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E-FORM 300225 (09/2017)
Beneficiary Designation Form
to make or change a beneficiary designation
Standard TFSA Beneficiary Designation with Contingent Options
Note to Holders Domiciled in Quebec: Beneficiary designations are not accepted on registered plans.
RBC Direct Investing® Account #:
__
Holder name:
This beneficiary designation forms part of the application and trust agreement under the TFSA account (the “Account”),
and will apply to all property held in the account on my death.
Successor Holder / Beneficiary Designation
surname
first name
relationship to Holder
address
Social Insurance Number
(if available)
city, province, postal code
Spouse
Common-law Partner
Other (specify):
Please check box if electing for Successor Holder:
Successor Holder Election
If I have not elected to have a successor holder, I hereby revoke all previous beneficiary designations made in respect of the
Account, including any such designation made in my will, and I designate the person identified above as the Account
beneficiary entitled to receive all amounts payable under the Account upon my death.
If the person identified above predeceases me, or dies at the same time as me, or in circumstances rendering it impossible to
determine which of us died first, then I designate the person(s) identified on the second page as the beneficiary(s) of my
Account to receive their Percentage of Entitlement (as indicated on the second page) of the proceeds of the Account on my
death.
In certain provinces or territories, a beneficiary designation, or any revocation thereof, can only be made by will. In some
cases, the rights of my spouse or partner as may be defined under applicable provincial law may override any such
beneficiary designation. Also, a beneficiary designation will not automatically change as a result of a future relationship or
relationship breakdown; it may be necessary to designate a new beneficiary for this purpose.
I am solely responsible for ensuring that this beneficiary designation is valid under the laws of Canada, its provinces or
territories and that this designation is changed when appropriate. If I am domiciled in Canada when I die, I acknowledge that
this beneficiary designation will be governed by the laws of my province or territory of domicile at the time of my death. If I
am not domiciled in Canada at the time of my death, then the laws of the province or territory where I was domiciled at the
time of execution of this form will apply. Otherwise, the laws of Ontario will apply.
I declare that any property passing to a beneficiary from the Account, the value of such property, and any and all income or
capital gain or other benefit arising from such property, shall remain the exclusive property of a beneficiary and shall be
excluded from a beneficiary’s net family property or community of property or the value of a beneficiary’s assets for the
purposes of division of property on a beneficiary’s separation, divorce, annulment or death as contemplated by any statute
dealing with matrimonial or family property in any jurisdiction to the extent allowed by law.
(Only a spouse or common-law partner may be designated as a successor holder)
