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For use by Delivering Institution only
Account Type:
RIF Spousal RIF
Non-QualifiedQualified
RSP LIRA Spousal RSP LRIF LIF PRIF RLIF RLSP
TFSA
Group RSP Group Spousal RSP
Spousal Plan (Complete if "Yes")
Spouse's Last Name
Spouse's Given Name Spouse's SIN #
Yes
No
Locked-in Funds
No
Yes
$
Applicable Pension Legislation:
If Provincial, specify legislation under which the pension
money/fund is governed(example: Alberta, B.C., etc.)
Federal
Provincial
Status of Plan Holder:
Member Spouse of Member
Former Spouse of Member
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 2018. All rights reserved.
Are All Funds to be Applied on a Unisex Basis?
YYYYDD MM
Authorized Signature
I certify that the information given in this section is true and complete in every aspect.
Contact Name
Percent %
or $
Dollar Amount
If no, what percentage/amount should be applied on a sex distinct basis?
Yes No
(
(416)
)
(555)
-
(5555)
(
(416)
)/
(555)
-
(5555)
Telephone Number Fax Number
Total Amount Transfered
E-FORM 3514M (01/2018)