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Get Bencor Distribution Request Form

Form. Regular Mail: c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Delivery: c/o U.S. Bancorp Fund Services, LLC 615 E. Michigan St., FL3 Milwaukee, WI 53202-5207 1 Account Information NAME (AS IT APPEARS ON YOUR ACCOUNT REGISTRATION) MUTUAL FUND NAME AND ACCOUNT NUMBER XXX - XX ADDRESS SOCIAL SECURITY NUMBER CITY DATE OF BIRTH STATE ZIP CODE DAYTIME PHONE Note: If the address listed above is different than the address currently listed in our reco.

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