Dear Investor Thank you for applying for a Credential Direct account. To ensure your account is activated as soon as possible, please send us the following documentation. Account Application Checklist: (For both the primary and joint applicant (if any) Date and sign all forms included with the New Account Application Form. Note: Tax-Free Savings Accounts (TFSA) must also include a signed TFSA Application form. Margin and Option Accounts require additional signatures on the Account Agreement page Banking verification to verify your identity and to validate your chequing account for electronic funds transfers (EFTs). Please send either: A bank account confirmation letter Bring to your financial institution for completion (included with your application) OR A $10 personal cheque payable to Credential Direct There will be a 5 business day hold on account activity while your cheque clears. For Margin accounts, the required minimum is $2,000 Provide a copy of valid-government issued photo ID (driver s license, or passport) if not already provided. Please ensure the copy is fully legible. Enclose a registered Plans Transfer Form or an Authorization to Transfer Account Form if you are transferring an account to Credential Direct. Include a copy of a recent account asset list statement from the delivering institution. A transfer can take between 10 to 25 business days. Other documentation may be required (see applicable account opening checklists online): If someone other than the account holder will be doing the trading in the account If you are opening a(n): Locked-In Registered Account Registered Education Savings Plan (RESP) Corporate, Investment Club, or Estate Account Legal Trust or an informal trust account If you have a share certificate to deposit to your account If you are a US Citizen or other foreign citizen Please forward your entire application package to: Credential Direct 700 1111 West Georgia Street Vancouver, BC V6E 4T6 We appreciate your interest in Credential Direct and look forward to assisting you. If you have any questions or concerns, please contact us at 1.877.742.2900 or email support@credentialdirect.com Credential Direct 877.742.2900 Toll Fee 700 1111 West Georgia Street 877.742.2901 Fax Credential Direct is a division of Credential Securities Inc. and operates as a separate business unit. Vancouver, BC V6E 4T6 credentialdirect.com Credential Securities is a Member of the Canadian Investor Protection Fund (CIPF). V2.2 (2015 02)
Promotion Code: New Account Application Form All questions must be answered. Securities regulators require that we obtain your personal and financial information. Are you requesting a: New Account Update to an Existing Account English Language Preference French Account Type and Ownership Cash & Margin (Personal or Joint) Registered Accounts Ownership (select one) Account Type Cash Trading (cash settlement) Margin Long (borrowing against equity) Margin Short (short selling) Margin Long with Option Trading Long Calls & Puts (level 1) Covered Call Writing (level 2) Spreads (level 3) Uncovered Writing (level 4) Other: Individual Account Type (select one) Corporate Partnership Sole Propietorship Joint (WROS) Formal Trust Estate Association Investment Club Charitable Organization Locked-in Retirement Account (LIRA) Restricted Locked-in Savings Plan (RLSP) Registered Education Savings Plan (RESP) Retirement Savings Plan (RSP) Spousal RSP Retirement Income Fund (RIF) Spousal RIF Locked-in RIF (LRIF) Life Income Fund (LIF) Restricted LIF (RLIF) Prescribed RIF (PRIF) Family Registered Account Features Option Trading Long Calls + Puts (level 1) Covered Call Writing (level 2) If Locked-in, please indicate: In Trust For In Trust For *1 Pension Plan Sponsor 2 Tax Free Savings Account (TFSA) Individual Individual Informal Trust* Joint (WROS) Informal Trust Other: Complete if applicable: Pro Account Province of Legislation You are a PRO if you or someone in your household is employed with an IIROC member firm. Please provide a letter from the firm s compliance department to open the account. NOTES: Both CDN and US Currency Accounts will be opened for non-registered account. Registered accounts are in CDN funds only. One registered account per application. For Locked-in plans, attach appropriate Addendum and applicable Spousal/Common-law Partner Consent form. Tell Us about Yourself as the Applicant / Corporate or Annuitant s Information Title First Name Business/Charity Number Middle Name Entity Type Social Insurance Number Unit