A-6.001, r. 9 - Regulation respecting savings products

Schedule Disposition versions

2020-08-06

SCHEDULE I

(Revoked)

O.C. 1129-2008, Sch. I; O.C. 767-2020, s. 22.

2012-09-01

SCHEDULE I

(ss. 30 and 39)

333, Grande Allée Est	Schedule I (ss. 30 and 39)
Québec (Québec) G1R 5W3

1 -800 463-5229
IMPORTANT INSTRUCTIONS
1. Please print in block letters
2. The participant (or representative) must sign in section 1
3. The recipient of the transfer (or representative) must sign in section 2
4. The signature of the participant (or representative) MUST be certified in section 4
5. In the case of a succession, attach the originals (or certified copies) of the death certificate and the will.
1. IDENTIFICATION OF THE PARTICIPANT
The participant is:	* an individual or his (her) succession
	* a general or a limited partnership, legal person, foundation or trust
		Participant number
Last name and first name of the participant or business name (BLOCK LETTERS)
Represented by* (if applicable):
Last name and first name of the representative (BLOCK LETTERS)		Social insurance number 
* If more than one representative, provide the information on a separate sheet if need be.		for an INDIVIDUAL, if
			participant number unknown 
X	
Signature of the participant or representative
X	
Signature of another representative (IF REQUIRED)
2. IDENTIFICATION OF THE RECIPIENT OF THE TRANSFER
The recipient is: 	* an individual or his (her) succession
	* a general or a limited partnership, legal person, foundation or trust
Represented by* (if applicable):				Participant number

Last name and first name of the representative (BLOCK LETTERS)	
			
		Social insurance number		 
X		for an INDIVIDUAL, if
Signature of the recipient or representative	participant number unknown
*If more than one representative, provide the information on a separate sheet if need be.

3. DESCRIPTION OF THE SAVING PRODUCTS TRANSFERRED (according to the issue details of the products in question)
	Product (According to the name indicated on the portfolio statement) 	Par value 	Maturity date


		
				
4. CERTIFICATION OF THE SIGNATURE OF THE PARTICIPANT (OR REPRESENTATIVE)
The signature of the participant (or representative) must be certified by the financial institution or by a notary, lawyer, commissioner for oaths or by a person authorized by Épargne Placement Québec.
Signed at 
Name of the city or municipality (BLOCK LETTERS)
Last name and first name of the person certifying (BLOCK LETTERS)	Title or profession
By signing below, I certify that the signature that appears in section 1 or, as the case may be, in the appendix to this form, is truly that of the participant (or representative), as identified on this form or on this appendix.

X	
Signature of the person certifying

RESERVED - Sending the form
Date	Time	Agent no.	Remit before 12 noon or 8 p.m.
F35 (2008-01)
Épargne
Placements
APPLICATION FOR TRANSFER
BETWEEN PARTICIPANTS

Seal, mark or stamp of the financial institution
$
$

O.C. 1129-2008, Sch. I.