Form 635, Receipt of Funds Record Instructions
This form contains 133 fields organized into 20 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| A. BASIC TRANSACTION INFORMATION | ||
| Transaction Property Address | Text |
Please provide the full street address of the property involved in the transaction.
|
| Sales Representative/Broker Name | Text |
Please enter the full name of the sales representative or broker involved in the transaction.
|
| Account 1 Details | ||
| Account 1 Number | Text |
Please provide the account number for Account 1. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 1 Holder Name | Text |
Please provide the full name of the account holder for Account 1. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 1 Type Other Explanation | Text |
Please explain the type of account if 'Other' is selected for Account 1. Fill only if 'Other' is selected.
Depends on:
Other
|
| Chequing | Checkbox |
Check this box if Account 1 is a chequing account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Saving | Checkbox |
Check this box if Account 1 is a saving account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Trust | Checkbox |
Check this box if Account 1 is a trust account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Other | Checkbox |
Check this box if Account 1 is an account type other than chequing, saving, or trust, and provide an explanation. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 2 Details | ||
| Account Number | Text |
Please provide the account number for Account 2. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account Holder Name | Text |
Please provide the full name of the account holder for Account 2. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Other Account Type Explanation | Text |
Please explain the type of account if 'Other' was selected for Account 2. Fill only if 'Other, explain' is selected.
Depends on:
Other, explain
|
| Chequing | Checkbox |
Check this box if Account 2 is a Chequing account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Saving | Checkbox |
Check this box if Account 2 is a Saving account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Trust | Checkbox |
Check this box if Account 2 is a Trust account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Other, explain | Checkbox |
Check this box if Account 2 is another type of account not listed and provide an explanation. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Details | ||
| Account 3 Number | Text |
Please enter the identifying number for Account 3. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Holder Name | Text |
Please enter the full name of the account holder for Account 3. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Other Type Explanation | Text |
Please provide an explanation for the 'Other' type of Account 3. Fill only if 'Account 3 Other' is selected.
Depends on:
Account 3 Other
|
| Account 3 Chequing | Checkbox |
Check this box if Account 3 is a Chequing account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Saving | Checkbox |
Check this box if Account 3 is a Saving account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Trust | Checkbox |
Check this box if Account 3 is a Trust account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 3 Other | Checkbox |
Check this box if Account 3 is an account type not listed as Chequing, Saving, or Trust, and provide an explanation. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 4 Details | ||
| Account 4 Number | Text |
Please enter the account number for Account 4. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 4 Holder Name | Text |
Please provide the full name of the holder for Account 4. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 4 Other Type Explanation | Text |
Please explain the type of account if 'Other' was selected for Account 4. Fill only if 'Other' is selected.
Depends on:
Other
|
| Chequing | Checkbox |
Check this box if Account 4 is a Chequing account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Saving | Checkbox |
Check this box if Account 4 is a Saving account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Trust | Checkbox |
Check this box if Account 4 is a Trust account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Other | Checkbox |
Check this box if Account 4 is an account type not listed (Chequing, Saving, or Trust) and provide a further explanation. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 5 Details | ||
| Account 5 Number of Account | Text |
Enter the number of the fifth affected account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 5 Name of Account Holder | Text |
Provide the full name of the holder for the fifth affected account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Account 5 Other Account Type Explanation | Text |
If 'Other' is selected for the account type, provide a detailed explanation of the fifth affected account's type. Fill only if 'Other, explain' is selected.
Depends on:
Other, explain
|
| Chequing | Checkbox |
Check this box if Account 5 is a chequing account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Saving | Checkbox |
Check this box if Account 5 is a saving account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Trust | Checkbox |
Check this box if Account 5 is a trust account. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Other, explain | Checkbox |
Check this box if Account 5 is a type of account not listed as Chequing, Saving, or Trust, and provide an explanation. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Brokerage Reference Number | ||
| Brokerage Reference Number | Text |
Provide the reference number(s) of the brokerage that received the funds for this purchase/sale transaction and functions as an account for the funds. Fill only if 'an account is affected by the transaction'.
