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Get Invesco IRA-FRM-11 2019-2023

Completed form should be returned to the employer and retained for the employer s records. Do not return this form to Invesco Investment Services, Inc. (IIS). PLEASE USE BLUE OR BLACK INK PLEASE PRINT CLEARLY IN BLOCK CAPITAL LETTERS 1 Participant Information Full Name Start Here Use "Tab" key to move to next field. 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 IR.

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