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On plan name (RPP) or deferred profit-sharing plan (DPSP) Nom du r gime de pension agr (RPA) ou du r gime de participation diff r e aux b n fices (RPDB) RPP administrator or DPSP trustee name and address Nom et adresse de l'administrateur du RPA ou du fiduciaire du RPDB Plan registration number Num ro d'agr ment du r gime Year of PAR Ann e du FER During which quarter of the year did the termination occur? Dans quel trimestre le retrait a-t-il eu lieu? T10 slip totals If you are.

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