Depends on:
Amount of Funds, Amount of Funds, Third Fund Amount
|
| Corporation Details | ||
| Director Names | Text |
Enter the full name(s) of the corporation's directors.
|
| Corporation Registration Number | Text |
Enter the registration number of the corporation.
|
| Check this box when attached | Checkbox |
Check this box after attaching a copy of corporate records that show authority to bind the corporation regarding the transaction.
|
| Credit File Method | ||
| Credit Bureau Name | Text |
Enter the name of the Canadian credit bureau that holds the credit file.
|
| Credit File Reference Number | Text |
Enter the reference number associated with the credit file.
|
| E. Other Persons or Entities | ||
| Person/Entity Name | Text |
Please provide the full name of the person or entity involved in providing the funds. Fill only if 'Amount of Funds (second instance)' is filled
Depends on:
Amount of Funds
|
| Address | Text |
Please enter the full mailing address of the person or entity. Fill only if 'Amount of Funds (second instance)' is filled
Depends on:
Amount of Funds
|
| Date of Birth | Date |
Please provide the date of birth for the person, if applicable. Fill only if 'Amount of Funds (second instance)' is filled
Depends on:
Amount of Funds
|
| Principal Business/Occupation | Text |
Please describe the principal business or occupation of the person or entity. Fill only if 'Amount of Funds (second instance)' is filled
Depends on:
Amount of Funds
|
| Financial Account Confirmation | ||
| Confirm Name and Financial Account | Checkbox |
Check this box if you are confirming the individual's name and a financial account to ascertain their identity using this method.
|
| Name of Source (Financial Account) | Text |
Please provide the name of the source used to confirm the financial account. Fill only if 'Confirm Name and Financial Account' is 'Yes'.
Depends on:
Confirm Name and Financial Account
|
| Financial Account Type | Text |
Please specify the type of financial account being confirmed. Fill only if 'Confirm Name and Financial Account' is 'Yes'.
Depends on:
Confirm Name and Financial Account
|
| Account Number (Financial Account) | Text |
Please provide the account number for the financial account being confirmed. Fill only if 'Confirm Name and Financial Account' is 'Yes'.
Depends on:
Confirm Name and Financial Account
|
| First Fund Information | ||
| Amount of Funds | Number |
Enter the total monetary value of the funds received.
|
| Currency of Funds | Text |
Specify the currency type in which the funds were received.
|
| Date of Receipt | Date |
Provide the date on which the funds were received.
|
| Purpose of Funds | Text |
Explain the specific purpose for which these funds were provided, such as a deposit for purchase.
|
| Exchange Rate | Number |
Enter the exchange rate used if the funds are not in CAD. Fill only if 'Currency of Funds' is not 'CAD'.
Depends on:
Currency of Funds
|
| Source of Exchange Rate | Text |
Indicate the source from which the specified exchange rate was obtained. Fill only if 'Currency of Funds' is not 'CAD'.
Depends on:
Currency of Funds
|
| Other Method of Receipt Explanation | Text |
If 'Other' is selected as the method of receipt, provide a detailed explanation. Fill only if 'Other Method of Receipt' is 'Yes'.
Depends on:
Other Method of Receipt
|
| Other Type of Funds Explanation | Text |
If 'Other' is selected as the type of funds received, provide a detailed explanation. Fill only if 'Other Type of Funds' is 'Yes'.
Depends on:
Other Type of Funds
|
| Cheque | Checkbox |
Check this box if the funds were received via a standard cheque.
|
| Certified Cheque | Checkbox |
Check this box if the funds were received via a certified cheque.
|
| Cash | Checkbox |
Check this box if the funds were received in cash.
|
| Bank Draft | Checkbox |
Check this box if the funds were received via a bank draft.
|
| e-transfer | Checkbox |
Check this box if the funds were received via an electronic transfer.
|
| Wire Transfer | Checkbox |
Check this box if the funds were received via a wire transfer.
|
| Other Type of Funds | Checkbox |
Check this box if the type of funds received is not listed, and provide an explanation in the adjacent field.
|
| Other Method of Receipt | Checkbox |
Check this box if the method of receipt is not listed, and provide an explanation in the adjacent field.
