Fidelity Advisor Money Line Electronic Funds Transfer ...

Fidelity Advisor Money Line?

Electronic Funds Transfer Authorization

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Use this form to establish or change Fidelity Advisor Money Line instructions on a Fidelity Advisor account. Type on screen or fill in using CAPITAL letters and black ink.

1. Account Information

I am establishing new Fidelity Advisor Money Line instructions.

OR

I am changing my existing Fidelity Advisor Money Line instructions.

Trust/Business Name or Owner/Custodian Name First, M.I., Last

SSN or TIN

Joint Owner/Trustee/Authorized Person/Minor Name First, M.I., Last

Account Number

You must provide an email address and mobile phone number to be used Mobile Phone Number Used as your primary phone Email Address* to verify and/or authorize

transactions.

* See Electronic Delivery section for more details.

2. Bank Information/Fidelity Advisor Money Line

Provide bank information to establish the Money Line feature on the account referenced in Section 1.

Some transaction limits may apply.

See your Financial Representative for details.

Fidelity Advisor Money Line allows you and/or your Financial Representative* to electronically transfer money, via the Automated Clearing House (ACH), between the bank/credit union account listed below and the account listed in Section 1, systematically or on demand. Note: For SIMPLE IRAs, the Money Line feature will only pertain to withdrawals. Contributions will not be accepted through Money Line. This feature is restricted for distributions for 10 calendar days after activation.

Bank Name

Provide a preprinted voided check along with

this form (preferred).

Bank Account Owner First Name

M.I.

Bank Account Owner Last Name (or Entity Name)

OR Additional Bank Account Owner First Name

M.I.

Additional Bank Account Owner Last Name

Enter your bank information in the

fields to the right.

ABA Routing Number

Bank Account Number

If no box is checked, we will default to checking.

* A separate authorization from you is required for

Financial Representatives to request distributions

electronically or by phone from retirement accounts.

Bank Account Type: Checking Savings

If the Fidelity Advisor account and the bank account identified DO NOT include at least one common owner, the Fidelity Advisor account owner must sign in Section 3 and have their signatures notarized. Additionally, for Money Line only?all bank account owners must also sign in Section 4 and have their signatures notarized. If a company check is provided for a non-entity account, all account owners must sign the request and a corporate resolution is required.

1.730953.117

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3. Account Owner Signatures and Dates Form cannot be processed without signatures and dates.

?I (We) hereby authorize Fidelity Investments Institutional Operations Company LLC (FIIOC), either in its own capacity or as agent for Fidelity Management Trust Company (FMTC), upon either receiving instructions from me (us), or the intermediary firm for my (our) account, to make payments of amounts representing redemptions by me (us) or distributions payable to me (us), or to secure payments of amounts to be invested by me (us), by initiating credit or debit* entries to the bank/credit union account indicated on the attached voided check or deposit slip (Bank). Notwithstanding anything to the contrary, I (we) understand that the intermediary firm may only request distributions from a retirement account if I (we) specifically authorize them to do so in a manner specified by FIIOC, or if applicable, FMTC. I (We) authorize and request the Bank to accept such entries from FIIOC, and to credit or debit,* as indicated, my (our) account at that Bank in accordance with these entries. I (we)

* Not available for SIMPLE IRAs.

All Account Owners must print name, sign, and date.

Print Shareholder/Custodian Name First, M.I., Last

hereby ratify any instructions given pursuant to this authorization and agree that neither the fund, nor FIIOC, nor FMTC, will be liable for any loss, liability, cost, or expense for establishing these privileges, or acting upon such instructions. I (We) acknowledge that this authorization may only be revoked by providing written notice or revocation to FIIOC, or if applicable, FMTC, in such time and manner as to afford FIIOC and the Bank a reasonable opportunity to act upon it. The rights and obligations herein shall inure to the benefit of and be binding upon any successor to FIIOCor FMTC. ?I (We) hereby authorize Fidelity Investments Institutional Operations Company LLC (FIIOC) to accept instructions from either me (us) or a representative of my (our) intermediary firm for transactions, which result in funds being electronically transferred between my (our) Fidelity account and my (our) bank/credit union.

