F31A
Application
Investment Loan
Application and Agreement
IMPORTANT
You must:
Print 3 copies of this application
Send the original copy to head office
Give a copy to the client
Keep a copy for your files
INVESTMENT
FUNDS
F31A(20-09) PDF
September 2020
WARNING
This form had been designed to be used
exclusively with an Adobe for Windows product
such as Adobe Reader.
Please close this form, save on your Windows
desktop, and open from an Adobe product.
F31A(20-09)
INSTRUCTIONS FOR AGENTS
CONTROL LIST OF INFORMATION AND DOCUMENTS REQUIRED FOR AN INVESTMENT LOAN
Please read the following carefully and make sure all required documentation is attached to the loan application. Please note that any missing or incorrect information will delay
the approval process. To determine the initial minimum monthly payment, refer to document F13-1007 and find the monthly repayment factors according to the repayment term.
THE INVESTMENT LOAN IS NOT SUITABLE FOR ALL INVESTORS.
Note: The initial investment in the Non-registered Annuity Contract is required to have been made by the date this loan application is approved by the Company.
1. Eligibility criteria
Stable, above-average Borrower income
High net worth
Good financial habits (stable and balanced)
Moderate to advanced investment knowledge
Moderate to high risk tolerance
Ability to meet the monthly loan obligation
Permanent SIN in Canada
!
Even if an investor matches the investor profile and/or the financial situation criteria, there is no guarantee that this loan application will be approved by the Company.
2. Required forms
F31A
Duly completed Investment Loan Application and Agreement (F31A)
F17A if applicable
Application for an IAG Savings and Retirement Plan Non-registered Annuity Contract (F17A) or indicate contract number in PART 1
for an existing contract
Investment instructions
Enter client investment instructions in the applicable section of form F17A or in Part 4 of this F31A form
F51-122A
Investor Profile – Paper (F51-122A) or electronic version
F51-208A
Duly completed Money Laundering form (F51-208A)
Void cheque
MANDATORY
A blank cheque marked “void” with the Borrower’s name printed on it (company cheques will not be accepted)
!
Advisors may have additional document requirements specific to their agency.
3. Details of required client documents for analysis
!
The following documents must be attached to the Investment Loan Application and Agreement (F31A):
INCOME
Employment income
One of the following documents is required:
Recent pay stub (within the last 30 days)
Most recent T4A
Most recent notice of assessment
Retirement income
All of the following documents are required:
Most recent notice of assessment
T4A – Statement of pension, retirement, annuity or other income
T5 – Statement of investment income
Most recent tax slips
Commission income
Notice of assessment for the last two years
Self-employed workers
One of the following documents is required:
Financial statements for the last two years
Notice of assessment for the last two years
Tax slip if available
Rental income
T1 General from the past two years, including Form T776 to confirm
reported income. Only the Borrowers share is considered (if applicable).
ASSETS
Real estate
For each property, provide one of the following documents
(main residence, rental buildings, other real estate):
Real estate assessment of the property (most recent)
Municipal tax bill (most recent)
Note: Land and woodlots can be considered upon presentation
of the required documents.
Investments
For each investment account, provide the official statement where the
investments are held (last 6 months):
RRSP account
TFSA account
Non-registered funds
Bank accounts
Note: The statement must mention the name and address of the holder,
the type of contract and at least the transactions of the last 6 months.
I, the agent, have:
Presented and explained the leverage effect to the Borrower using the provided scenarios;
Explained the risks related to an investment loan to the Borrower;
Told the Borrower that the Company may request additional information if needed.
F31A(20-09)
NOTICE CONCERNING THE EFFECT OF THE USE OF A LEVERAGE LOAN
WHEN INVESTING IN SEGREGATED FUNDS THROUGH
A NON-REGISTERED INDIVIDUAL VARIABLE ANNUITY CONTRACT
There are three ways to invest in segregated funds through a non-registered individual variable annuity contract: through cash only, a portion in cash with a
loan or with a loan only. When you invest in segregated funds using cash only, your possible gain or loss is based only on the variation in the value of the
segregated funds in which you invest.
However, when you use the leverage effect, you substantially increase the possible gains or losses on the cash that you invest. Therefore, Industrial Alliance
Insurance and Financial Services Inc. (“iA Financial Group”) wants to ensure that any investor who is thinking about borrowing money to use the leverage effect
be informed of the risks inherent in this strategy by reading the explanations provided here.
For example,* suppose a $50,000 investment made in segregated funds loses 10% of its value and is now worth $45,000. For a cash investment, where no
loan is made, the loss would be 10%. For an investment made using $50,000 in cash and a $100,000 loan, for a total investment of $150,000, the same 10%
decrease in value would result in a $15,000 drop in capital, which represents a 30% loss of the cash investment. Finally, for a client who opts for a $50,000
investment that is completely financed through a loan, a 10% drop in the value of the investment would mean that, in addition to the $45,000 in proceeds from
the disposition of the investment, the client would personally have to pay an additional $5,000.
The level of risk involved in an investment financed by a loan varies depending on market conditions and the investments made.
In addition, it is important to learn about the terms of a loan guaranteed by an individual non-registered variable annuity contract. For investment loans for
which the chosen repayment option is interest only, iA Financial Group reserves the right to convert the interest only repayment option to the principal plus
interest option if the loan balance exceeds 125% of the admissible value.**
To illustrate the previous paragraph, let’s use the example* of a $100,000 zero-cash investment loan with the interest only repayment option. If the value of
the investment goes from $100,000 to $75,000, the loan balance will then represent 133% of the admissible value, exceeding the maximum ratio of 125%, and
iA Financial Group may require that the interest only repayment option be changed to the principal plus interest option.
Also, for all loan investment options, you must be able to pay the interest on your loan. If you are thinking of using the leverage effect to make an investment
in iA Financial Group’s segregated funds through a non-registered individual variable annuity contract, you should first make sure that you have the financial
resources needed to pay the interest on the loan and to repay a portion of this loan if required.
* The examples mentioned in this notice do not consider any tax payable or any redemption or administration fees that may apply.
** Admissible value: Value of the segregated funds of the individual non-registered variable annuity contract granted as collateral assignment.
!
Capitalized words and expressions have the meaning set out in “DEFINITIONS” in Part 6, Section B of this Loan Agreement.
A – Lender
Industrial Alliance Insurance and Financial Services Inc., hereinafter “iA Financial Group” or the “Company”.
