This form is to be used by a bank acknowledging that: i) a lender has a security interest in an customer's accounts; ii) the bank has no security interest in the same accounts; and iii) additional related provisions.

This form includes special formatting features to assist you in completing the agreement.

This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.