SECTION 2: SETTLOR INFORMATION
Settlor information must be collected for each Settlor (the individual donating money to the trust) of a trust. (Attach list if space is insufficient)
Not applicable to publicly traded trusts. If Settlor is non-individual, only the name and address are required.
Settlor's First Name
Initial Settlor's Last Name
Settlor's Occupation
Settlor's Employer
Name of Public Companies in which Settlor owns or controls 10% or more of
the voting shares, if any:
Settlor's Banking Information
Name of Financial Institution Transit Account Number
Name of Public Companies in which Settlor is an Officer or Director, if any:
Date of Birth mm/dd/yyyy
Settlor's Country of Citizenship:
Canada
United States Other
Name of Settlor, if Non-Individual
Settlor's Address
SECTION 3
Do any of the Beneficial Owners own 25% or more of the corporation / entity?
If Yes, complete personal information below. (Attach list if space is insufficient)
Yes No
First Name
Initial Last Name Date of Birth
mm/dd/yyyy
Address
Occupation
First Name
Initial Last Name Date of Birth
mm/dd/yyyy
Address
Occupation
SECTION 4
Is the Charitable Organization registered with CRA (Canada Revenue Agency):
Yes No
If Yes, provide the CRA registration number:
If No, does the charitable Organization solicit donations from the public:
Yes No
SECTION 5
Yes No
Do any of the individual(s)/member(s), by sum of direct or indirect
†
ownership, hold less
than 10% ownership? If applicable, complete personal information below. (Attach list if space is insufficient)
First Name
Initial Last Name Date of Birth
mm/dd/yyyy
Address
Do any entities hold less than 10% ownership? If applicable, complete the entity information below.
(Attach list if space is insufficient)
Yes No
Address
If Indirect Ownership, name of Entity
SECTION 6: Client confirms that all information provided establishing the entity's ownership, control and structure is complete and accurate.
Signature
Date
Signature
Date
Information provided on this form is used strictly for the purpose of satisfying regulatory requirements. Kindly forward completed form with your
Account Application to RBC Direct Investing.
† An indirect account holder is someone who has beneficial ownership through the structure of an account. i.e. ABC is owned equally by BBB
and CCC, BBB is equally owned by John and Jane while CCC is equally owned by Peter and Sue. The indirect account holders are John, Jane,
Peter and Sue.
RBC Direct Investing Inc. and Royal Bank of Canada are separate corporate entities which are affiliated. RBC Direct Investing Inc. is a wholly owned subsidiary of Royal Bank of Canada and is a Member of the Investment
Industry Regulatory Organization of Canada and the Canadian Investor Protection Fund. Royal Bank of Canada and certain of its issuers are related to RBC Direct Investing Inc. RBC Direct Investing Inc. does not provide
investment advice or recommendations regarding the purchase or sale of any securities. Investors are responsible for their own investment decisions. RBC Direct Investing is a business name used by RBC Direct
Investing Inc. ® / ™ Trademark(s) of Royal Bank of Canada. RBC and Royal Bank are registered trademarks of Royal Bank of Canada. Used under licence. © Royal Bank of Canada 2017. All rights reserved.
