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Get Invesco IRA-FRM-11 2013

Or employers records. • Do not return to Invesco Investment Services, Inc. (IIS). PLEASE USE BLUE OR BLACK INK PLEASE PRINT CLEARLY IN BLOCK CAPITAL LETTERS 1 | Participant Information Full Name Social Security Number Date of Birth (mm/dd/yyyy) Employer’s Name 2 | Salary Reduction Election (Select one) Subject to the requirements of the SIMPLE IRA Plan of the above named employer, I authorize % or $ , . to be withheld from my pay check each period and contributed to my SIMPLE IRA as.

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