Registered Plans
Internal Transfer Form
Plan Holder Information
Family Name Given Name
Branch Stamp
Social Insurance Number Telephone Number
Applicable Pension Legislation
- -
( )
-
Pension Source
Provincial
Jurisdiction
And
Or
Company Name
Plan Type (Please identify your existing plan type)
Personal Spousal Locked-In
If Locked-in Pension
information must be
completed.
=>
Federal
Company Name
Complete For Spousal Plans Only
Contributor's Family Name Contributor's Given Name Contributor's Social Insurance Number
And
- -
(A) Transfer from a TD Canada Trust RSP
Transit # Plan # DISA RSP Account #
Full Plan Transfer Or Partial Plan Transfer
Transfer All Cash & GICs As They Are Specify what Part(s) of the Plan are to be transferred (Partial Transfer Only )
DISA RSP Account - $
Only
Term deposit # -
In-Kind (As it is)
Term deposit # -
In-Kind (As it is)
Term deposit # -
In-Kind (As it is)
Or
(B) Transfer from Other Internal Registered Plans (Select only one, using an "X")
Provide The Plan Number
TD Direct Investing
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Wealth Private Investment Advice
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Wealth Financial Planning
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Future Builder
TD Investment Services Inc.
TD Mutual Funds RSP/LIRA/LRSP/RIF/LIF/LRIF/RLSP/RLIF
TD Canada Trust RIO
FLEXI RIF/LIF/LRIF/RLIF
TD Wealth Private Investment Counsel
RSP/RIF/RLSP/PRIF/RLIF/LIRA/LRSP/LRIF/LIF
Tax-Free Savings Account
Other
Transfer Instructions (Select either "Full", or "Partial")
Full Plan Transfer "In-Cash"
(Sell all eligible investments and transfer the proceeds as Cash)
Or "In-Kind"
(Transfer cash / eligible investments as they are)
Or
Partial Plan Transfer "In-Cash" $ And/Or "In-Kind"
(Sell investments listed below and transfer the proceeds as cash)
shares/units Security Name shares/units Security Name
shares/units Security Name shares/units Security Name
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Customer Copy / Branch Copy
517656 (0415)
Clear Fields
Please Note: You cannot save a completed copy of this form on your computer. If you would like a copy for your records, please fill it in and print it.
(C) Transfer to Other Internal Registered Plans
(Must be completed for all Transfers)
(Select only one, using an "X")
Provide The Plan Number
TD Canada Trust RSP
Transit #
DISA RSP Account #
TD Direct Investing
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Wealth Private Investment Advice
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Wealth Financial Planning
SDRSP/LIRA/LRSP/SDRIF/LIF/LRIF/RLSP/RLIF
TD Future Builder
TD Investment Services Inc.
TD Mutual Funds RSP/LIRA/LRSP/RIF/LIF/LRIF/RLSP/RLIF
TD Canada Trust RIO
FLEXI RIF/LIF/LRIF/RLIF
TD Wealth Private Investment Counsel
RSP/RIF/RLSP/PRIF/RLIF/LIRA/LRSP/LRIF/LIF
Tax-Free Savings Account
Other
(D) Important - Must Be Completed
I acknowledge that market prices for assets may take a down turn prior to receipt of my instructions for sale.
Sale of securities may delay the completion of the transfer.
I acknowledge that, if a GIC or Term Deposit is transferred from a TD Canada Trust registered plan to a TD Waterhouse Canada Inc. registered plan, then
any maturity instruction of renew principal and interest shall be changed to payout principal and interest.
Planholder's Signature Branch Authorized Signature & Number RIC Number
- - - -
MM DD YYYY Branch Contact (Please Print Name) Branch Contact Telephone Number
For Head Office Use Only
Personal Locked-In RSP / LIRA RLSP
Spousal Locked-In RIF / LIF / LRIF RLIF
Date Request Received Date Request Completed
$
For RIF/SDRIF Account Only
Qualifying Non-Qualifying
Annual Minimum Paid $
Authorized Signature
This Form Is Not To Be Used For Buy Orders
TD Direct Investing, TD Wealth Financial Planning and TD Wealth Private Investment Advice are divisions of TD Waterhouse Canada Inc., a subsidiary of The Toronto-Dominion Bank.
