Page 2 of 2
E-FORM 300324 (06/2017)
In accordance with the trust agreement under the above identified Tax-Free Savings Account (the "Account"), 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 persons identified on the first page as the Account beneficiaries entitled to receive all amounts
payable under the Account upon my death, in accordance with the Percentages of Entitlement identified on the first
page.
If no Percentage of Entitlement is stated on the first page under "Beneficiary Designation", or the Percentages of
Entitlement do not add up to 100%, I direct that the proceeds of my Account be divided equally among the surviving
beneficiaries or paid to the surviving beneficiary on my death, as the case may be. If any person named on the first page
predeceases me, I direct that their Percentage of Entitlement (as indicated on the first page) be divided equally among
the surviving beneficiaries or paid to the surviving beneficiary on my death as the case may be. For greater certainty, the
share of a deceased beneficiary will go in equal portions to the surviving beneficiary(ies). If none of the persons
identified on the first page survive me, I direct that the proceeds of my Account be paid to my estate 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 common-law 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 beneficiary 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 the province or territory of my 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 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.
I have expressly requested that this document be drafted in the English language only./ J’ai expressément demandé que
ce document soit rédigé en langue anglaise seulement.
date province or territory of execution
Holder's signature Accepted by RBC Direct Investing Inc.
as Agent for The Royal Trust Company
Return the completed form to:
RBC Direct Investing Inc.
Royal Bank Plaza
200 Bay Street, North Tower
P.O. Box 75
Toronto, Ontario M5J 2Z5
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.
