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SiT522 - Scotiabank

8979316 (08/14)Client Name:Account Number:Please send the funds to: my bank account at _____, account no. _____ the address on my account my regular (cash/margin) trading account number_____ _____ CLIENT SIGNATURE DATES cotia iTRADEFax: 1 800 569-9470or Mailing Address:Please accept this fax as my authorization for: a partial de-registration in the amount of $_____ .00, gross (pre-tax).There is a $ + GST fee charged per partial withdrawal a full de-registration of my RRSP.

8979316 (08/14) Client Name: Account Number: Please send the funds to: my bank account at _____, account no. _____ the address on my account

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