TD Waterhouse Canada Inc. - Member of the Canadian Investor Protection Fund. TD Wealth Private Investment Counsel represents the products and services offered by TD Waterhouse Private
Investment Counsel Inc., a subsidiary of The Toronto-Dominion Bank.
® The TD logo and other trade-marks are the property of The Toronto-Dominion Bank.
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Customer Copy / Branch Copy
517656 (0415)
How To Complete The Form
Note: A different form must be used when transferring funds to more than one area or from more than one plan.
Section A - Transfer Instructions From a TD Canada Trust RSP
Complete this section only when transferring from a TD Canada Trust RSP. When Section A applies, Sections C and D must be completed.
Tick "Full Plan Transfer" if everything in the RSP plan is to be transferred (i.e. DISA RSP account and all associated GICs).
Tick "Partial Plan Transfer" if the customer does not wish to transfer the entire plan.
If "Partial Plan Transfer" is selected:
Tick "DISA RSP Account Full Balance" if the customer wishes to transfer the entire DISA RSP Account Balance.
Tick "DISA RSP Account - $............ Only" if the customer wishes to transfer a specific amount from their DISA RSP account. Enter the
requested transfer amount in the space provided.
Tick "GIC Deposit #...........-....... In-Kind (As it is)" when the customer wishes to transfer one or more of their GICs. Enter the GIC # and
the deposit number in the space provided.
Note: For GICs maturing within 3 business days ensure that the TRM maturity instructions are changed to "Deposit to DISA"
prior to transferring the deposit. When the maturity option has been changed, tick "DISA RSP Account - $........... Only" and enter
the value of the matured GIC in the space provided.
Note: For GICs with maturity dates longer than 3 days, transfer the GIC "In-Kind" (As it is).
Section B - Transfer Instructions For All Transfers From Other Internal Registered Plans
Complete this section when transfers from TD Direct Investing, TD Wealth Private Investment Advice, TD Wealth Financial Planning,
TD Wealth Private Investment Counsel, TD Investment Services Inc., TD Canada Trust RIO, or TD Future Builder are requested. When
Section B applies, Sections C and D must be completed.
Tick the appropriate box to indicate the source of the transfer. Enter the plan #.
And
Tick one box to indicate if the transfer is a:
Full Plan Transfer - customer has requested that all assets are to be transferred. Indicate whether the transfer is to be "In-Cash"/"In-Kind".
Or
Partial Plan Transfer - customer wants to transfer a specific cash amount or specific investments. Enter the dollar amount or quantity of
shares/units and the name of the security to be transferred.
Then tick the appropriate box to indicate if the transfer is:
In-Cash (meaning to sell all eligible securities & send the proceeds as "Cash").
Or
In-Kind (meaning to transfer the existing cash balance and eligible securities as they are).
Section C - Transfer To
Completion of this section is mandatory regardless of the type of transfer.
Indicate by ticking the appropriate box where the transfer is to go and insert the Plan # and if applicable the DISA RSP #.
Section D
Self explanatory. Ensure all information / authorizations requested are provided.
Forward the Transfer Documents to the Applicable Area:
TD Waterhouse Canada Inc. TD Canada Trust RIO TD Future Builder Service & Quality
TD Investment Services Inc. (TD Mutual Funds)
3500 Steeles Avenue East
Tower 2, 2nd Floor
Markham, ON L3R 0X1
3500 Steeles Avenue East
Tower 2, 2nd Floor
Markham, ON L3R 0X1
895 Don Mills Road
One Morneau Sobeco Centre, Suite 700
Toronto, ON M3C 1W3
Fax#: 1-855-280-3431
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Customer Copy / Branch Copy
517656 (0415)
END