|
| Electronically | Checkbox |
Check this box if the funds were received electronically, such as via e-transfer or wire transfer.
|
| Checkbox |
Check this box if the funds were received through postal mail.
|
|
| In Person | Checkbox |
Check this box if the funds were received directly from the payer in person.
|
| Government-Issued Photo ID | ||
| Document Identifier Number | Text |
Provide the identifier number found on the government-issued photo identification document.
|
| Other Identification Document Type | Text |
If 'Other' is selected for the type of identification document, explain what type of document it is. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Issuing Country | Text |
Provide the country that issued the government-issued photo identification document.
|
| Document Expiry Date | Date |
Provide the expiry date of the government-issued photo identification document.
|
| Issuing Jurisdiction | Text |
Provide the province, territory, or foreign jurisdiction that issued the government-issued photo identification document.
|
| Passport | Checkbox |
Check this box if the government-issued photo ID used is a passport.
|
| Driver license | Checkbox |
Check this box if the government-issued photo ID used is a driver's license.
|
| Other | Checkbox |
Check this box if the government-issued photo ID used is another type of document not listed, and then provide an explanation.
|
| Name and Address Confirmation | ||
| Confirm Name and Address | Checkbox |
Check this box if you are confirming the individual's name and address by referring to a document or source that contains this information.
|
| Address Confirmation Source Name | Text |
Please enter the name of the document or source used to confirm the individual's name and address. Fill only if 'Confirm Name and Address' is 'Yes'.
Depends on:
Confirm Name and Address
|
| Address Confirmation Account Number | Text |
Please enter the account number associated with the source used to confirm the individual's name and address. Fill only if 'Confirm Name and Address' is 'Yes'.
Depends on:
Confirm Name and Address
|
| Name and Date of Birth Confirmation | ||
| Confirm Name and Date of Birth | Checkbox |
Check this box if you have confirmed the individual's name and date of birth by referring to a document or source that contains this information.
|
| Source Name | Text |
Enter the name of the document or source used to confirm the individual's name and date of birth. Fill only if 'Confirm Name and Date of Birth' is 'Yes'.
Depends on:
Confirm Name and Date of Birth
|
| Account Number | Text |
Provide the account number associated with the source used for name and date of birth confirmation. The account must be valid, not expired, and recent if there is no expiry date. Fill only if 'Confirm Name and Date of Birth' is 'Yes'.
Depends on:
Confirm Name and Date of Birth
|
| Other Entity Registration Number | ||
| Other Entity Registration Number | Text |
Provide the registration number for the other entity.
|
| Second Fund Information | ||
| Date of Receipt of Funds | Date |
Enter the date when the funds were received.
|
| Amount of Funds | Number |
Enter the total amount of funds received.
|
| Currency of Funds | Text |
Enter the currency in which the funds were received (e.g., CAD, USD).
|
| Other Method of Receipt Explanation | Text |
If 'Other' was selected for the method of receipt, explain the method. Fill only if 'Other Method of Receipt' is 'Yes'.
Depends on:
Other Method of Receipt
|
| Purpose of Funds | Text |
Enter the purpose for which the funds were received (e.g., deposit for purchase).
|
| Exchange Rate | Number |
Enter the exchange rate if the funds were not in CAD. Fill only if 'Currency of Funds' is not 'CAD'.
Depends on:
Currency of Funds
|
| Source of Exchange Rate | Text |
Enter the source of the exchange rate if the funds were not in CAD. Fill only if 'Currency of Funds' is not 'CAD'.
Depends on:
Currency of Funds
|
| Other Method of Receipt | Checkbox |
Check this box if the funds in the second fund information section were received by a method not listed above, and provide an explanation.
|
| Wire Transfer | Checkbox |
Check this box if the funds in the second fund information section were received via a wire transfer.
|
| E-transfer | Checkbox |
Check this box if the funds in the second fund information section were received via an electronic transfer.
|
| Bank Draft | Checkbox |
Check this box if the funds in the second fund information section were received via a bank draft.
|
| Cash | Checkbox |
Check this box if the funds in the second fund information section were received in cash.
|
| Certified Cheque | Checkbox |
Check this box if the funds in the second fund information section were received via a certified cheque.
