Initial Deposit Form - RETIREMENT SAVINGS PLAN

Transaction Code

Cash Deposit

Internal Transfer

Transfer In From Other Institution

Transfer In From Pension/Superannuation

Transfer In From Deceased Spouse (60L)

Transfer In From Retiring Allowance (60J)

Transfer In From RRIF

Lifelong Learning Plan Repayment

Pension Adjustment Reversal

Transfer Under Subparagraph 60 (1) (v)

Deposit Date

Month

Day

Year

Deposit Amount $

Fixed term deposits are non-redeemable prior to maturity

Deposit Type

Variable Rate

Fixed Term

Complete Below for Fixed Deposits Only

Interest Rate %

Compound Frequency

Term

Renewal Option

Yes

No

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