B – Borrower
First name: ____________________________________ Last name: _____________________________________
SIN (Mandatory):
Date of birth:
Y M D
Gender: Female Male Language: English French
Tel. (home):
Email: _________________________________________
Address: ______________________________________________________________________________________
Number, street Apt., PO Box
______________________________________________________________________________________
City Province Postal code
Last name at birth (if different): ______________________________________________________________________
Place of birth (country or province): ����������������� Resident of Canada:
since birth OR
Y M
C – Employment
Current employer: _______________________________ Position: _______________________________________
Since:
Y M D
Type of business: _________________________________
Address: ______________________________________________________________________________________
Number, street Apt., PO Box
______________________________________________________________________________________
City Province Postal code
Previous employer (if less than two (2) years with current employer): ___________________________________________
Position: _______________________________________________ Number of years at previous employer: ________
D – Life Insurance Agent Information
Agency
Agency code: Name of district or agency: ___________________________________________________
Agent
Important – Agent code must be active.
FundSERV code: Sales rep.: ______________________________ Dealer:
___________________________________
OR
Agent code:
SU:
Name of agent: ________________________________ Email: ___________________________________________
Telephone:
Ext.:
New application Existing annuity contract
(Write NP number) (Write existing contract number)
NP
INVESTMENT LOAN APPLICATION AND AGREEMENT
PART 1
F31A(20-09)
F31A
A – ANALYSIS OF YOUR FINANCIAL SITUATION
Mandatory
Have you declared bankruptcy in the last five (5) years?
No Yes. If yes, date of discharge:
Y M D
Have you filed a proposal under the Bankruptcy and Insolvency Act in the last five (5) years ?
No Yes. If yes, date of certificate of full performance:
Y M D
Have you ever been subject to a garnishment?
No Yes. If yes, for what reason?: ________________________________________________________________
Have you ever had property seized?
No Yes. If yes, for what reason?: ________________________________________________________________
B – INCOME
MANDATORY — Proof of income required,
see Instruction page for more details.
Gross monthly employment income: $___________________________
Other monthly income: $___________________________ Please specify: ___________________________
Total monthly income: $___________________________ X 35% = $ ______________________________ (A)
C – BALANCE SHEET (MANDATORY)
ASSETS Principal residence
— Purchase price $ __________________________
— Market value $ __________________________
Savings
— Registered $ __________________________
— Non-registered $ __________________________
Vehicle(s) – owned only
(car, truck, plane, RV, etc.)
— Model and year __________________________
— Market value $ __________________________
Other assets (Specify)
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
______________________________ _____________$
Total assets $______________________
LIABILITIES
Mortgage loan – Rent
Mortgage loan balance $ _______________________ Monthly payment _______________________$ (1)
(rent and/or mortgage payment)
Personal loans $ _______________________
(furniture, electronic appliances, miscellaneous)
Monthly payment _______________________$ (2)
Line(s) of credit and/or loan(s) $ _______________________
Monthly payment
_______________________
$ (3)
or 5% of the balance due
Vehicle(s) – loan or lease
$ _______________________
Monthly payment
_______________________$ (4)
Credit cards
$ _______________________
Monthly payment _______________________$ (5)
or 5% of the balance due
Other financial obligations $ _______________________
Monthly payment
_______________________
$ (6)
T
otal of liabilities (1) + (2) + (3) + (4) + (5) + (6) $______________________ (B)
Monthly amount available to repay
the investment loan
Income (A) - Total liabilities (B) = $______________________* (C)
* In order for the loan to be approved, this amount must be sufficient to cover the monthly payment amount determined
in the Information Box under the heading “Payments”.
D – TYPE OF LOAN
Repayment options
Check one
Interest only: each payment includes payment toward interest only.
Principal and interest: each payment includes payment toward both principal and interest.
Type of loan
Check one
100% investment loan WITHOUT margin call: no cash investment required from the Borrower.
Minimum of $10,000 up to a maximum of $300,000.
1:1 investment loan WITHOUT margin call: loan the Borrower’s cash investment.
Minimum of $10,000 up to a maximum of $300,000.
PART 2
F31A(20-09)
!
In PART 3, the terms “you”, “your” and “yours” refer to the Borrower and Co-borrower. The terms “we”, “us”, “our” and “ours” refer to iA Financial Group.
A – Information Box
Total Principal Amount
(Investment loan amount)
Loan application for the following amount: $______________________ (A)
+
Existing loan balance, if applicable:
$______________________ (B)
(contract no.
________________________
)
Total Principal Amount:
(A) + (B) =
$______________________
(1)
(C)
(1)
To determine the MINIMUM AND MAXIMUM AMOUNTS PERMITTED, please refer to Section D of Part 2 of the Loan Agreement.
Interest Rate Annual rate:
______________% + ______________% = ______________%
(2)
(Prime rate) (Increment) (Annual Interest Rate)
(2)
For interest rates in effect, consult the loan section of our website at ia.ca.
Interest rates are variable. The rates indicated are those in effect at the date of signature of the present loan application.
Interest calculation
The annual Interest Rate applicable to the total Principal Amount is the Royal Bank of Canada’s Prime Rate plus an increment.
The annual Interest Rate will change automatically, without notice to you, whenever the Prime Rate changes.
The interest is calculated according to the following formula:
Loan Balance on the date of the last capitalization of interest X (number of days elapsed since
the last capitalization/365) X Interest Rate then in effect.
Interest is calculated daily and is added to the loan amount at the end of the month.
Annual Percentage Rate
The “Annual Percentage Rate” is equal to the annual Interest Rate.
Investment date of loan amount
If all documents are properly completed, the loan application process is estimated to take at most ten (10) business days.
The Principal Amount loaned, or the portion added to an existing loan if applicable, will be invested directly into the contract
identified in PART 1 and the interest will start to accrue on the following day.
Term of the loan
(a) If the interest-only repayment option is selected, the term is: 240 months
The term of the loan is open, which means that you can repay all or a portion of your loan at any time without charge.
(b) If the principal-and-interest repayment option is selected, the term is: __________ months
(Choose a repayment term of 60, 120, 180, or 240 months.)
Payments
Minimum monthly payment on the 1st of each month:
(1)
$ ______________________________________
If you wish your payments to be greater than the minimum amount, please indicate that in Part 4 of
the PRE-AUTHORIZED DEBIT (PAD) AGREEMENT.
(1)
To determine the minimum monthly payment amount, refer to document F13-1007A to calculate the initial monthly payment
according to the term selected.
Your payment is payable monthly.
If you have chosen the interest-only repayment option, each payment includes payment toward interest only.
If you have chosen the principal-and-interest repayment option, each payment includes payment toward both principal and interest.
Prepayment Privilege
You may repay all or a portion of your loan at any time without charge.
Security
As security for your loan obligation, you assign as security (or hypothecate, in the province of Quebec), in favour of iA Financial Group,
the Non-Registered Annuity Contract in which the investment loan is invested. See PART 6, sections 9 and 10.
