Change of Address Form

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Change of Address Form DevelopmentCorporationforIsrael/IsraelBonds CHANGEOFADDRESSFORM ThisformshouldbeusedtoupdatetheaddressesofyourIsraelBondPurchaserAccountatDevelopmentCorporationforIsrael.You mayalsousethisformtorequestchangestotheaddressassociatedwithyourholderaccount,whichismanagedbyIsrael’sFiscal Agent,Computershare.TheHolderAccountaddressmayalsobeupdatedbycontactingComputersharedirectlyat866Ͳ764Ͳ3425. AccountName(IndividualorEntity) AccountName PhoneNumber Email ( ) Ͳ Account(s)Involved ALLPurchaseraccountsassociatedwith: SocialSecurityNumberorTIN PleaseadditionallyhaveComputershareupdateallHolder accountsunderthesameSSN/TIN ONLYtheseaccounts: Ifyouchecktheabovebox,youraddresswillremainunchangedonanyaccountsyoudonotlisthere. PurchaseraccountsareintheformatPCͲ0000000orECͲ0000000,andHolderaccountsareintheformatC0000000000. AccountNumber AccountNumber AccountNumber AccountNumber OldAddressInformation StreetAddress(noPOBoxorMailDrop) City State ZipCode Ͳ MailingAddress(ifdifferentfromStreetAddress) City State ZipCode Ͳ NewAddressInformation StreetAddress(noPOBoxorMailDrop) City State ZipCode Ͳ MailingAddress(ifdifferentfromStreetAddress) City State ZipCode Ͳ Signature Bysigningbelow,youauthorizeDevelopmentCorporationforIsraeland/orComputersharetoactonallinstructionsprovidedonthisform,attest thatyouareauthorizedtorequestthesechanges,andattestthatallthisinformationiscorrect.Changesmustbesignedbyallregisteredholdersfor JointTenantholdings.ForEntity,Accounts youmustbeauthorizedtosignonbehalfoftheEntity. PrintName(andTitle,ifEntity) SignName Date 1 2 The completed and signed form can be faxed to 212-644-9578. You may also mail the form to: DevelopmentCorporationforIsrael MemberFINRA Development Corporation for Israel VϬϯ201ϱ Attn: Customer Service PO Box 5263 New York, NY 10150-5263 If you email the form to [email protected], we strongly recommend you password protect it before emailing as the document contains private information..
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