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Affidavits

OSFI Form 2: Attestation Regarding Spouse or Common-Law Partner

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Name the institution that holds the money, then use Add plan for every federally regulated locked-in plan there that you want to withdraw or transfer from: a locked-in RRSP, life income fund, restricted life income fund or restricted locked-in savings plan. Add at least one plan; an empty list prints a blank line.

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ATTESTATION REGARDING SPOUSE OR COMMON-LAW PARTNER

OSFI Form 2, Schedule V, Pension Benefits Standards Regulations, 1985

To: ______

Federally regulated locked-in plans held by that institution from which I intend to withdraw or transfer money:

• ______, account number ______

I, ______, of ______, in the city of ______, in the province of ______, MAKE OATH AND SAY:

  1. I am the owner of the federally regulated locked-in plans listed above.

  2. The amount I intend to withdraw from those plans or transfer out of them is $______.

  3. On the day I sign this attestation:

  4. I understand that money withdrawn or transferred from a federally regulated locked-in plan may no longer be protected from creditors under the Pension Benefits Standards Act, 1985 and the Pension Benefits Standards Regulations, 1985.

  5. I understand that money withdrawn or transferred from a federally regulated locked-in plan may be subject to tax under the Income Tax Act or another law.

  6. I understand that I may need professional advice on what the withdrawal or transfer means for me financially and legally.

Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
Signature of applicant