|
| Cheque | Checkbox |
Check this box if the funds in the second fund information section were received via a standard cheque.
|
| In Person | Checkbox |
Check this box if the funds in the second fund information section were received directly from the payer in person.
|
| Checkbox |
Check this box if the funds in the second fund information section were received through postal mail.
|
|
| Electronically | Checkbox |
Check this box if the funds in the second fund information section were received electronically (e.g., e-transfer/wire transfer).
|
| Other Type of Funds | Checkbox |
Check this box if the funds in the second fund information section were received by a type not listed above, and provide an explanation.
|
| Other Type of Funds Explanation | Text |
If 'Other' was selected for the type of funds received, explain the type of funds. Fill only if 'Other Type of Funds' is 'Yes'.
Depends on:
Other Type of Funds
|
| Third Fund Information | ||
| Third Fund Amount | Number |
Enter the total monetary amount of the third fund.
|
| Third Fund Currency | Text |
Specify the currency type of the third fund (e.g., CAD, USD).
|
| Third Fund Other Method Explanation | Text |
Provide a detailed explanation if the method of receipt for the third fund is not listed. Fill only if 'Other Method of Receipt' is 'Yes'.
Depends on:
Other Method of Receipt
|
| Third Fund Purpose | Text |
Describe the reason or purpose for which the third fund is being provided.
|
| Third Fund Date of Receipt | Date |
Enter the date when the third fund was received.
|
| Third Fund Exchange Rate | Number |
Provide the exchange rate used if the third fund is not in Canadian Dollars (CAD). Fill only if 'Third Fund Currency' is not 'CAD'.
Depends on:
Third Fund Currency
|
| Third Fund Exchange Rate Source | Text |
Indicate the source from which the exchange rate for the third fund was obtained. Fill only if 'Third Fund Currency' is not 'CAD'.
Depends on:
Third Fund Currency
|
| Third Fund Other Type Explanation | Text |
Provide a detailed explanation if the type of funds received for the third fund is not listed. Fill only if 'Other Type of Funds Received' is 'Yes'.
Depends on:
Other Type of Funds Received
|
| Cash | Checkbox |
Check this box if the funds were received in cash.
|
| Bank Draft | Checkbox |
Check this box if the funds were received by bank draft.
|
| Certified Cheque | Checkbox |
Check this box if the funds were received by certified cheque.
|
| Cheque | Checkbox |
Check this box if the funds were received by cheque.
|
| In Person | Checkbox |
Check this box if the funds were received in person.
|
| Checkbox |
Check this box if the funds were received by mail.
|
|
| Electronically (e-transfer/wire transfer) | Checkbox |
Check this box if the funds were received electronically, such as via e-transfer or wire transfer.
|
| e-transfer | Checkbox |
Check this box if the funds were received via e-transfer.
|
| Wire Transfer | Checkbox |
Check this box if the funds were received via wire transfer.
|
| Other Type of Funds Received | Checkbox |
Check this box if the type of funds received is not listed, and provide a detailed explanation in the adjacent field.
|
| Other Method of Receipt | Checkbox |
Check this box if the method of receipt is not listed, and provide a detailed explanation in the adjacent field.
|
| Verification of Corporation/Entity | ||
| Name of Corporation or Entity | Text |
Enter the full legal name of the corporation or entity being verified.
|
| Corporate/Entity Address | Text |
Enter the full street address of the corporation or entity.
|
| Nature of Principal Business | Text |
Describe the primary business activity or industry of the corporation or entity.
|
| Type of Verification Record | Text |
Specify the type of document or record used for verification of the corporation or entity.
|
| Source of Verification Record | Text |
Provide the source from which the verification record was obtained.
|
| Verification of Individual | ||
| Full Legal Name of Individual | Text |
Please enter the full legal name of the individual.
|
| Address | Text |
Please enter the full residential address of the individual.
|
| Date of Birth | Date |
Please enter the individual's date of birth.
|
| Principal Business or Occupation | Text |
Please enter the individual's principal business or occupation.
|
| Date Information Verified / Credit File Consulted | Date |
Please enter the date when the individual's information was verified or a credit file was consulted.
|