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Fidelity Funds Account Transfer of Assets Form

YOURTRANSFER TOFIDELITY(Check one, then proceed to Section 3. Continue on a separate sheet if needed.)2A. Sell all Assets in the Account named in Section 1 and send the proceeds to Sell only the Assets listed below from the Account named in Section 1 and send the proceeds to fund or Security NameDollar Amount or All C. CD with a Bank, Savings & Loan, or Other Financial InstitutionLiquidate CD immediately. I acknowledge that I may incur a penalty for early CD at maturity. Maturity date is //. Submit your request 3 weeks priorto Reregister the Fidelity mutual Funds listed fund NameDollar Amount or All SharesUse this form to authorize the Transfer of Assets currently at another firm to your Fidelity Funds Account .

List the name(s) of the Fidelity mutual funds into which the transfer proceeds are to be deposited. The total must add up to 10 0%. Fidelity Fund Name Percentage of Proceeds % % % Total = 100% If you do not indicate a Fidelity mutual fund, your transfer proceeds will be invested in Fidelity Cash Reserves, a money market fund. 4 OWNER AUTHORIZATION

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  Market, Fund, Money, Fidelity, Money market, Fidelity funds

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