PART 3
F31A(20-09)
continued
PART 3
A – Information Box (continued)
Other fees
The following is a list of current fees charged by the Company, where permitted by law. Fees may change from time to time
without notice to you.
— Extra copy of any statement or monthly statement on demand: $50
— Each cheque or pre-authorized debit (PAD) that is not honoured: $25
— Duplicate of the Loan Contract: $50
— Statement indicating all transactions under the Loan Contract: $50/hour (1 hour minimum)
— Modification(s) to the Loan Contract following a separation or a divorce: $50
— Cancellation of the Loan Contract within 60 days following its issue: $50
If the Borrower fails to comply with any obligation under the Loan Contract, in addition to interest, iA Financial Group may impose
charges for recovering costs reasonably incurred for:
a) Legal services to collect, or attempt to collect, any amount due;
b) Realizing on any security interest or protecting such security interest, including the cost of legal services for that purpose; and
c) Any charges incurred as a result of a dishonoured payment.
Miscellaneous
There is no amortization period nor default of payment insurance, nor any charge for prepayment applicable to the loan.
F31A(20-09)
continued
PART 3
B – Initial disclosure statement
Total Principal Amount
(Investment loan amount)
The Total Principal Amount includes the amount of the current loan you are applying for with this loan application and any
outstanding balance
(1)
on an existing loan(s) if applicable. The Total Principal Amount is shown in the Information Box on line (C)
under the heading “Total Principal Amount”.
(1)
Any outstanding balance on prior loan(s) that is indicated on line (B) of the Information Box under the heading “Total Principal
Amount” becomes part of the Total Principal Amount and will now be governed by the terms and conditions of this Loan Agreement.
Interest Rate
The annual Interest Rate on the Total Principal Amount is equal to the total of the Prime Rate plus the increment which is
established according to the rate scale (known as the “Rate Schedules - Individual GIC, PGA, SPIA and Others”) in effect when
this loan application is signed. The increment is based on the Total Principal Amount (which includes the amount of the current
loan you are applying for with this application and any outstanding balance on existing loan(s)) indicated in the Information Box
and the type of loan selected in section D of Part 2.
The Interest Rate changes whenever the Prime Rate changes. If the Borrower selects the principal and interest repayment
option, any changes in the Interest Rate can affect the loan amortization period.
The interest is calculated according to the following formula:
Outstanding balance of the Loan Amount upon the last capitalization of interest X (number of days elapsed
since the last capitalization/365) X Interest Rate then in effect.
Interest is calculated daily and is added to the Loan Amount at the end of the month.
iA Financial Group reserves the right to change the loan maximum limit and the Interest Rate at any time without notice,
subject to applicable laws.
Term
The term of the loan is shown in the Information Box.
Date of advance
Following iA Financial Group’s approval of the loan application, the amount of the current investment loan will be advanced and
invested in the Non-registered Annuity Contract specified in the documents enclosed with this application as per the instructions
below.
a) If this loan is to be applied to an EXISTING INDIVIDUAL VARIABLE ANNUITY CONTRACT, enclose the appropriate
investment instructions form with this Loan Application and Agreement.
b) If this loan is to be applied to a NEW NON-REGISTERED INDIVIDUAL VARIABLE ANNUITY CONTRACT, enclose
the application of the new non-registered individual variable annuity contract with this Loan Application and Agreement.
Payments
a) The monthly payment amount is shown in the Information Box.
The monthly payment amount can be higher or lower if the outstanding balance of the existing loan(s) is different from
the amount shown in the Information Box.
b) The total of all monthly payments is equal to:
$ (A)
[monthly payment amount X number of months corresponding to the term shown in the Information Box]
c) Where the interest-only repayment option is selected, the total interest charges over the 240 month term is equal to the
total of all monthly payments as shown in line (A) above.
d) Where the principal-and-interest repayment option is selected,
the total interest charges over the term of the loan is equal to:
$
[total of all monthly payments (line (A) above) minus the Total Principal Amount]
e) Insurance premiums and any other non-interest charges over the term of the loan: N/A
f) The total number of monthly payments equals the term shown in the Information Box.
g) The date of first payment is set out in section A of Part 5 of the Loan Agreement. The date of last payment depends on
the term of the loan.
Due to changes to the Prime Rate subsequent to signing the loan application, the monthly payment amount, the total of all monthly
payments, and the total interest charges over the term of the loan may vary. The monthly payment amount, the total of all monthly
payments and the total interest charges over the term of the loan are based on reasonable assumptions and estimates as of the date
of signature of the loan application.
For all repayment options, payments will be credited first to the Amount in Arrears, then to the payment of accrued interest and in
the case of the principal and interest repayment option, then to the payment of the balance owing on the Total Principal Amount.
Payments are payable at iA Financial Group’s head office, which is located at 1080 Grande Allée West, PO Box 1907, Station Terminus,
Quebec City, Quebec, G1K 7M3, or at one of its branch offices.
F31A(20-09)
A – Investment instructions
The Investor Profile is required if Premiums are
invested in segregated funds for the first time.
If there is an automatic investment term (AIT) on the
contract, the amounts deposited in the DIF+ will be
invested according to the AIT when the required
minimum has been reached.
IAG SRP
* Funds with 5 digits – The last one refers to
the sales charge:
– 0 = Deferred Sales Charge
(DSC, client’s sales charge)
– 1 = No sales charge (CB, 3 years)
– 3 = No sales charge (CB, 5 years)
– 5 = Front-End Load (FEL, no sales charge)
Ecoflex
* Funds with 3 or 4 digits – The last one refers
to the sales charge:
– 0 or 5 = Deferred Sales Charge (DSC, client’s
sales charge)
– 1 or 6 = No sales charge (CB, 3 years)
– 2 or 7 = No Load
** Total must equal 100% of the Premium
invested in the Funds.
*** Minimum $500
High Interest Savings Account: __________________________ % or $
Daily Interest Fund
+
(DIF
+
): ____________________________ % or $
Investment funds: ____________________________________ % or $ (Complete table A below.)
Guaranteed Interest Fund (GIF): __________________________ % or $ (Complete table B below.)
Table A (Investment funds)
Fund no.* If FEL, % of premiums
% or $ **
Table B (Guaranteed Interest Fund)
Amount ($)*** Rate (%) Term Type of interest
1 month or ________ years Compound(default) Simple
________ years
Compound(default) Simple
B – Guarantee Maturity Date
Complete only if this is the first purchase of Funds
in an Ecoflex series.
