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A withdrawal of a set amount of money on a regular basis. You must have at least two withdrawals per 12-month period to use this service. Note: The maximum amount for any single withdrawal is $99,999.99. We may require a signature guarantee depending on your requested payment method. Return completed form to Fidelity Investments, PO Box 770001, Cincinnati, OH 45277-0002. If you have any questions, call us anytime at 1-800-544-6666 or visit us at Fidelity.com. 1 CUSTOMER INFORMATION Account N.
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