Last Name Legal Entity Name Social Security Number (if applicable) Street Address Country Marital Status Citizenship Date of Birth (dd/mmm/yyyy) City Phone Number Alternate Phone Number Street or PO Box Mailing Address (if different from above) Postal Code Postal Code Country Email Address City Applicant Employment Status Province Province Applicant Employer s Name Applicant Occupation Applicant Type of Business Spouse/Common-law Partner Full Name Spouse/Common-law Partner Employment Status Spouse/Common-law Partner Occupation Spouse/Common-law Partner Employer s Name Spouse/Common-law Partner Type of Business For Joint Accounts, Tell Us About the Joint Applicant (Not applicable to TFSA, RSP or RIF accounts) Title First Name Middle Name Social Insurance Number Unit Social Security Number (if applicable) Street Address Country Last Name Marital Status Citizenship Date of Birth (dd/mmm/yyyy) City Phone Number Street or PO Box Mailing Address (if different from above) Applicant Employment Status Applicant Occupation Spouse/Common-law Partner Full Name Spouse/Common-law Partner Occupation Alternate Phone Number Postal Code Postal Code Country Email Address City Province Applicant Employer s Name Applicant Type of Business Spouse/Common-law Partner Employment Status Spouse/Common-law Partner Employer s Name Spouse/Common-law Partner Type of Business #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 *CD_OPS_NAF_ACT* Province TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 1 OF 6
Financial Information Please include a cheque in the amount of $10.00 payable to Credential Direct drawn from this account. The information provided will be used to electronically transfer funds between your Credential Direct account and your financial institution account. A personalized cheque is required for all accounts in support of the information below. (Counter cheques are not accepted.) This information can be found on most cheques. Financial Institution Name Address Bank Transit Number Institution Number Account Number Tell us the Nature of Your Investment Experience 1. Identify your past investment experience in the following 5. How did you hear about Credential Direct? Applicant or Annuitant Joint Applicant Through Financial Institution Stocks How Bonds Please specify (ie: Financial Institution Branch / Website, Newspaper Ad, Online Ad, Mutual Funds Referral (name), Search Engine, Promo Code, Other) Options Commodities/Futures None 6. Are you considered an Insider¹ and/or a Control Person² (CP) of any public companies listed in Canada or the U.S.? Applicant or Annuitant Joint Applicant No 2. How do you rate your investment knowledge? Yes If Yes, provide the following information: Applicant or Annuitant Joint Applicant Sophisticated Company Good / Average Symbol Limited Market Poor / Nil Insider Reporting¹ Applicant or Annuitant Joint Applicant No 3. Please state the following: Yes Applicant or Annuitant Joint Applicant Control Person² Annual Income $ $ No Yes Spouse or Common Law Partner Annual Income: Annual Income $ $ 7. Do you have any other accounts at Credential Direct or, other brokerage firms, or control the trading in any other accounts? Applicant or Annuitant Joint Applicant 4. What is your approximate net worth? No Yes Applicant or Annuitant Joint Applicant If Yes, provide the following information: Brokerage Firm(s) Total Net Worth $ $ Account Number(s) 8. After all deposits and transfers, what will the size of this account be? Cash/Margin Account up to $50,000 $50,000 - $250,000 $250,000 - $1,000,000 $1,000,000 9. What is the Purpose of the Account you are opening? (select one or add your own) Cash/Margin Account Short-term Investing Long-term Investing Market Speculation Retirement Education Other: 10. Is the applicant a registered Charity? No Yes Does the Charity solicit charitable funds from the public? No Yes 11. Third Party Determination Statement Will any party be associated with the account in any of the following capacities: A. Trading Authority No Yes D. Controlling Person 3 (of a legal entity) No Yes B. General Power of Attorney No Yes E. Financial Interest: Other party, not named, providing instructions for, or exerting control C. Guarantor No Yes If the Third Party is a United States citizen, complete an IRS Form W9 If Yes to any of (A) to (E), provide supporting documents/forms, as applicable. NOTES: ¹An "Insider" is an officer, director, or promoter of a publicly traded Canadian or U.S. company and/or a person with direct or indirect beneficial ownership of, control or direction over (or combination thereof) 10% or more of the voting rights attached to the securities of a publicly traded company listed in Canada (5% or more for a publicly listed company in the U.S.). 