Guarantee Maturity Date:
Y M D
C – Dollar Cost Averaging (DCA)
The transfer will be made on the date of transfer
indicated or on the next business day. If no date
of transfer is indicated, said date is deemed to be
the date this request is received. The transfer will
be in effect until the first of the following events:
the end of the number of months indicated or
the total depletion of all the Premiums initially
invested in the Money Market Fund (DCA).
If no duration of transfer is indicated, said duration
is automatically established at 12 months.
Date of monthly transfer:
Duration of transfer – Number of months (min. 2, max. 12):
Fund no.* If FEL, % of premiums
% or $ **
PART 4
F31A(20-09)
A – Pre-authorized debit (PAD) (DO NOT ENCLOSE A PAD PAYMENT WITH THE APPLICATION.)
Minimum repayment of $25 per frequency
Specify future date on which PAD payments are
to begin.
Attach a “VOID” cheque or enclose a duly completed
written confirmation from the financial institution.
Frequency: Monthly
PAD amount: The PAD amount is equal to the monthly payment amount indicated in the Information Box. If you have chosen
the principal-and-interest repayment option and if you want to repay the loan by installments greater than the monthly payment
amount specified in the Information Box, please indicate this amount here:
$
Starting on: The first of the month which follows the date iA Financial Group approves the investment loan application
!
A period of three business days following approval at the service centre is required for PAD activation.
PAD category: Personal
Transit:
Institution: Bank account no.:
Name of account owner(s): _________________________________________________________________________
By signing below, I, the bank account owner, confirm I have read, understand and agree to the information and provisions of the
PAD Agreement in this application.
For a joint account, all required signatories must sign this PAD Agreement.
X ___________________________________________
X
_________________________________________
Bank account owner’
s signature
Joint account owner’s signature (if required)
Date:
Y M D
B – Pre-Authorized Debit (PAD) Agreement
The bank account owner confirms
he/she has read, understands and agrees
to the information and provisions of
the PAD Agreement in this application.
In this PAD Agreement, each account owner is referred to as “I” and makes the following statements in respect to himself or herself:
I authorize Industrial Alliance Insurance and Financial Services Inc. (the “Company”) and the financial institution designated
(or any other financial institution I may authorize at any time) to begin deductions as per my instructions for regular recurrin
g
payments and/or one-time payments from time to time, if applicable, for payment of all premiums, deposits, instalments
and charges arising from the Loan Contract mentioned herein.
Regular payments will be debited on the fir
st of the month, whereas one-time payments from time to time can be debited
from my account on any date. Regular and/or one-time payments will be debited in accordance with the banking
information provided in this application.
I agree that, for the purpose of this PAD Agreement, all P
ADs from my account will be treated as Personal.
I waive the right to receive pre-notification of an increase or decrease in the amount to be debited or a change
in the date and/or frequency of these payments.
I agree that the Company is not required to provide me with written notice of a change in a PAD amount that is made as a
result of my request.
If a PAD is dishonoured for any reason such as, but not limited to, insufficient funds (“NSF”), stop payment or account closed,
the Company is authorized to re-submit the payment.
Any charges incurred by the Company as a result of the
dishonoured PAD will be added to the subsequent PAD.
I may cancel or change this PAD Agreement at any time, subject to providing the Company thirty (30) days notice in writing.
T
o obtain a cancellation form or for more information on my right to cancel the PAD Agreement, I may contact my financial
institution or visit www.payments.ca regarding Rule H1 – Pre-authorized debits (PADs).
The Company will not assign this PAD Agreement without providing, any time prior to the next P
AD, written
notice to me of the assignment.
I have certain recourse rights if any PAD does not comply with this P
AD Agreement. For example, I have the right to receive
reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain more information
on my recourse rights, I should contact my financial institution or visit www.payments.ca regarding Rule H1 – Pre authorized
debits (PADs).
Before the Company debits the first PAD payment, it must receive all required documents, duly completed, and be allowed a
reasonable period of time to complete its administrative processes.
I confirm that all persons whose signature is required to authorize transactions within the account have signed hereabove.
PART 5
F31A(20-09)
A – General Conditions, Authorizations and Signatures
The loan application is subject to approval by iA Financial Group.
The undersigned Borrower is referred to as “I” in the Loan Agreement and makes the following statements in respect of himself or herself.
1. I hereby confirm that I have requested that this Loan Agreement be drafted in the English language only.
2. I acknowledge that I have read and understand the “NOTICE CONCERNING THE EFFECT OF THE USE OF A LEVERAGE LOAN WHEN INVESTING IN SEGREGATED FUNDS THROUGH
A NON-REGISTERED INDIVIDUAL VARIABLE ANNUITY CONTRACT” in this Loan Agreement.
3. I acknowledge that I have read this “GENERAL CONDITIONS, AUTHORIZATIONS AND SIGNATURES” section and section B “SPECIFIC CONDITIONS” as set out in Part 6 of this Loan
Agreement, and I agree to abide by these conditions.
4. I confirm that the information provided in this Loan Agreement, including the information provided in the INCOME and BALANCE SHEET sections of Part 2 of this Loan Agreement is
complete, accurate and true, and I acknowledge that iA Financial Group will rely on the accuracy of this information in determining whether to approve the loan application. I agree to
notify iA Financial Group in writing of any change in my financial situation that may affect my ability to repay the loan. I declare that my assets are not currently the subject of seizure,
garnishment or of any other similar procedure. I also confirm that, to the best of my knowledge, no lawsuits or legal proceedings have been, or are about to be, brought against me.
5. I request that the amount borrowed be invested in full in the Non-registered Annuity Contract specified in section B of Part 3 of this Loan Agreement on the date of the advance under this loan.
6. I hereby assign by way of security or, if I live in Quebec, hypothecate, in favour of iA Financial Group, the Non-registered Annuity Contract specified in section B of Part 3 of this Loan
Agreement, which I will continue to own but may not surrender, either in whole or in part, or obtain a policy loan against, until the Loan Amount has been repaid in full.
7. I understand and agree that the monthly payment amount, the total of all monthly payments, and the total interest charges over the term of the loan may vary due to
changes to the Prime Rate subsequent to signing the loan application, and the amortization period may differ from the repayment term if the principal-and-interest
repayment option has been selected. I acknowledge that the monthly payment amount, the total of all monthly payments and the total interest charges over the term
of the loan set out in Part 3 of this Loan Agreement are based on reasonable assumptions and estimates at the time I signed the loan application.
8. I understand and agree that if I have indicated an outstanding balance from a previous loan under the heading “Total Principal Amount” of the Information Box of this
Loan Agreement, this outstanding balance will now be governed by the terms and conditions of this Loan Agreement. The terms and conditions provided under the previous
contract are revoked by iA Financial Group’s acceptance of this loan application and any outstanding balance(s) from the previous loan(s) shall be repaid in accordance with the terms and
conditions of this Loan Agreement.
