Form 1455-2026

1. Click ‘Get Form’ to open it in the editor.
2. In Part A, select the reason for distribution by marking the appropriate box. If you choose 'Other', provide a brief description of your reason.
3. Proceed to Part B, where you will need to complete a separate section for each distributee. Enter the name, Social Security Number or Employer Identification Number, telephone number, and address of the first distributee.
4. For each security being distributed, fill in the title of security, issue date, face amount, identifying number, and registration details as required.
5. In Part C, certify that all information is accurate by signing in ink. Ensure that your signature is witnessed by a certifying officer who will also sign and provide their details.

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