F51-184A-1
August 2019
F51-184A-1(19-08) PDF PAGE 3 OF 4
Contract no.
PRE-AUTHORIZED DEBIT (PAD) Turnaround time to activate or change a PAD:
AGREEMENT GENERAL INFORMATION three days following receipt at Service Centre.
IMPORTANT
If the bank account owner’s signature is required, you must provide him or her with the PRE-AUTHORIZED
DEBIT (PAD) AGREEMENT.
1. Indicate if it’s a:
Instructions
Signature See below if bank account owner’s or advisor’s
signature is required in point 6.
PAD enrolment − PAD amount: $__________________
Complete items 3 and 4. Signature of bank account owner mandatory
Make one-time PAD − amount: $__________________
Complete items 3 and 4. Signature of bank account owner mandatory
Change in banking information
With changes to the payor complete item 5
Signature of bank account owner mandatory
Without changes to the payor complete item 5
Signature of client or advisor with or without LTA
Change to regular PAD
(Frequency, PAD date, AIT)
Indicate changes to make in point 4. Signature of client or advisor with or without LTA
Change to PAD loan (Frequency, PAD date)
Indicate changes to make in point 4. Signature of client or advisor with or without LTA
PAD reactivation
Confirm the information in point 4, and if the
banking information needs to be changed,
see point 5.
If no change in banking information: Signature of client
or advisor with or without LTA
If change in banking information with change in payor:
Signature of bank account owner
Termination of PAD (for DIPLOMA, the PAD
will be suspended and fees may apply.)
Indicate: Immediate (Default) or
After PAD dated:
Y Y Y Y M M M D D
Ex.: 1990JAN27
My Education/My Education+ : Signature of client or
advisor with or without LTA
!
Diploma: Signature of client mandatory
2. Withdrawal Agreement: Variable
3. PAD category:
Personal Business (If both boxes are left unchecked, the PAD category will be deemed “Personal”.)
4.
PAD information:
REGULAR
PAD:
Frequency:
Monthly (Day 1 to 28) Last day of each month Weekly Every 2 weeks
Must be monthly for DIPLOMA PAD.
Date of first withdrawal or modification
Y Y Y Y M M M D D
Ex.: 1990JAN27
INVESTMENT
INSTRUCTIONS
FOR REGULAR
PADs AND ONE
-TIME PAD (AIT
PAD):
Minimum $25 per
investment fund,
whatever the
frequency
High Interest Savings Account: _____________%
Daily Interest Fund+ (DIF+): ____________%
Investment funds:
% %
% %
Guaranteed Interest fund (GIF)
!
My Education only
Minimum amount Terme Interest payment option
$500 (by default)
$1,000
Compound
Simple
*Investments in a GIF can only be made through an AIT in the DIF+.
5. BANKING INFORMATION (Attach a void personal cheque or a banking information sheet completed by your financial institution)
Transit number: Financial institution number: Account number:
Name of the account owner(s): __________________________________________________________________________________________________________________________________________________
6. PAD AGREEMENT AND SIGNATURES
• By signing below, I, the bank account owner(s), confirm I have read, understand and agree to the information and provisions of the PAD Agreement in this form.
• For a joint account, all required signatories must sign this PAD Agreement.
• For a company, the PAD Agreement must be signed by an authorized signatory; attach a copy of the company’s resolution stipulating the authorized signatories.
!
____________________________ X _______________________________ X _______________________________ X _______________________________
Date Account owner’s signature Joint account owner’s signature Advisor/Witness
(as shown on bank records) (if required)