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Instructions for Completing Surrender Request Form For Annuitized Variable Contracts For Standard Mail Delivery For Private Express Mail Carriers Hartford Life-IPS Attention Contract Management PO Box 5085 200 Hopmeadow Street Hartford CT 06102-5085 Simsbury CT 06089 Investment Professionals may call 1-800-862-7155 Clients may call 1-800-862-6668 Forms are available online at www. Hartfordinvestor. com These instructions are provided to help you .

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