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SEGREGATED FUND TRADE TICKET

SEGREGATED fund NEW CLIENT PURCHASE SWITCH TRANSFER. TRADE TICKET EXISTING CLIENT REDEMPTION RED/PUR/CONVERSION. Dealer: 3057. SECTION 1 - PLAN REGISTRATION. Individual Individual ITF Joint JTWROS Joint JTIC Joint ITF Corporate Estate Formal Trust SECTION 2 - PLAN TYPE. Non-Registered RRSP RESP RRIF LIRA TFSA SRSP RDSP LIF (OTHER) _____. Plan ID _____. SECTION 3 - CLIENT INFORMATION. M M D D Y Y Y Y. First Name Last Name Date of Birth Social Insurance Number M M D D Y Y Y Y. First Name of Joint Applicant Last Name Date of Birth Social Insurance Number Street Address RESP/RDSP/IN TRUST FOR/BENEFICIARY ITF.

The return on your investments may be lower than the borrowing rate (after income tax is taken into consideration) and your investments may lose value and your financial institution may demand repayment of the loan. Remember: • You will need to repay the loan in full • You will need to pay all accumulated interest

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  Trade, Investment, Fund, Ticket, Segregated, Segregated fund trade ticket

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