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Please use this form to update account ... - TexPool

Print Form Clear Form account Change Form Please use this form to update account information. *Required Fields 1. account Registration Participant Name* Location Number* Effective Date*. Please select all the applicable pool(s). Pool Name TexPool account Number 449 TexPool All Accounts 590 TexPool Prime All Accounts Both All Accounts Email Address of Authorized Representative*. 2. Maintenance Instructions Please select all that require updating. Participant Name account Name Attention Street Address Mailing Address (if different from Street Address). City, State, Zip Code Telephone Number Fax Number Email Address for Authorized Representative Form Continues on Next Page 1 of 2. 3. Signature Note: This authorization must be executed by a current Authorized Representative of the Participant as set forth in the duly enacted Resolution of the Participant, which is on file with TexPool .

TexPool Participant Services Managed and 1001 Texas Avenue, Suite 1400 Houston, TX 77002 Serviced by ee eddrat Phone: 1-866-TEXPOOL (839-7665) Fax: 1-866-839-3291

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Transcription of Please use this form to update account ... - TexPool

1 Print Form Clear Form account Change Form Please use this form to update account information. *Required Fields 1. account Registration Participant Name* Location Number* Effective Date*. Please select all the applicable pool(s). Pool Name TexPool account Number 449 TexPool All Accounts 590 TexPool Prime All Accounts Both All Accounts Email Address of Authorized Representative*. 2. Maintenance Instructions Please select all that require updating. Participant Name account Name Attention Street Address Mailing Address (if different from Street Address). City, State, Zip Code Telephone Number Fax Number Email Address for Authorized Representative Form Continues on Next Page 1 of 2. 3. Signature Note: This authorization must be executed by a current Authorized Representative of the Participant as set forth in the duly enacted Resolution of the Participant, which is on file with TexPool .

2 As a current Authorized Representative, I certify that the above information is both true and correct. Signature of First Authorized Representative* Date*. Printed Name* Telephone Number*. Title* Email*. Signature of Second Authorized Representative* Date*. Printed Name* Telephone Number*. Title* Email*. 4. Mailing Instructions The completed account Information Maintenance Form can be faxed to TexPool Participant Services at 1-866-839-3291, or mailed to: TexPool Participant Services 1001 Texas Avenue, Suite 1400. Houston, TX 77002. ORIGINAL SIGNATURE AND DOCUMENT REQUIRED TEX-MAINT 2 OF 2. TexPool Participant Services Managed and 1001 Texas Avenue, Suite 1400 Houston, TX 77002 Serviced by ederated Phone: 1-866- TexPool (839-7665) Fax: 1-866-839-3291 G45340-10 (7/18) 2018 Federated Investors, Inc.


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