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SEP IRA Return of Excess Contribution Request

www.fidelity.com

Amount of excess contribution Amount $. This phone number may be used if we have questions, but will not be used to update your account information. If you have multiple excess contributions, provide the date of the first excess contribution. Do NOT include any earnings or loss on the excess contribution. 1.9896897.101 039940001

  Request, Return, Contributions, Excess, Ira return of excess contribution request

Fidelity IRA Return of Excess Contribution Request

www.fidelity.com

W-8BEN with this IRA Return of Excess Contribution Request and have included my U.S. taxpayer identification number in order to claim tax treaty benefits, if applicable. SIgNATuRE PRINT NAME DATE (mm/dd/yyyy) SIgNATuRE guARANTEE STAMP DATE (mm/dd/yyyy) Signature guarantee Information A signature guarantee is required if your withdrawal

  Request, Return, Contributions, Excess, Ira return of excess contribution request

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