Registered Account Beneficiary Addition or Change Form …

Registered Account Beneficiary Addition or Change Form For Registered Accounts (EXCEPT FOR RESIDENTS OF QUEBEC) Signature Signature of Annuitant Date (MM/DD/YYYY) 820 9316 (08/14) The undersigned (herein called the “Annuitant”) is the registered owner of the Registered Account (herein called the “Plan/Fund”) noted above.

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