9. I agree to repay the Loan Amount in full, which includes accrued interest and all other amounts due, in accordance with the terms and conditions of this Loan Agreement.
10. I acknowledge and agree that the Loan Amount must be repaid in full, including accrued interest and all other amounts due, before the Non-registered Annuity Contract can be
surrendered, in whole or in part, transferred, or converted to an annuity or any other retirement product.
11. In the event of any request to surrender the Non-registered Annuity Contract in whole or in part, or any request to transfer the Non-registered Annuity Contract, I authorize iA Financial Group
to apply the proceeds to the reimbursement of the Loan Amount.
12. I acknowledge and agree that if I am in default under any of the terms or conditions of this Loan Agreement for more than sixty (60) days, the total Loan Amount, which includes
accrued interest and all other amounts due, shall immediately become due and payable in full. Quebec Borrowers should also refer to the “Clause of forfeiture of benefit of the term”
in paragraph 19 of section B of Part 6 of this Loan Agreement.
13. I agree to pay all legal costs and expenses incurred by iA Financial Group to recover the amounts due if I am in default under any of the terms or conditions in this Loan Agreement for
more than sixty (60) days.
14. I authorize all credit agencies, financial institutions, taxation authorities, public bodies, or any other persons or organizations that hold personal information about
me, including financial information or information about my credit history, to supply and exchange this information with iA Financial Group, its affiliates, or its
representatives and agents, for the purposes of evaluating this loan application, administrating and enforcing the Loan Agreement, and for marketing purposes.
I further authorize iA Financial Group to supply and exchange my personal information with its affiliates, representatives and agents for the purposes in the preceding sentence.
A photocopy of this authorization will be as valid as the original.
15. I authorize iA Financial Group to withdraw the agreed payments in accordance with section A of Part 5 of this Loan Agreement. I confirm that all required signatories of the account at
the financial institution have signed the PAD Agreement in section A of Part 5 of this Loan Agreement and I agree to provide such authorization agreement(s) as may be required by my
financial institution or by iA Financial Group to enable iA Financial Group to withdraw the payments as indicated.
16. I request that iA Financial Group advise me of any other credit offer that would allow me to invest the amount borrowed in a non-registered individual variable annuity contract,
including any possible increase in credit that may be granted to me under the terms and conditions of this Loan Agreement.
I accept the terms and conditions of this Loan Agreement, including the “Specific Conditions” that follow, and I acknowledge that I have received a copy of the Investment Loan Application
and Agreement.
Signature
X _______________________________________________ X _______________________________________________
Borrower’s signature Agent’s signature
Signed at __________________________________________________ , this ____________ day of __________________ 20
_____
Irrevocable Beneficiary
(If an irrevocable beneficiary
is designated under the
Non-registered Annuity
Contract)
I, the irrevocable beneficiary of the Non-registered Annuity Contract specified in section B of Part 3 of this Loan Agreement (the “contract”), accept
and agree that the Borrower assigns the contract by way of security or, if the Borrower resides in Quebec, hypothecates the contract in favour of
iA Financial Group for an amount not exceeding the Loan Amount. If I reside in the province of Quebec, I hereby grant a movable hypothec with
delivery in favour of iA Financial Group over all of my rights to and under this contract, including my right to the death benefit.
X
________________________________________________
Irrevocable beneficiary’s signature
PART 6
F31A(20-09)
B Specific conditions
1. Definitions
For the purposes of this Loan Agreement, the following definitions apply:
i.
“Amount in Arrears” means an amount due and owing as a result of non-compliance with this Loan Agreement, and may include principal, accrued interest and administrative fees;
ii.
“Anniversary Date” means the last day of each one-year period starting from the Effective Date of this Loan Agreement;
iii.
“Book Value” means the book value of the Non-registered Annuity Contract as determined pursuant to the provisions of the Non-registered Annuity Contract;
iv.
“Borrower” means the loan applicant whose name appears in section B of Part 1 of this Loan Agreement and for the purposes of #19 of section B of Part 6 of this Loan Agreement
constitutes the “Consumer”;
v. “Collateral Assignment” means the assignment of the Non-registered Annuity Contract by the Borrower in favour of iA Financial Group under this Loan Agreement;
vi.
“Effective Date” means the date this Loan Agreement comes into effect, which corresponds to the date the loan application is approved by iA Financial Group;
vii.
“iA Financial Group” means Industrial Alliance Insurance and Financial Services Inc. and for the purposes of #19 of section B of Part 6 of this Loan Agreement constitutes the “Lender”
and “Merchant”;
viii. “Interest Rate” means the variable annual rate of interest determined from time to time by iA Financial Group pursuant to this Loan Agreement and, more specifically, is the rate equal
to the Prime Rate plus the increment as stated in section A of Part 3 of this Loan Agreement;
ix. “Loan Agreement” means the six (6) parts of this document and any other document used to create this Loan Agreement. This Loan Agreement may be modified at the request of
the Borrower, subject to approval by iA Financial Group. For the purposes of #19 of section B of Part 6 of this Loan Agreement, this “Loan Agreement” constitutes the “Contract”;
x. “Loan Amount” means the total of the Total Principal Amount plus any accrued interest and all other amounts due in accordance with this Loan Agreement, less any repayment of
principal, interest or other amounts due;
xi. “Maturity” means the twentieth (20th) Anniversary Date of the Loan Agreement;
xii.
“Movable Hypothec” means the Movable Hypothec with delivery of the Non-registered Annuity Contract hypothecated by the Borrower in favour of iA Financial Group under this
Loan Agreement. The provisions pertaining to Movable Hypothec apply only if the Borrower is a resident of Quebec;
xiii. “Non-registered Annuity Contract” means the non-registered individual variable annuity contract issued or to be issued by iA Financial Group and indicated in section B of Part 3 of
this Loan Agreement, in which the Total Principal Amount will be invested in and for which a Movable Hypothec with delivery or a Collateral Assignment is granted by the Borrower
under this Loan Agreement;
xiv.
“Prime Rate” means the annual rate of interest announced by the Royal Bank of Canada, from time to time, as its prime rate in Canada, being a reference rate then in effect for
determining interest rates on loans, made in Canadian currency, in Canada;
xv. “Total Principal Amount” means the amount of the current investment loan granted by iA Financial Group after having processed the loan application.
2. Interest rate
The Interest Rate for the purposes of the daily calculation of the monthly interest owed on the Total Principal Amount and the Amount in Arrears varies in accordance with the increase or
decrease of the Prime Rate. This increase or decrease can affect the loan amortization period under the principal and interest repayment option.