2 A "Control Person" holds or exercises control or direction over, or has any agreement, arrangement, commitment, or understanding (whether or not in writing) individually or with any other persons with respect to 20% or more of the voting rights attached to the securities of a publicly traded company listed in Canada (10% or more for a publicly listed company in the U.S.) 3 Controlling Person means: (i) in the case of a corporation, each director and each person who owns or controls 10% or more of the corporation; (ii) in the case of a trust, each settlor, trustee, beneficiary and any other natural person exercising ultimate control over the trust; (iii) in the case of an entity other than a corporation or a trust, each persons is an equivalent or similar position. No Yes #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 2 OF 6
Verification of Identity To comply with the Proceeds of Crime (Money Laundering) and Terrorist Financing Act in Canada and Internal Revenue Service requirements in the United States, Credential Securities must ascertain the identity of all Applicant(s). Credential Direct must verify your signature and identity, and that of any joint applicant, by clearing a personal cheque drawn upon your personal account at your Financial Institution, or provide a Bank Confirmation Letter. Please include with this application: Applicant Joint Applicant ID Type Expiry Date ID Type Expiry Date Jurisdiction and Country ID Number Jurisdiction and Country ID Number Account Fees If applicable, please pay any account fees that may be due (e.g.quarterly account maintenance fee, paper subscription) from (select only one): My Financial Institution bank account via EFT as indicated on page 1 of this Application. My non-registered Credential Direct Trading Account. Politically Exposed Person(s) / Heads of International Organizations Are you a Politically Exposed Person (PEP) or the Head of an International Organization (HIO), or a family member, or close associate of a PEP or HIO? Applicant: No Yes If Yes, complete the PEP/HIO information below. Joint Applicant: No Yes If Yes, complete the PEP/HIO information below. PEP (Domestic or Foreign): An individual who holds or previously held a national, provincial or municipal level political office or position (e.g. member of a government legislature, ambassador, judge, military officer etc.). HIO: An individual who is the head (e.g. President or CEO) of an organization or institution that is established by the governments of more than one country (e.g. United Nations or NATO). Family Member: Spouse or common-law partner, child, mother or father, spouse s or common-law partner s mother or father, and a child of their mother or father (sibling). Close Associate: An individual who is closely connected to a PEP or HIO for personal or business reasons. Full Name (if different from Investor) Relationship to Investor (if applicable) Organization or Institution Office or Position Country Start Date (dd/mmm/yyyy) End Datte(dd/mmm/yyyy From where did you obtain the funds you are investing? Shareholder Communication (NI 54-101) (See Account Agreements and Disclosure Document booklet for details on shareholder rights.) 1. Disclosure of Beneficial Ownership Information Please mark the corresponding box to show whether you DO NOT OBJECT or whether you do OBJECT to us disclosing your name, address, electronic mail address, securities holdings and preferred language of communication (English or French) to issuers of securities you hold with us and to other persons or companies in accordance with securities law. If you indicate that you OBJECT, security holder materials that are required to be sent to you under securities law will be sent by us and a fee per delivery may be charged to your account with us. I DO NOT OBJECT to your disclosing the information described above. I OBJECT to you disclosing the information described above. I understand that required material will be delivered to me by a reporting issuer or other person or company that is entitled to send these materials to me at its expense. 3. Preferred Language of Communication I understand that the materials I receive will be in my preferred language of communication (as indicated on Page 1 of this application form) if available in that language. 