Fillable Update/Change of Client Information (RBC Direct Investing)

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Update/Change of Client Information (RBC Direct Investing)

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E-FORM 4592 (06/2016)
Update/Change of Client Information
(Name Change and/or Out of Country Address Change)
Important Information:
•
Updates and/or changes will apply to all RBC Direct Investing
®
accounts in your name, including joint
accounts.
• For joint accounts, a separate form is required for each applicant to update their information.
• To avoid delays in processing your request, kindly ensure applicable Sections are completed accurately
and form is signed and dated.
• Once completed, forward to: RBC Direct Investing Inc., Royal Bank Plaza, 200 Bay Street, North Tower,
P.O. Box 75, Toronto, Ontario M5J 2Z5; or, drop off at your local RBC Royal Bank Branch.
For enquiries, contact us at 1-800-769-2560 or 416-977-1255 and speak with an Investment Services
Representative.
Note: ALL Sections of this form must be completed for a Name Change. Please contact us for additional
required documentation.
Personal Information
Name
First Name
Initial
Last Name
RBC Royal Bank/RBC Direct
Investing Client Card Number or
RBC Direct Investing Account
Number
Citizenship/SIN Information
Citizenship Are you a Canadian Citizen?
SIN #
Are you a U.S. Citizen or a U.S. resident
for tax purposes?
SSN #
U.S. Citizens or U.S. residents for tax purposes
will need to complete a W-9 form
Yes
No
Yes
No
Page 1 of 5
E-FORM 4592 (06/2016)
Address Information
Home Address
No. and Street
P.O. Boxes, General Delivery or c/o addresses are not
accepted
Apt./Ste. City
Province/State Postal/ZIP Code
Country
Phone Number (Residential / Cell)
( ) - / ( ) -
Email address
Mailing Address
(if different from above)
No. and Street
Apt./Ste. City
Province/State
Postal/ZIP Code
Country
Financial Information
Annual Income
Under $25,000
$25,000 - $49,999
$50,000 - $99,999 $100,000 and over
Total Net Worth
Net Liquid Assets
+
Net Fixed Assets
= Total Net worth
Page 2 of 5
E-FORM 4592 (06/2016)
Banking Information
For RBC Direct Investing joint accounts, if changing banking information on file to a sole account, the
bank account number must be in the name of the party requesting the change. Must be RBC Royal Bank
Account.
Note: Your RBC Royal Bank account number will be changed on all your RBC Direct Investing joint
accounts.
Account Details
Transit Number Account Number
Employment Information
Employment Details
Occupation
Type of Business
Employer Details Employer/School Name
No. and Street
City
Province/State
Postal/ZIP Code
Country
Business Phone Number
(
) -
Extension
Spouse or Common-law Partner Information
Spouse or Common-law Partner’s
Name
First Name Initial
Last Name
Page 3 of 5
E-FORM 4592 (06/2016)
Spouse or Common-law Partner’s
Employment Details
Occupation
Type of Business
Employer/School Name
Additional Information (Also required if employment or spousal information has been changed)
1 Are you a partner, director, officer or employee of a Member firm of the Investment Industry
Regulatory Organization of Canada or a relative or any such individual living in the same household?
Yes No
If yes, please list the name of the Member firm and provide
the required authorization letter from the Member firm:
2 Are you or your spouse/partner a director, senior officer, 10% shareholder or more, or insider of any
reporting issuer?
You:
Yes No
If yes, please indicate the name of issuer(s):
Spouse/Partner:
Yes
No Not Applicable
If yes, please indicate the name of issuer(s):
3 Do you or your spouse/partner, as individuals or in combination with others, control (directly or
indirectly) more than 20% of the voting securities of any reporting issuer?
Yes No
If yes, please indicate the name of issuer(s):
Please Note If I have answered “yes” to questions 2 or 3, I am aware of my obligations to report
purchases or sales and possible restrictions on trading these securities according to applicable securities
legislation.
Page 4 of 5
E-FORM 4592 (06/2016)
Acknowledgement and Agreement
I certify that the information entered is true, correct and complete in every respect and understand that the
changes requested will be applied to all accounts in my name.
Client Signature
X
Date
FOR RBC Direct Investing Use
Authorized RBC Direct Investing Employee Date
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.
Page 5 of 5
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UpdateChange of Client Information (RBC Direct Investing)

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Completed 27 August 2020

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