817-03-213E (11/18/2013)
(e) the undersigned irrevocably authorizes the persons holding the below positions with B2B Bank, including any authorized agents
or mandataries of such persons, as the undersigned’s true and lawful attorney to fill in the Purchased Policy Number in this
Assignment, Hypothecation, Acknowledgement and Direction and any other B2B Bank documents:
Trust________________________________________________ (title of position)________________________________________
The undersigned agrees that failure to fill in any policy numbers in this Assignment, Hypothecation, Acknowledgement and
Direction, or any other documents relating to this Assignment, Hypothecation, Acknowledgement and Direction, shall not affect
B2B Bank’s rights under this Assignment, Hypothecation, Acknowledgement and Direction or any of B2B Bank’s Documents;
and
(f) this Assignment, Hypothecation, Acknowledgement and Direction is in addition to and not in substitution for any other security now
or hereafter held by B2B Bank and this Assignment, Hypothecation, Acknowledgement and Direction is a continuing agreement
and security that will remain in full force and effect until terminated by B2B Bank in the manner set out herein.
3. THE UNDERSIGNED IRREVOCABLY DIRECTS THE LIFE COMPANY TO:
(a) pay all monies payable under the Policies including, without limitation, upon (i) surrender of the Policies, (ii) maturity of the
Policies, or (iii) death of the insured under the Policies, to, or to the direction of, B2B Bank; and take and act upon any instructions
from B2B Bank with regard to any and all matters relating to the Policies as if the instructions had been given by the undersigned,
without requiring B2B Bank to prove that it is entitled to take any such action. The Life Company shall not, nor shall any other
interested person, be bound to enquire into the state of the account between B2B Bank and the undersigned or to see to the
application or use of any monies paid by the Life Company to B2B Bank in respect of the Policies. Without limiting any of the
foregoing, B2B Bank shall have the effective control of the Policies and shall have the sole authority to collect all claims under
the Policies and B2B Bank is irrevocably authorized to do so;
(b) not make any of the following changes to the Policies without the prior written consent of B2B Bank:
(i) redemption, surrender or liquidation of the Policies or withdrawal or transfer of monies out of the Policies;
(ii) conversion of the Policies;
(iii) registration of the Policies under the ITA or the income tax legislation of any province as a retirement savings plan,
retirement income fund, deferred profit-sharing plan or any other plan or fund accepted for registration under the ITA or the
income tax legislation of any province;
(iv) termination of the Policies; and
(v) transfer of ownership of the Policies, except for the collateral assignment or hypothecation to B2B Bank effected by this
Assignment, Hypothecation, Acknowledgement and Direction (or under any movable hypothec in favour of B2B Bank);
(c) to register B2B Bank in the books and records of the Life Company (and its agents and mandataries) as collateral assignee and
hypothecary creditor of the Policies; and
(d) provide to B2B Bank a daily statement of the current value of the Policy including, without limitation, the value of all investments
and cash held within the Policy.
4. The undersigned hereby irrevocably agrees not to assign or hypothecate the Policies in favour of any person, other than B2B Bank
and undertakes that, if it names or designates any beneficiary of the Policy, such beneficiary shall be required in all cases to be named
or designated expressly as a revocable beneficiary (except that it may not designate as a revocable beneficiary its married or civil
union spouse, its descendants, its ascendants or beneficiaries of the family class).
5. This irrevocable Assignment, Hypothecation, Acknowledgement and Direction shall remain in full force and effect until such time as
an executed satisfaction piece has been delivered by B2B Bank to the Life Company.
THE UNDERSIGNED REPRESENTS AND WARRANTS TO B2B BANK THAT:
The Policies are good, valid and subsisting life insurance policies or non registered variable annuity contracts; they are fully paid up and
in force; they have not been forfeited, assigned (other than to B2B Bank), hypothecated (other than to B2B Bank), terminated or otherwise
disposed of or rendered void or voidable; the undersigned is the owner of the Policies; the undersigned has not named or designated any
beneficiary of the Policy, other than beneficiaries which were named or designated expressly as revocable beneficiaries and which are not
its married or civil union spouse, descendants, ascendants or beneficiaries of the family class; and the undersigned has good right and
title and full power to assign and hypothecate the Policies to B2B Bank as herein set forth free and clear of any claims whatsoever.
SIGNED, SEALED AND DELIVERED in the presence of:
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Date of Execution:__________________________________
Witness
Signature of BorrowerName of Borrower
Signature of Co-borrower (if applicable)Name of Co-borrower (if applicable)