2. Receiving Securityholder Materials Please mark the corresponding box to show what materials you want to receive. Securityholder materials sent to beneficial owners of securities consist of the following materials: (a) proxy-related materials for annual and special meetings; (b) annual reports and financial statements that are not part of proxy-related materials; and (c) materials sent to securityholders that are not required by corporate or securities law to be sent. I WANT to receive ALL securityholder materials sent to beneficial owners of securities. I DECLINE to receive ALL securityholder materials sent to beneficial owners of securities. (Even if I decline to receive these types of materials, I understand that a reporting issuer or other person or company is entitled to send these materials to me at its expense). I WANT to receive ONLY proxy-related materials that are sent in connection with a special meeting. 4. Electronic Delivery Please mark the corresponding box below to indicate your preferred method of delivery of security holder materials. I DO CONSENT to receive materials by email, when available. Please send materials to the email address indicated on the first page of this application. I DO NOT CONSENT to receive materials by email and prefer to receive documents by regular mail. #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 3 OF 6
Registered Account Information A) Successor Annuitant /Designation of Beneficiary In some provinces or territories, a designation of beneficiary can only be made by including a specific clause in your Will. Caution: In some provinces, your designation of beneficiary by means of a designation form will not be revoked or changed automatically by any future marriage or divorce. If you wish to change your beneficiary, you will have to do so by means of a new designation. 1) RSP Accounts Only I hereby revoke any previous designation of beneficiary made by me for this Plan and I hereby designate the person named below, if then living, as beneficiary of the proceeds payable under the Plan in the event of my death. I am solely responsible for ensuring that this designation of beneficiary is legally valid. Name of Beneficiary Beneficiary SIN 2) RIF Accounts Only Relationship to Applicant I hereby revoke any previous designations of beneficiary made by me for this Fund and I hereby (select one or none): elect to have my spouse or common-law partner, if then living, become the successor annuitant of the Fund upon my death, and I certify that his or her personal information as set out in Section c)(i) below is correct; or designate the person named below, if then living, as beneficiary. Name of Beneficiary Beneficiary SIN Relationship to Applicant I understand that I am solely responsible for ensuring that the above designation of beneficiary is legally valid. B) Spousal or Common-Law Partner Contributor (For Spousal or Common-Law Partner RSP Accounts only.) Complete this section only if the Spouse or Common-Law Partner of the Annuitant will be contributing to this Registered Plan: Title Contributor Name Social Insurance Number Date of Birth (dd/mmm/yyyy) C) Information for Retirement Income Funds (RIFs) Only 1) Spouse or Common Law Partner Complete this section for Spousal or Common-Law Partner RIF; or if Spouse or Common- Law Partner is being named as Successor Annuitant in Section (a)(ii) above or if his or her age is being elected for the calculation of the minimum amount payable each year from the Fund. 2) Retirement Income Fund Payments (a) Minimum Payments For the purpose of calculating the minimum amount payable each year from the Fund, I hereby elect to use: (select one) my age; or my spouse s or common-law partner s age, and I certify that his or her birthdate as set out above is correct. Note: Once minimum has been established, the age base cannot be changed. (b) Payment Amount I request a payment of: (select one) the minimum amount payable (Note this will be $0 in 1 st year); or elected Amount of Gross $ or Net $ per payment. (The amount will be subject to the minimum required by Law. For LIF, LRIF & RLIF, amount must be between the minimum and maximum). the maximum Payment (LIF, LRIF, RLIF only) NOTE: The maximum payment option will result in withholding tax being applied to amounts greater than the minimum payment amount. Standard withholding tax rates apply unless specified (c) Special Withholding Tax Instructions I elect the amount of $ or % (whole numbers only) withholding tax to be deducted