most changes to financial information will affect the total amounts reported in other areas. Make sure you note all affected totals on this form. Round all amounts to the nearest single dollar. Do not include cents. Provide any further details or explanation in the "Other details or explanations" area. Make sure you provide the line number from Form T3010 for the information you are changing. If you do not have enough space on this form, attach a separate sheet using the same format as on this form. Make sure your BN/ registration number is on every attachment. Example 1 When it filed its last Form T3010, ABC Charity incorrectly reported that it did not compensate any of its directors/trustees or like officials. To correct this information, ABC Charity would complete Section C as follows:
Line numbers as they appear on Form T3010 3200 No

Original information or amount Yes

New information or amount

Example 2 XYZ Charity made an error in reporting "Cash, bank accounts, and short-term investments" on its Form T3010. To correct this information, XYZ Charity would complete Section C as follows:
Line numbers as they appear on Form T3010

Original information or amount $57,000 $132,000

New information or amount

4100 $75,000 4200 $150,000 Other details or explanations (attach a separate sheet if required)

The amount reported on line 4100 was incorrectly reversed when copying to the form. The total assets amount on line 4200 has also been corrected to reflect the change.

Section D ­ Authorization and certification (confidential data)
Enter the name of the person who completed the form, whether this is an authorized representative from within the charity or an outside firm that is authorized to represent the charity. Provide that person's daytime telephone number. Enter the firm name and address only if the person completing this form is from an outside firm. An authorized representative of the charity must sign the form. If authorization is not on file with us for this person, attach a letter of authorization on the charity's letterhead signed by an authorized representative of the charity.

Mail or fax the completed form to:
Charities Directorate Canada Revenue Agency Ottawa ON K1A 0L5 Fax: 613-957-8925