Electronic Funds Transfer Service Form - TD

1 TD Account Number: Recurring EFTP lease allow up to 48 hours for initial set-up or for changes to Electronic Funds Transfer serviceChoose one: Cancel -Complete section C Non-Recurring EFT Bank Account Setup New Request -Complete sections A (if applicable) and BChoose one: Change -Complete sections A, B, or CName of Account Holder(s): Electronic Funds Transfer Service Form596574 (0818)At your request, TD Waterhouse canada Inc. ("TD") can Transfer Funds from your TD non-registered account directly into your Bankaccount at any financial institution in canada .

2 To take advantage of this Service , simply complete the appropriate section(s) below and bringthis form, along with a VOID cheque to your nearest TD branch. Weekly Bi-Weekly Semi-Monthly Monthly Quarterly Semi-Annually AnnuallyA - For Recurring EFT Frequency (Only)Amount: $Only one recurring EFT setupis permitted per Payment Date:(MM/DD/YYYY)If payment date falls on a weekend or bank holiday, the EFT will be processed on the preceding business day. If the cash balance in the account is less thanthe requestedpayment, only the available cash balance will be - EFT Bank Account Setup Register my TD canada Trust Chequing / Savings Account(s): Register my non-TD canada Trust Chequing Account(s) - Please attach VOID Cheque(s) (Void cheque must bepreprintedwith Client name)Account Transit one: Canadian $ US $ (Canadian Institution only)For recurringEFTsetup, only one bank account may be registered.

3 For non-recurringEFTsetup, a maximum of 3 bank accounts can be the maximum has been reached, register the new bank account information below, and indicate the bank account to be deleted in section Centre/Branch #:Logon ID: _____TD Employee Name: _____Office Use only:(all fields are mandatory)Wealth employees: Scan completed form, along with VOID cheque(s) forExternal (non-TDCT) financial institutions, and submit both via the branches ONLY: Scan completed form, along with VOID cheque(s) forExternal (non TDCT) financial institutions, and submit both via email line: New EFT Set-up Request.

4 *The above generic email address may be used for frequency and amountchanges to an existing EFT without attaching this TD employee submitting this form must confirm the identity of the client and obtain all appropriate approvals before Holder SignatureNOTE: Please include signatures for all signing authorities (where applicable) for non-personal accounts. Joint accounts do not require multiple - Delete the following bank accounts from the EFT Service :Institution Transit Transit Recurring EFT, please indicate amount$I direct TD to act on any verbal instructions I give changing my instructions as to the Transfer amount, frequency of Transfer or participation in theElectronic Funds Transfer Service ("Instructions").

5 TD shall be entitled to consider the Instructions to be ofthe same force and effect as written instructionsfrom me and shall be under no obligation to verify the Instructions. I hereby release TD from all liability and indemnify it from all costs and damageswhatsoever in any way relating to or arising from any action taken or not taken in relation to Waterhouse canada Inc. is a subsidiary of The Toronto-Dominion Bank. TD Waterhouse canada Inc. - Member of the Canadian Investor Protection TD logo and other trade-marks are the property of The Toronto-Dominion Bank.