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Get If You're Requesting A Full Withdrawal, Please Skip To Section 3. - Fidelity

Wals will reduce the amount of your future income payments and may impact the period of time available for any future withdrawals. If you have questions about how to fill out this form, please call the Annuity Service Center at 800-634-9361, Monday through Friday, 8 a.m. to 8 p.m. Eastern time. Faxes are not accepted. 1 CONTRACT OWNER INFORMATION - - Contract Number Phone Number Owner s First Name Owner s Last Name Joint Owner s First Name Joint Owner s Last Name 2 REQUEST A P.

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