Print Joint Owner Name First, M.I., Last

Shareholder/Custodian Signature

Date MM - DD - YYYY Joint Owner Signature

Date MM - DD - YYYY

SIGN

SIGN

E lectronically signed documents may only be submitted by your intermediary firm which has executed a signed Electronic Signature Use and Indemnification Agreement with FIIOC, and no notary or signature guarantee is required.

Statement of Notary Public In this section, "You" and "you" refer to the Notary Public. You certify that the individual signing above appeared before you on the date indicated below, that they are known to you to be the individuals they claim to be, and that they represented to you that they made the certifications above their signature of their own free will. Important Note: CA Notaries are permitted to submit a separate page notary document. If used, it must identify the document being notarized.

Notice to CA Residents: A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

NOTARIZATION 1

State

County

Identification

NOTARY SEAL / STAMP

Print Notary Name

Commission Expires MM - DD - YYYY

Notary Signature

Date MM - DD - YYYY

SIGN

NOTARIZATION 2

State

County

Print Notary Name

Notary Signature

Identification Commission Expires MM - DD - YYYY

Date MM - DD - YYYY

NOTARY SEAL / STAMP

SIGN

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4. Bank Owner Signatures and Dates Form cannot be processed without signatures and dates.

Bank Account Owner Signature

Date MM - DD - YYYY Bank Account Owner Signature

Date MM - DD - YYYY

SIGN

SIGN

?Your signature(s) must be notarized if the bank account identified in Section 1 and the Fidelity Advisor account do not include at least one common owner. The account owner(s) and all bank account owners must sign above and have their signatures notarized.

?If a company check is provided for a non-entity account, all account owners must sign the request and a corporate resolution is required along with this form. If the business does not have a corporate resolution, call Fidelity for further instructions (see contact information below).

Statement of Notary Public In this section, "You" and "you" refer to the Notary Public.

You certify that the individual signing above appeared before you on the date indicated below, that they are known to you to be the individuals they claim to be, and that they represented to you that they made the certifications above their signature of their own free will.

Important Note: CA Notaries are permitted to submit a separate page notary document. If used, it must identify the document being notarized.

Notice to CA Residents: A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

NOTARIZATION 3

State

County

Identification

NOTARY SEAL / STAMP

Print Notary Name

Commission Expires MM - DD - YYYY

Notary Signature

Date MM - DD - YYYY

SIGN

NOTARIZATION 4

State

County

Print Notary Name

Notary Signature

Identification Commission Expires MM - DD - YYYY

Date MM - DD - YYYY

NOTARY SEAL / STAMP

SIGN

5. Electronic Delivery

IMPORTANT: By signing this form, you are consenting to receive all account-related communications electronically. You agree that Fidelity may use your email and/or mobile number to message, call, or text you for this purpose. Message and data rates apply; frequency may vary. To manage your delivery preferences, log into accounts. and select the eDelivery settings in your Overview section.

To confirm your consent, please respond to the electronic messagewhich Fidelity will email to you.

Note:

?Your delivery preferences are applied across all eligible Fidelity accounts owned by you based upon your most recent election. If you have already consented to electronic delivery, your election will not change.

?The email address provided should not be your Authorized agent/ Representative's email address.

?This email address will replace any existing email address already on our system.

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Did you sign the form, and attach any necessary documents? Send the form and any necessary documents to Fidelity.

UPLOAD THROUGH WEB

FAX

MAIL

Log into Accounts.

888-321-7349

Instructions for Shareholders:

1.Under "Manage Accounts, Other Services," go to the "Upload Documents" link.

2.Follow instructions on the web portal and click "UPLOAD DOCUMENTS."

Instructions for Financial Representatives:

1.Under "Quick Links" on the landing page, go to the "Upload Documents" link.

2.Follow instructions on the web portal and click "UPLOAD DOCUMENTS."

Fidelity Investments Institutional Operations Company LLC (FIIOC)

Regular: P.O. Box 770002, Cincinnati, OH 45277-0082 Overnight: 100 Crosby Parkway, KC1G, Covington, KY 41015

IMPORTANT: If an original signature guarantee or notary is Questions? For help completing this form, call our Retirement

required, this form must be mailed.

Specialists at 800-248-4253, or visit accounts..

The trademarks and service marks appearing herein are the property of FMR LLC.

Fidelity Investments Institutional Operations Company LLC

926711.2.0

1.730953.117

0623

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