Notice of Allocation TPZ-1029.CS.4.

A-V
Solidarity Tax Credit (2016-05)

24748640105

Olivera Lucic Identification number: 4004439746

301-5135 12e Avenue File number: IP0001
Montréal QC
H1X 2Z5 Reference number: LUCIC0410042
Notice number: A0078506704-00
Date of notice: 2017-06-05
YYYY MM DD
Period covered from: 2016-07-01
to: 2017-06-30

We wish to inform you that all or part of the amount to which you are entitled has been applied to the payment of your debt
to Revenu Québec or another government body. See the details of the calculation below.

Amount of the payment $69.25

Payment of a debt to the Ministère de l'Éducation et de l'Enseignement
supérieur -$34.62
__________________
Amount payable to you $34.63
The Ministère du Travail, de l'Emploi et de la Solidarité sociale has notified us that you receive last-resort financial
assistance. Consequently, we will use a maximum of 50% of the amount of each payment to which you are entitled to pay
your debt. Your payments will therefore be at least 50% of the amount to which you are entitled.
For additional information concerning the amount you owe the Ministère de l'Éducation et de l'Enseignement supérieur, dial
1 866 615-5100.
Recourse available
If you believe that the amounts shown on this notice are incorrect, contact Revenu Québec and provide the information
necessary to help resolve the matter.

Identification number: File number: Notice number: Date of notice:

4004439746 IP0001 A0078506704-00 2017-06-05
YYYY MM DD