*(c) Assets to be
Transferred in Kind
(as is)
Transfer these assets "in kind" (as is) to my RBC
Direct Investing account
* No. of Units/Shares * Security Description/Symbol
All
or
All
or
All
or
All
or
All
or
All
or
RBC Direct Investing Settlement Information
RBC Direct Investing Inc.
Account Transfers
Royal Bank Plaza
200 Bay Street, North Tower
P.O. Box 75
Toronto, Ontario M5J 2Z5
Customer Service: 1-800-769-2560, Option 4
RBC Direct Investing Dealer Information :
(For use by Delivering Institution only)
CUID: DOMA
Dealer Rep Code: 9190
DTC #: 5002
Euroclear: 90065
Client Authorization
Authorized Signature for Organization/Entity
X
Date
Print Name Title
I hereby request the transfer of my account and its assets as described above. Where I have
requested a transfer in cash, I authorize the liquidation of all or part of my investments and agree to
pay applicable fees, charges or adjustments. Please cancel all open orders (G.T.C./SWF/PAC/,etc.)
for my account on your books.
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 2016. All rights reserved.
E-FORM 40854 (06/2016)
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