3. Repayments
For the interest-only repayment option, the monthly payments will first be credited to the Amount in Arrears and then to the payment of accrued interest.
For the principal-and-interest repayment option, the monthly payments will first be credited to the Amount in Arrears, then to the payment of accrued interest, and then to the balance
owing on the Total Principal Amount.
If the repayment option chosen is interest only and the balance under this loan contract is at any time equal to or greater than 125% of the Book Value of the non-registered annuity contract
granted as collateral assignment (or hypothecated in the province of Quebec), iA Financial Group reserves the right to convert the interest-only repayment option to the principal-and-interest
option. After the conversion, the new amount of monthly payments will be established according to the interest rate applicable at that time and an amortization period of 20 years. The converted
loan remains subject to the terms of this Loan Agreement. Regardless of the repayment option and term selected, any balance owing on the Loan Amount shall be due and payable upon
Maturity without formal demand or notice.
The Borrower may, at any time, repay all or a portion of the Loan Amount.
While the Loan Agreement is in effect, the Borrower may switch to another repayment option, subject to approval by iA Financial Group.
4. Use of the loan
The loan must only be used to invest in a non-registered individual variable annuity contract issued by iA Financial Group. Any other use of the loan without written authorization from
iA Financial Group results in the suspension of the rights to use the loan and requires the Borrower to immediately repay the Loan Amount in full.
The amount borrowed shall be advanced and credited to the Non-registered Annuity Contract following iA Financial Group’s approval of the loan application. Before approving an application,
iA Financial Group must receive all required documents, duly completed, and be allowed a reasonable period of time to process the application and complete its administrative processes.
5. Special fees
In addition to other recourses available and iA Financial Group’s service charge, administrative fees shall be charged for each cheque that is returned due to insufficient funds (“NSF”) and
for each PRE-AUTHORIZED CHEQUE PAYMENT/PRE-AUTHORIZED DEBIT (PAC/PAD) that is not honoured for any reason such as, but not limited to, NSF, stop payment or account closed.
In accordance with applicable law and its administrative policies in effect, iA Financial Group reserves the right to impose transaction fees, among others, for any authorized loan that is
cancelled within sixty (60) days following its issue.
PART 6
continued
F31A(20-09)
6. Statements
iA Financial Group shall provide a disclosure statement once every twelve (12) months.
Any future correspondence, including the annual disclosure statement, is deemed to have been received by the Borrower on the fifth (5th) business day after its postmark date. The Borrower
must notify iA Financial Group in writing of any errors or omissions within thirty (30) days following receipt of the statement, otherwise it will be deemed to be accurate and complete.
7. Currency
All amounts payable to or by iA Financial Group shall be in the legal currency of Canada.
8. Type of loan
a) 100% investment loan without margin call
There is no cash investment required from the Borrower.
b) 1:1 investment loan without margin call
If the Total Principal Amount is to be invested in a newly issued Non-registered Annuity Contract, the Total Principal Amount may not exceed the value of the cash investment made by
the Borrower on the date iA Financial Group approves the loan application.
If the Total Principal Amount is to be invested in an existing Non-registered Annuity Contract, the Total Principal Amount may not exceed the Book Value of the Non-registered Annuity
Contract on the date iA Financial Group accepts the loan application. The Borrower has the option to make up the difference (Total Principal Amount – Book Value of the Non-registered
Annuity Contract) by making a cash investment in the Non-registered Annuity Contract.
9. Movable hypothec (applicable if the Borrower resides in Quebec)
To guarantee repayment of the Loan Amount, the Borrower hereby grants a Movable Hypothec in favour of iA Financial Group with delivery of all rights, including the surrender privilege and
the right to the amounts invested in the segregated funds or in any other investment vehicles pursuant to the Non-registered Annuity Contract indicated in section B of Part 3 and held with
iA Financial Group, up to a maximum of the Loan Amount. To this end, the Borrower has surrendered to iA Financial Group all copies of the hypothecated Non-registered Annuity Contract in
his/her possession or under his/her control.
iA Financial Group may, but is not required to, exercise any of the rights associated with the hypothecated Non-registered Annuity Contract, or issue a notice to any person obliged to pay
a debt or settle an obligation associated with said contract.
The Borrower shall pay all fees including, but not limited to, extrajudicial fees, disbursements, costs and expenses as may be incurred by iA Financial Group in the context of preparing,
signing and, where applicable, registering the Movable Hypothec with delivery granted pursuant to this Loan Agreement. Where applicable, the Borrower shall pay all fees and expenses
incurred by iA Financial Group for the purpose of pleading, negotiating, and litigating, or otherwise enforcing, its rights and recourses set out pursuant to this Loan Agreement or pursuant to
the law.
The Borrower represents and warrants that the hypothecated Non-registered Annuity Contract is and shall be, at all material times, free and clear of any pledge, movable hypothec (other
than this Movable Hypothec), prior claim, lien, security interest or charge or any agreement capable of becoming a pledge, movable hypothec, prior claim, lien, security interest or charge.
The Borrower shall keep the hypothecated Non-registered Annuity Contract free and clear of any income tax, pledge, movable hypothec, prior claim, lien, security interest or other charge
of whatever nature. The Borrower acknowledges that iA Financial Group is relying on such representations and that such representations shall be confirmed in writing as of the date of
any advance prior to the disbursement of any such advance.
The Borrower agrees to refrain from executing or permitting the execution of any transaction(s) that result or may result directly or indirectly in the sale, assignment, exchange or liquidation
of the Non-registered Annuity Contract, or in the creation of any pledge, movable hypothec, prior claim, lien, security interest or other charge of any kind whatsoever in respect of the
hypothecated Non-registered Annuity Contract, without iA Financial Group’s prior written consent.
The Movable Hypothec with delivery granted under the Loan Agreement is in addition to, and does not replace, any other security that is currently or may in the future be held by
iA Financial Group. Said Movable Hypothec shall remain in effect until such time as the Loan Amount has been repaid to iA Financial Group in full and a written notice has been sent to
the Borrower confirming that iA Financial Group grants a release from said Movable Hypothec.
The Borrower agrees to execute any document that iA Financial Group may require to give full effect to this Movable Hypothec.
10. Collateral assignment (applicable if the Borrower resides in a province other than Quebec)
To guarantee repayment of the Loan Amount, the Borrower hereby assigns as security to iA Financial Group all rights pursuant to the Non-registered Annuity Contract indicated in section B
of Part 3 and held with iA Financial Group, up to a maximum of the Loan Amount. To this end, the Borrower has surrendered to iA Financial Group all copies of the assigned Non-registered
Annuity Contract in his/her possession or under his/her control.
iA Financial Group may, but is not required, to exercise any of the rights associated with the assigned Non-registered Annuity Contract, or issue a notice to any person obliged to pay a debt
or settle an obligation associated with the assigned Non-registered Annuity Contract.
