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Get Sample Completed Forms - Fidelity

Al Services Corporation P.O. Box 3750 New York, NY 10008-3750 Name of Fidelity Account Owner IRREVOCABLE STOCK OR BOND POWER B.401-FORM-OSC-897 Fidelity Brokerage Account Number To allow Fidelity Brokerage Services, Inc. to process your certificate(s) in the absence of your endorsement on the certificate(s), please complete and sign this stock/bond power, which we will then attach to the certificate(s). If you have any questions, please call our Brokerage Account Assistance Line 24 hours a d.

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