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Get Direct Deposit/annuity Builder Form - Fidelity

Y Builder Form Instructions Use this form to (1) automatically transfer income payments from your Fidelity1 Income Annuity directly to your bank account, Fidelity Brokerage or Mutual Fund Account and/or (2) to add/change Annuity Bank-Line information and/or the Automatic Annuity Builder feature to your Fidelity1 Deferred Variable Annuity. If you have questions when completing this form, please call the Annuity Service Center at 800-634-9361 Monday through Friday, 8 am to 8 pm Eastern Tim.

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