Transcription of Registered Account Beneficiary Addition or Change Form For ...
1 Registered Account Beneficiary Addition orChange FormFor Registered Accounts( except for residents OF QUEBEC)SignatureSignature of AnnuitantDate (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 Annuitant has requested that Scotia Capital, acting as Agent for The Bank of Nova Scotia Trust Company, Trustee record on their recordsthe Beneficiary (ies) designated Annuitant understands that, at time of death, Letters Probate or a notarial copy of the Last Will and Testament may be required to be onfile with the Agent prior to disbursement of assets from the , therefore, in consideration of Scotia Capital updating their records, the Annuitant hereby agrees to indemnify and save harmless ScotiaCapital and the Trustee from and against all claims, demands, actions, suits, losses, charges, expenses.
2 Damages or liabilities whatsoever whichScotia Capital and the Trustee may sustain suffer or incur by reason of or in connection with such Beneficiary (s)Elected Annuitant (For RIF Accounts Only)WhereasNameSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance Allocated%RelationshipSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance NumberNamePercent Allocated%RelationshipSocial Insurance NumberScotia iTRADE (Order-Execution Only Accounts) is a division of Scotia Capital Inc.
3 ( SCI ). SCI is a member of the Canadian Investor Protection Fund and the Investment Industry Regulatory Organization of Canada. Scotia iTRADE does not provide investment advice or recommendations and investors are responsible for their own investment decisions. Registered trademark of The Bank of Nova Scotia. Used under : Scotia iTRADE, a division of Scotia Capital Inc. ( Scotia Capital ) Account NumberAccount NameRep CodeSiT42
