Remittance Advice Form—RA2

Unclaimed Dividends

(See form Form RA1 for other remittance types)

PDF and Word versions

Please Note:

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Estate Name
OSB District Office No. and Estate No.
Date
YYYY/MM/DD
Trustee Firm and Address
Telephone No.
Fax No.
Contact Name
 
Name of Trustee:
Trustee License Number:
Total Remittance Amount
Submit the completed form and cheque(s) payable to
Receiver General for Canada, to:
Office of the Superintendent of Bankruptcy
(Headquarter)
235 Queen St. – Via Mail Room
Ottawa, Ontario, Canada K1A 0H5

Instructions:

  • To ensure legibility, information must be typed.
  • If a cheque applies to multiple estates, include a sub-total below all estate amounts for that cheque, and make sure the sub-total equals the cheque amount.
  • Ensure the total of all cheques matches the Total Remittance Amount entered above.
  • Complete all fields below.
  • Continue list on page 2 if additional space is required.
For office use only

Creditors and Mailing Addresses

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Important Notices

This form may not be completed online. It is provided here for reference purposes only.

The HTML version of this Form is not the official version. In the event of an inconsistency between the HTML and PDF versions of this Form, the PDF version prevails. Users are required to exercise due diligence with respect to the HTML version.

Date modified: