Christopher Leon Tanner

SIN # 112 118 336

Birth Date: June 28, 1955
4149 Woodstock Rd
Walden, NS
B0J 2E0

Attn: Service Canada

Regarding my application form SC ISP-3550: Application for Old Age Security Pension
and the Guaranteed Income Supplement.

I wish to change my application. I DO NOT want to apply for the Guaranteed Income
Supplement at this time. I want to check the box of Section C1 and REMOVE responses
for the remaining of Sectin C2 thru C10.

Thank you for your assistance in this change.

sincerely,

Christopher L. Tanner