The Borrower shall pay all fees and expenses including, but not limited to, extrajudicial fees, disbursements, costs and expenses as may be incurred by iA Financial Group in the context of
preparing, signing and, where applicable, registering the security granted under this Loan Agreement. Where applicable, the Borrower shall pay all fees and expenses incurred by
iA Financial Group for the purpose of pleading, negotiating, and litigating, or otherwise enforcing, its rights and recourses set out pursuant to this Loan Agreement or pursuant to the law.
The Borrower represents and warrants that the assigned Non-registered Annuity Contract was not previously assigned and is free and clear of any pledge, priority, lien, security interest or
charge other than the assignment granted hereby. The Borrower shall keep the assigned Non-registered Annuity Contract free and clear of any income tax, pledge, lien, security interest or
other charge of whatever nature. The Borrower agrees not to enter into any transaction or permit any transaction to be entered into which results or could result directly or indirectly in the
sale, assignment, exchange or liquidation of the assigned Non-registered Annuity Contract or the creation of any pledge, lien, security interest or other charge of any kind on the assigned
Non-registered Annuity Contract without iA Financial Group’s prior written consent.
The Borrower agrees to refrain from executing or permitting the execution of any transaction(s) that result or may result directly or indirectly in the sale, assignment, exchange or liquidation
of the assigned Non-registered Annuity Contract, or in the creation of any pledge, collateral assignment, prior claim, lien, security interest or any other charge of any kind whatsoever in
respect of the assigned Non-registered Annuity Contract, without iA Financial Group’s prior written consent.
This Collateral Assignment is in addition to, and does not replace, any other security that is currently or may in the future be held by iA Financial Group. Said Collateral Assignment is a
continuous security and shall remain in effect until such time as the Loan Amount has been repaid in full to iA Financial Group and a written notice has been sent to the Borrower confirming
that iA Financial Group grants a release from said Collateral Assignment.
The Borrower agrees to execute any document that iA Financial Group may require to give full effect to this Collateral Assignment.
continued
PART 6
F31A(20-09)
11. Default
Default occurs under this Loan Agreement when:
the Borrower has failed to pay an amount owing on a scheduled payment;
the value of iA Financial Group’s security in the assigned or hypothecated Non-registered Annuity Contract diminishes for any reason, including but not limited to, the surrender of a
sum of money invested in the assigned or hypothecated Non-registered Annuity Contract or the payment of any benefit under the assigned or hypothecated Non-registered Annuity
Contract, or iA Financial Group has any reason to believe that the value of its security in the assigned or hypothecated Non-registered Annuity Contract will diminish;
the Borrower fails to fulfill an obligation set out in the assigned or hypothecated Non-registered Annuity Contract and does not remedy the situation within ten (10) days after notice is
given by iA Financial Group advising of said default;
the Borrower becomes or is about to become insolvent or bankrupt, assigns his assets to his creditors, takes advantage, or attempts to take advantage of, the Bankruptcy and
Insolvency Act (Canada) (the “Act”) or any other legislation relating to arrangements with creditors;
the Borrower ceases to honour his obligations in the normal course of business as they fall due;
the Borrower or the assigned or hypothecated Non-registered Annuity Contract is the subject of a receiving order, liquidation order, dissolution order or any other such order;
the Borrower is in arrears or fails to remit taxes or other charges that he/she is legally required to pay to the appropriate government authorities;
the Borrower does not fulfill any obligation arising herein and does not remedy the situation within ten (10) days after notice is given by iA Financial Group advising of said default;
any of the information or documentation provided by the Borrower to iA Financial Group herein proves to be false, incomplete or inaccurate;
the Borrower passes away.
12. Company’s remedies
In the event of default, iA Financial Group, without giving formal notice, may exercise any of its contractual or statutory rights or remedies, including but not limited to, the right to surrender the
assigned or hypothecated Non-registered Annuity Contract as indicated in section 14 below, a personal action, and the hypothecary rights and remedies (if the Borrower resides in Quebec)
allowed by law. In all cases, iA Financial Group is entitled to payment of all of its expenses.
iA Financial Group’s failure to exercise a right shall not constitute a waiver of such right for the future. Moreover, iA Financial Group’s approval of the payment of a sum of money by the
Borrower following default shall not constitute a waiver of its other rights and remedies. iA Financial Group’s decision to exercise one or more of its rights under this Loan Agreement or
under the law shall not prevent it from exercising any other rights that it may possess.
13. Forfeiture of term
In the event of default and subject to section 19 “Clauses required under the Quebec Consumer Protection Act and Regulations”, iA Financial Group may, but is not required to claim
forfeiture of term and to demand immediate payment of the full Loan Amount.
14. Right to surrender the assigned or hypothecated non-registered annuity contract
In addition to the other remedies provided in this Loan Agreement, in the event of default iA Financial Group is hereby authorized, irrevocably and without additional authorization from the
Borrower being required, to surrender all or part of the assigned or hypothecated Non-registered Annuity Contract in order to remedy said default, up to the balance of the Loan Amount.
15. Termination of contract prior to maturity
Should the Borrower die or become unable to make the monthly payments, iA Financial Group may terminate the present Loan Agreement and demand immediate payment of the Loan Amount.
Furthermore, the Borrower acknowledges that if, further to legislative or regulatory changes or an interpretation by the courts of any law, regulation(s) or this Loan Agreement, iA Financial
Group can no longer legally grant this loan or any additional loans, or can no longer legally fulfill all or some of its obligations under this Loan Agreement, iA Financial Group may terminate
this Loan Agreement and demand immediate payment of the full Loan Amount.
16. Borrower’s declarations
The Borrower declares the following:
No claims are pending, or in process, against the Borrower, and no action, suit or proceeding is threatened, pending or in process against the Borrower or his/her property which could
adversely affect the Borrower’s financial situation;
The Borrower is not in default under the contracts to which he/she is a party;
The Borrower is not in arrears in his/her income tax payments or in any other taxes or remittances that he/she is legally bound to pay to a government authority; and
The Borrower has the requisite power and capacity to enter into this Loan Agreement and to comply with the obligations stipulated herein.