per payment. Note: The Withholding Tax elected will be subject to the minimum withholding tax required by Law. (d) Where to Send Payments Please send my payments to: my Credential Direct Trading Account my Financial Institution account via EFT as indicated on page 1 of this application. Please enclose a Cheque. (e) Payment Frequency Please select a date from Column A, the frequency of payment from Column B, and the date you would like the payments to begin. Payment Date and Payment Frequency Column A On the 15 th On the 30 th Column B Monthly Quarterly Semi-Annually Annually Payment Start Date: / (mmm / yyyy) Title Contributor Name Social Insurance Number Date of Birth (dd/mmm/yyyy) D) Internal Transfer Request/Authorization I hereby request the transfer of securities and cash from my Registered Account.: All securities & cash; or Partial (please specify) To: Computershare Trust Company of Canada (the Trustee ) I hereby apply for a CREDENTIAL SECURITIES INC. SELF-DIRECTED RETIREMENT SAVINGS PLAN (the "Plan") or a CREDENTIAL SECURITIES INC. SELF-DIRECTED RETIREMENT INCOME FUND (the "Fund") in accordance with the terms and conditions of this Application and the Declarations of Trust included in the Credential Securities Inc. Account Agreements & Disclosure Documents booklet.. By signing below, I have agreed that: 1. I have read, understood and agree to the terms of the Declaration of Trust. 2. I declare that the information given in this Application is true, correct and complete. 3. I request that the Trustee apply for registration of the Plan as a registered retirement savings plan or the Fund as a registered retirement income fund under the Income Tax Act (Canada). 4. I am solely responsible for determining my contribution limits, my investment decisions and whether an investment is permitted under the tax laws, and I am aware of the consequences of acquiring and holding investments which are prohibited or not qualified. (Contribution limits applicable to RRSP accounts only.) 5. The Trustee may delegate certain of its duties relating to the Plan or the Fund to Credential Securities Inc. as its Agent. 6. The Trustee and the Agent have no obligation to give me investment advice in connection with the purchase, retention or sale of any investment. 7. Any benefit received under the Plan or Fund is taxable under the Income Tax Act (Canada). 8. In the event of my death, the proceeds of the Plan or the Fund will be paid to the beneficiary, if any, whom I have designated, if permitted by law. Otherwise, such proceeds will be paid to my estate. For RRSP and RRIF, please sign here: Annuitant s Signature Date (dd/mmm/yyyy) #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 4 OF 6
Tax Status Self-Certification Applicant Joint Applicant 1. Are you a tax resident of Canada? If yes, please provide your Social Insurance Number No Yes No Yes on page 1. 2. Are you a U.S. resident for U.S. tax purposes or a U.S. citizen? No Yes TIN: No Yes TIN: If yes, please provide your U.S. Tax Identification Number (TIN), and if applicable complete a W9 to determine whether the account will be subject to U.S. withholding taxes. 3. Are you a tax resident of a jurisdiction other than Canada or the U.S.? If yes, please indicate which jurisdiction, and provide your foreign Tax Identification Number (TIN)*. *If you do not have a TIN, please indicate reason why not. No Yes Jurisdiction No Yes Jurisdiction TIN*: TIN*: Jurisdiction does not issue TINs. Jurisdiction does not issue TINs. You have applied for but not yet received it. You have applied for but not yet received it. Other: Other: NOTE: ALL non-individual account holders, regardless of residency for tax purposes, must also provide a completed Declaration of Tax Residence for Entities (CRA Form RC521). By signing below you certify that the information given in this Tax Status Self-Certification section is correct and complete, and you agree that you will provide a new certification within 30 days of any change in circumstances that causes the information to become incomplete or inaccurate. Account Agreement In this application, I and my refer to me, the applicant (or joint applicant as the case may be). You refers to Credential Direct Disclosure Statement Credential Securities Inc. is a wholly-owned subsidiary of Aviso Wealth Inc. ( Aviso ). Aviso is a wholly-owned subsidiary of Aviso Wealth LP, which in turn is owned 50% by Desjardins Financial Holding Inc. and 50% by a limited partnership owned by five Provincial Credit Union Centrals