- - With a Maryland ABLE program, people with an eligible disability finally have a way to save for qualified expenses, invest for the future and keep the benefits they rely on every day. Now, you can help them reach their goals by contributing to their ABLE account. Want to help grow a loved one's ABLE account? • Fill out this form and include a check made payable to Maryland ABLE. • The minimum amount to gift is $10. • There is no fee to make a gift contribution using this form. • If you need help, give us a call at 1-855-563-2253 9am – 8pm ET or 1-844-888-2253 (TTY), 9am – 8pm ET, Monday – Friday. How to make a gift: Mail this form and check to: Maryland ABLE P.O. Box 9663 Providence, RI 02940-9663 This information is for general information purposes only and does not constitute tax or investment advice. Carefully consider objectives, risks, charges and expenses before investing. It is possible to lose money by investing in the Program. Please read the Program Disclosure Booklet and Participation Agreement. Gift contributions irrevocably become property of the account owner. Gift Contribution Form Gift Form Beneficiary’s name Contributor’s name Contributor’s address Gift amount (Minimum is $10) Maryland ABLE program Number $ Contributor’s phone number v2.1 | 09/16/2019 Overnight mail: Maryland ABLE 4400 Computer Drive Westborough, MA 01581

Gift Form · • Fill out this form and include a check made payable to Maryland ABLE. • The minimum amount to gift is $10. • There is no fee to make a gift contribution using

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Page 1: Gift Form · • Fill out this form and include a check made payable to Maryland ABLE. • The minimum amount to gift is $10. • There is no fee to make a gift contribution using

- -

With a Maryland ABLE program, people with

an eligible disability finally have a way to save

for qualified expenses, invest for the future

and keep the benefits they rely on every day.

Now, you can help them reach their goals by

contributing to their ABLE account.

Want to help grow a loved one's ABLE account? • Fill out this form and include a check

made payable to Maryland ABLE.

• The minimum amount to gift is $10.

• There is no fee to make a gift contribution using this form.

• If you need help, give us a call at 1-855-563-2253

9am – 8pm ET or 1-844-888-2253 (TTY),

9am – 8pm ET, Monday – Friday.

How to make a gift:

Mail this form and check to:Maryland ABLE P.O. Box 9663 Providence, RI 02940-9663

This information is for general information purposes only and does not constitute tax or investment advice. Carefully consider objectives, risks, charges and expenses before investing. It is possible to lose money by investing in the Program. Please read the Program Disclosure Booklet and Participation Agreement. Gift contributions irrevocably become property of the account owner.

Gift Contribution Form

Gift Form

Beneficiary’s name Contributor’s name

Contributor’s address

Gift amount (Minimum is $10)

Maryland ABLE program Number

Contributor’s phone number

v2.1 | 09/16/2019

Overnight mail:Maryland ABLE 4400 Computer DriveWestborough, MA 01581