Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada

Search

Payments to Estates Regulations, 1996 (SOR/97-239)

Regulations are current to 2024-04-01

SCHEDULE II(Subsection 4(2) and section 5)Release

LIST OF AND RELEASE BY ALL PERSONS, OTHER THAN THE APPLICANT, ENTITLED TO SUCCEED TO THE ASSETS OF THE SAID DECEASED (as per item 4 of Schedule I to the Payments to Estates Regulations, 1996)

NOTE: Not to be completed by the applicant in Schedule I to the Payments to Estates Regulations, 1996. To be signed by the legal guardians on behalf of minors.

I hereby release all my interest in the amount payable by Her Majesty in right of Canada to the estate of the late (Full name of deceased)

in favour of (Full name of applicant).

Full name of persons entitled to inheritRelationship to the deceasedAge (if minor)Address and Phone NumberSignatureWitness (name in capital letters and signature)
 

Date modified: