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Get Fidelity 3.TEMDISTCW.100

57(b) governmental employer plan. Fill in by hand using CAPITAL letters and black ink, or on screen (if electronic file). If you need more room for information or signatures, use a copy of the relevant page. Helpful To Know •  ou can only take a distribution if you meet one of the Y criteria for eligibility (see Section 3). If you are a beneficiary or qualified alternate payee, call Fidelity instead of using this form. •  orkplace retirement plan distributions may have tax W consequences.

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