Please complete the flowing form for an estimated market bid for the sale of a Guaranteed Investment Certificate.
You will need to confirm the information from your certificate when completing this form.
Your Name:
Mr.
Mrs.
Ms.
Miss
Dr.
Address:
Unit/Suite:
City:
Province:
Postal Code:
Please enter a business
hours phone #:
Fax:
Other:
Are you the owner of the Certificate:
YES /
NO
If not, your relationship to the Owner:
Enter the name of registered on the
certificate as the owner [single name]:
If registered with more than one name, state if its
(and/or) or
(JTWRS) - Joint tenants with rights to survivor.
Provide the name of the Financial
Institution the Certificate is issued by:
Name issuing company:
Branch Address:
City:
Province:
The date of issue:
Maturity Date:
The amount of the certificate:
The interest rate is:
The interest is paid:
Annually
Semi-annually
Quarterly
Monthly
Dr.
Compounding to maturity:
Annually
Semi-annually
Please specify the date of the interest payment:
The amount of the interest payment:
You may send us additional information here:
Email: treasurydivision@fiscalagents.com
Fax: (905) 844-8552
Phone: (905) 844-7700