and The CUMIS Group Limited and makes its services available in association with participating financial organizations and their aliases and subsidiaries (collectively the Financial Organization ). Credential Direct is a trade name and operates as a division of Credential Securities Inc., and is a separate business unit. Unless Credential Direct tells you otherwise regarding a specific security account balances with and securities purchased through Credential Direct are not insured by Canada Deposit Insurance Corporation or any other government deposit insurer. Credential Securities Inc. is a member of the Canadian Investor Protection Fund (CIPF). Customer s accounts are protected by CIPF within specified limits. A brochure describing the nature and limits of coverage is available upon request. The value of many securities may fluctuate. Account Agreements and Disclosure Documents I acknowledge that I have read and understood the appropriate sections relating to my Cash and/or Registered Account and have read and understood the Electronic Brokerage Services Agreement in the Account Agreements and Disclosure Document booklet (www.credentialdirect.com/pdf/disclosure.pdf) and agree to the terms therein. Electronic Funds Transfer (EFT) I acknowledge that I have read and understood the Electronic Funds Transfer (EFT) section in the Account Agreements and Disclosure Documents booklet (www.credentialdirect.com/documents/aa&dd.pdf), and agree to the terms therein, and I authorize Credential Direct to transfer funds (upon request) between my banking account at my financial institution and my Credential Direct account. Credit Information I acknowledge and consent to and authorize Credential Direct to obtain credit information about you to the extent permitted by law, and to give other credit grantors and credit bureaus information about the application and any credit experience with us. Sharing of Information Credential Securities works in partnership with your Financial Organization to provide you with an array of wealth management products and services. As your Financial Organization and Credential Securities are separate legal entities we require your permission to share information with your Financial Organization. This information is used by your Financial Organization to ensure that they are able to provide you with the best possible service for all your financial needs. Respecting the confidential nature of your personal information is very important to us and your Financial Organization. Credential Securities and your Financial Organization safeguard your information against disclosure to unauthorized companies, and will not sell or rent your information to outside companies. I have read Section 17 - "Protection of Your Privacy" in the Account Agreements and Disclosure Document booklet. I agree that Credential Securities may share my personal information with the Financial Organization with whom I have a relationship and that referred me to Credential Securities ( my Referring Organization) for the purposes of promoting to me products and services ordered by my Referring Organization and products and services ordered by other Aviso companies which may be of interest to me or for the purposes of collecting information which will allow my Referring Organization to better manage its total relationship with me.you may revoke your consent by writing to us at the address on the bottom of this form. I/We consent Suitability I/We do not consent I acknowledge that Credential Direct and its Registered Representatives will not give me investment advice or recommendations and will not be responsible for the determination of my general investment needs and objectives regarding the purchase or sale of any security. I acknowledge that Credential Direct and its Registered Representatives do not accept any responsibility to advise me on the suitability of any of my investment decisions or transactions. I acknowledge that I alone am responsible for the financial impact of my investment decisions. I understand that orders entered by me may be sent directly to the exchange or market without prior review by Credential Direct. I acknowledge my obligation to comply with the requirements regarding entry and trading of orders of the exchanges and markets where my orders are executed. However, Credential Direct reserves the right to review any of my transactions prior to their entry to the exchange or market. I acknowledge that Credential Direct has the right to reject, change or remove any order entered by me or to cancel any trade resulting from an order entered by me. Without this consent Credential Direct will not be able to open this account. Applicant s Acknowledgement Joint Applicant s Acknowledgement FOR ALL ACCOUNT TYPES, PLEASE SIGN HERE: BY SIGNING BELOW, I CONFIRM I HAVE CAREFULLY READ THE APPLICATION AND UNDERSTAND THE INFORMATION IN IT. I CONFIRM MY AGREEMENT TO THOSE TERMS AND CONDITIONS AS INDICATED ABOVE AND THAT CREDENTIAL DIRECT MAY SEND ME ADDITIONAL AGREEMENTS AND/OR DISCLOSURES, DEPENDING ON THE TYPE OF ACCOUNT I HAVE SELECTED. I HEREBY DECLARE THAT THE INFORMATION PROVIDED IS FULL, TRUE AND COMPLETE. CREDENTIAL DIRECT MAY RELY ON THE INFORMATION I HAVE PROVIDED UNTIL I SEND YOU WRITTEN NOTICE OF ANY CHANGES. Applicant or Annuitant Signature Joint Applicant Signature (not for TFSA, RSP or RIF accounts) Date (dd/mmm/yyyy) #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 5 OF 6
FOR MARGIN ACCOUNTS ONLY, PLEASE SIGN HERE: (IN ADDITION TO YOUR SIGNATURE FOR ALL ACCOUNTS TYPES ): IF I AM APPLYING TO HAVE A MARGIN ACCOUNT, MY SIGNATURE(S) BELOW CERTIFIES THAT I ACKNOWLEDGE RECEIPT AND HAVE READ THE CREDENTIAL DIRECT MARGIN AGREEMENT SECTION IN THE BOOKLET CALLED ACCOUNT AGREEMENTS AND DISCLOSURE DOCUMENTS AND AGREE TO THE TERMS THEREIN. (www.credentialdirect.com/documents/aa&dd.pdf). Applicant or Annuitant Signature Joint Applicant Signature (not for TFSA, RSP or RIF accounts) Date (dd/mmm/yyyy) FOR MARGIN AND/OR REGISTERED ACCOUNTS WITH OPTIONS ONLY, PLEASE SIGN HERE: (IN ADDITION TO YOUR SIGNATURE FOR ALL ACCOUNTS TYPES ): IF I AM APPLYING TO HAVE A MARGIN ACCOUNT AND/OR REGISTERED ACCOUNT WITH OPTIONS, MY SIGNATURE(S) BELOW CERTIFIES THAT I ACKNOWLEDGE RECEIPT AND HAVE READ THE CREDENTIAL DIRECT MARGIN AGREEMENT AND OPITONS TRADING AGREEMENT SECTION IN THE BOOKLET CALLED ACCOUNT AGREEMENTS AND DISCLOSURE DOCUMENTS AND AGREE TO THE TERMS THEREIN (www.credentialdirect.com/documents/aa&dd.pdf). Applicant or Annuitant Signature Joint Applicant Signature (not for TFSA, RSP or RIF accounts) Date (dd/mmm/yyyy) For Internal Use Only Branch Manager Signature Date (dd/mmm/yyyy) FA Code DROP/AROP Signature Level Permitted Date (dd/mmm/yyyy) Comments: Accepted on behalf of the Trustee by its Agent Authorized Officer Signature Date (dd/mmm/yyyy) #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 PAGE 6 OF 6
Account Information To Credential Direct: Electronic Funds Transfer (EFT) Account Confirmation Letter Use this form to link a chequing/savings account with accounts at Credential Direct 1 1. Please accept this as confirmation that the following Chequing or Savings Account Number information belongs to the specified individual(s), or Corporation (or non-personal entity) as indicated: Transit Number Institution Number Account Number (Refer to micro encoding on the cheque) Note: This account number cannot be a TFSA or RRSP account 5 Account Holder Name (Print Name) Joint Account Holder Name (Print Name) Residential / Corporate Address 2. Account requirements and status (Complete information as indicated) a) Account is enabled for Electronic Funds Transfer (EFT) 1 (chequing privileges) Yes No b) Account Denomination Cdn Dollars US Dollar c) Account Type Personal Corporate Other d) Account Signature Requirements 1 Signature 2 Signatures e) Account Standing: The client(s) is known to the branch and is in good standing. Yes No If No, please specify reason: Branch Authorization I confirm the information is correct and the account listed is not a TFSA or a Registered Account 5. Branch Representative Name (Print Name) Title Contact Phone Branch Representative Signature Date (dd/mmm/yyyy) Branch Stamp: Branch Representative Email Address Completing this Form 1. The account being confirmed must be enabled for EFT purposes and cannot be a credit card, line of credit account, TFSA, or RRSP. 2. Complete the information on this Account Confirmation Letter, and 3. Provide a Branch Stamp to satisfy Anti-Money Laundering Legislation and/or to establish an Electronic Funds Transfer (EFT) link. 4. Submit the completed Account Confirmation Letter form to Credential Direct by either: Faxing a copy to: 604.742.2901 or 1.877.742.2901 or Including the form with the Credential Direct New Account Application form. 5. If transferring a TFSA, or RRSP account, please use the Credential Direct Registered Plans Transfer form. #700-1111 WEST GEORGIA STREET, VANCOUVER, B.C. V6E 4T6 TEL: 1.877.742.2900 FA: 1.877.742.2901 CD V1.6 (2017 11) PAGE 1 OF 1