01
02
The Veritas Foundation Giving Fund
Transfer of Securities Form
Account Information
Name of Account:
Account Number (if known)
Part 1. DONOR NAME
Donor Address
Telephone Number
Date
of Birth
MM
/
DD
/
YYYY
Email
Address
Part 2. TRANSFER FROM
Name of
Relinquishing Institution
Telephone Number
Email Address
of Contact
Account Number
Account Type (Tick One)
Nominee
Client Name
Address of Relinquishing Institutions
Part 3. TRANSFER TO
RBC Toronto (Swift Code ROYCCAT2)
Bank # 0003 Transit # 00002
Bank's Branch Address: Royal Bank of Canada, Main Branch Toronto,
200 Bay Street, Main Floor, Toronto, Ontario, M5J 2J5
Beneficiary Account # 00002 0007997 RBC Dominion Securities
Beneficiary's Address: 180 Wellington Street West, Toronto, Ontario, M5J 0C2
For further credit to: Account # 360-99881-12 / The Veritas Foundation
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01
02
The Veritas Foundation Giving Fund
Transfer of Securities Form
Part 4: SECURITIES TRANSFERRED
From the account noted above, I am transferring (tick one):
All Securities In-Kind
Partial Securities In-Kind (as listed below or attach a list)
Cash
Securities must be transferred In-Kind to the Foundation and are not to be liquidated by the Donor.
To ensure safe delivery of the documentation, it is recommended that any original physical certificate and a signed and dated Irrevocable Stock/Bond Power of Attorney form are forwarded in separate envelopes. Certificates must be sent by bonded courier directly to the Veritas Foundation.
Symbol, FAS, CUSIP, Fund Code or Certificate #
Investment
Description
Mutual Fund Value
OR
CAD
No.
of Units
Stocks No. of Shares
Symbol, FAS, CUSIP, Fund Code or Certificate #
Investment
Description
Mutual Fund Value
OR
CAD
No. of Units
Stocks No. of Shares
Symbol, FAS, CUSIP, Fund Code or Certificate #
Investment
Description
Mutual Fund Value
OR
CAD
No. of Units
Stocks No. of Shares
Please attach an additional form if you wish to list more securities to be transferred.
Special Considerations or Instructions:
Part 5: AUTHORIZATION:
I hereby
request and authorize the transfer of my account and/or investments as described above.
Donor Signature (Electronic)(Required)
Clear
Date
04
/
05
/
2025
Joint Account Holder Signature (Electronic)(if applicable)
Clear
Date
04
/
05
/
2025
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