Receipt of Funds Record
Form 635
for use in the Province of Ontario
This document has been prepared by The Canadian Real Estate Association to assist members in complying with requirements
of Canada’s Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations. © 2014-2017.
D. ADDITIONAL INFORMATION
D.1. If funds received in cash, indicate method of receipt:
F In Person F Mail F Armoured Car F Other, explain: .................................................
D.2. If an account is affected* by the transaction complete this section for each affected account**:
* An example of when an account is affected is when funds are received by cheque. The account from which the funds are drawn is “affected”.
**Add additional information for additional accounts, if necessary
Currency of transaction: F CAD F Other, explain: .......................................................
Account 1: Number of account: .......................................... Name of account holder: ..................................
Type of account: F Chequing F Saving F Trust F Other, explain: ..................................................................
Account 2: Number of account: ......................................... Name of account holder: ..................................
Type of account: F Chequing F Saving F Trust F Other, explain: ..................................................................
Account 3: Number of account: ......................................... Name of account holder: ..................................
Type of account: F Chequing F Saving F Trust F Other, explain: ..................................................................
Account 4: Number of account: ......................................... Name of account holder: ..................................
Type of account: F Chequing F Saving F Trust F Other, explain: ..................................................................
Account 5: Number of account: ......................................... Name of account holder: ..................................
Type of account: F Chequing F Saving F Trust F Other, explain: ..................................................................
NOTE: Where there are two agents involved in a transaction and the funds are deposited in the listing agent’s account the buyer’s agent is responsible
for completing the receipt of funds record. The buyer’s agent is not required to include the number and type of the listing agent’s account or the name
of the person or entity that is the holder of that account if, after taking reasonable measures, they are unable to do so, however if this occurs they must
complete Section E below. Further, if dealing with trust accounts, although the buyer’s agent must indicate that the funds were deposited into the listing
agent’s trust account, the buyer’s agent would not be required to include the number of the trust account or the name or entity that holds the trust
account.
Note that if multiple accounts are af fected, information on all accounts af fected needs to be recorded. For example, assuming the buyer’s agent transfers
funds from their account into the listing agent’s account, both accounts are affected by the transaction and therefore both numbers are to be recorded
on the Receipt of Funds Record. However, the features noted in the previous paragraph with respect to the listing agent’s accounts still apply.
E. RECEIPT OF FUNDS - REASONABLE MEASURES RECORD
Complete this section if applicable.
Measures taken
(check one):
FAsked listing agent for information
F Other, explain: .....................................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Reason why measures were unsuccessful
(check one):
FListing agent did not provide information
F Other, explain: .....................................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date on which above measures taken ...................................................................
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WEBForms Jun/2017