17. Approval of the loan
The Borrower acknowledges that the coming into force of this Loan Agreement is subject to approval of the loan application by iA Financial Group, at its sole discretion, and that iA Financial
Group makes no representation whatsoever that such approval shall be granted. Prior to any loan advance, iA Financial Group must receive all required documents, duly completed and signed
by the Borrower. The Borrower understands that no loan application shall be approved by iA Financial Group without the consent of the irrevocable beneficiary, where an irrevocable
beneficiary has been designated in the assigned or hypothecated Non-registered Annuity Contract.
18. Non-liability of iA Financial Group
In no case shall iA Financial Group be liable for any losses, damages or expenses of any kind whatsoever that are sustained or incurred by the Borrower in relation to this Loan Agreement.
More specifically, but without limiting the generality of the foregoing, iA Financial Group shall not be liable for any indirect losses or damages, lost profits or any other special or consequential
damages for any acts or omissions by iA Financial Group relating to its obligations contained in the Loan Agreement or otherwise at law.
Furthermore, iA Financial Group shall not be liable for any losses, damages or expenses sustained or incurred by the Borrower due to iA Financial Group’s failure to disburse part or all of
the Total Principal Amount in relation to the investments, or through any other use of the Total Principal Amount by the Borrower or in relation to the garnishment, recovery, realization or
exercise of any rights and remedies of iA Financial Group with respect to the assigned or hypothecated Non-registered Annuity Contract.
continued
PART 6
F31A(20-09)
19. Clauses required under the Quebec Consumer Protection Act and Regulations (for Quebec Borrowers only)
“Contract for the loan of money”
1. The Consumer may cancel this Contract without charge within two (2) days following that on which each party takes possession of a duplicate of this Contract.
To cancel the Contract, the Consumer must:
a) return the money to the Merchant or its representative if he/she received the money at the time each party took possession of a duplicate of the Contract;
b) send a notice in writing to that effect, or return the money to the Merchant or its representative if the money was not returned to him/her at the time each party took possession of
a duplicate of the Contract.
The Contract is cancelled, without further formality, as soon as the Consumer returns the money or forwards the notice.
2. If the Consumer uses the money to make full or partial payment for the purchase or lease of goods or services, he/she may, if the money Lender and the vending or leasing Merchant
regularly work together with a view to the granting of loans of money to consumers, plead against the money Lender any ground of defence that he/she may urge against the vending
or leasing Merchant.
3. The Consumer may pay, in whole or in part, the amount of his/her obligation before Maturity.
The balance due is equal at all times to the sum of the balance of net capital and credit charges computed in accordance with the Act and the General Regulation made under the Act.
4. The Consumer may, once a month and without charge, request a statement of account from the Merchant; the latter must furnish him/her with the statement of account or forward it to
him/her as soon as possible but at the latest within ten (10) days of the receipt of the request.
In addition to the statement of account prescribed above, the Consumer who wishes to pay the balance of his/her obligation before Maturity may, at all times and without charge, request
a statement of account from the Merchant; the latter must furnish him/her with the statement of account or forward it to him/her as soon as possible but at the latest within 10 days of the
receipt of the request.
It is in the Consumer’s interest to refer to sections 73, 74, 76, 91, 93 and 116 of the Consumer Protection Act (R.S.Q., c. P-40.1) and, where necessary, to contact the Consumer Protection Agency.
“Clause of forfeiture of benefit of the term”
Before availing itself of clause 12 of section B of Part 6, the Merchant must send the Consumer a notice in writing and a statement of account. Within 30 days following receipt by the
Consumer of the notice and the statement of account, the Consumer may:
a) either remedy the fact that he/she is in default; or
b) present a motion to the court to have the terms and conditions of payment prescribed in this Contract changed.
It is in the Consumer’s interest to refer to sections 104 to 110 of the Consumer Protection Act (R.S.Q., c. P-40.1) and, where necessary, to contact the Consumer Protection Agency.
20. Miscellaneous
Applicable laws – The Loan Agreement shall be governed by the laws in force in the Borrower’s province of residence.
Severability – Each provision of the Loan Agreement shall apply to the extent permitted by law, and the total or partial invalidity or unenforceability of a provision shall have no impact on
the rest of such provision nor on any other provision of this Loan Agreement.
Other documents – The Borrower shall, at his/her own expense and as soon as iA Financial Group so requests, prepare and sign all documents and take all measures as may reasonably
be required by iA Financial Group to give full effect to the Loan Agreement and to the Collateral Assignment or Movable Hypothec with delivery that is assigned or granted herein.
File and personal information – In order to ensure the confidentiality of your personal information, iA Financial Group shall establish a file containing this Loan Agreement. The
information in your file shall be used for the purposes of evaluating this loan application, administering and enforcing the Loan Agreement and for marketing purposes.
Access to your personal information shall be limited to iA Financial Group’s employees, agents or service providers in the performance of their duties, to individuals to whom you have
granted access and persons authorized by law. You have the right to request access to your personal information contained in this file and, if necessary, to correct any inaccurate
information. In order to do so, send a written request to:
Industrial Alliance Insurance and Financial Services Inc.
Chief Privacy Officer
1080 Grande Allée West
PO Box 1907, Station Terminus
Quebec City, Quebec G1K 7M3
iA Financial Group may establish a list of clients for marketing purposes for use by iA Financial Group or the companies in its group. To have your name removed from this list, send a written
request to the Chief Privacy Officer at the above-mentioned address.
Denis Ricard
President and Chief Executive Officer
Jennifer Dibblee
Corporate Secretary
continued
PART 6
F31A(20-09)
F31A
Application
iA Financial Group is a business name and trademark of
Industrial Alliance Insurance and Financial Services Inc.
ia.ca
About iA Financial Group
Founded in 1892, iA Financial Group
offers life and health insurance
products, mutual and segregated funds,
savings and retirement plans, RRSPs,
securities, auto and home insurance,
mortgages and car loans and other
financial products and services for both
individuals and groups. It is one of the
four largest life and health insurance
companies in Canada and one of the
largest publicly traded companies in the
country. iA Financial Group stock is
listed on the Toronto Stock Exchange
under the ticker symbol IAG.
F31A(20-09)
Telephone number: 1-844-4iA-INFO (1-844-442-4636) Information: savings@ia.ca
Quebec:
1080 Grande Allée West
PO Box 1907, Station Terminus
Quebec City, QC G1K 7M3
Fax: 418-684-5161
Transactions: IAQtransactions@ia.ca
Toronto:
522 University Ave., Suite 400
Toronto, ON M5G 1Y7
Fax: 1-800-810-0197
Transactions: IATtransactions@ia.ca
Vancouver:
400–988 West Broadway
PO Box 5900
Vancouver, BC V6B 5H6
Fax: 1-833-832-7474
Transactions: IAV-transactions@ia.ca
Customer Service contact information – Individual Savings and Retirement: