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Blue Owl Technology Income Corp. | |
Notice of Withdrawal Form |
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Blue Owl Technology Income Corp. (referred to herein as the “Company” or “OTIC”) | |
Offer to Repurchase Date: May 23, 2024 Expiration Date: June 28,2024 at 7:00PM Eastern Time | |
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To have your previously submitted repurchase canceled, this Notice of Withdrawal form must be received in good order no later than the expiration date listed above (unless the offer is extended). Do not submit this form to submit a repurchase request. |
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1 | Repurchase Withdrawal | |
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| | By selecting here, the undersigned Shareholder of OTIC hereby withdraws the tender of his, her, or its Shares of OTIC, which the Shareholder submitted by a Tender Authorization form dated May 23, 2024. The undersigned recognizes that upon the timely receipt of this Notice of Withdrawal Form, properly executed, the Shares previously tendered will not be purchased by OTIC. |
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| Name of Investor(s)/Entity | | | | | | | | OTIC Account Number | | | SSN/Tax ID Number |
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► | Share Class (select one) | | Class S | | | Class D | | Class I |
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2 | Authorization and Signature of Investors |
By signing below, the Investor hereby:
•authorizes OCIC to withdraw the tender request on file; and
•certifies and represents that [he/she/it] has full power, authority, and capacity to execute this Notice of Withdrawal Form; and the information provided above is true and correct.
Each Investor must sign below:
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| Investor or Authorized Person Signature | | Date | |
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| Joint Investor or Authorized Person Signature | | Date | |
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Once completed, send to: | Any questions? |
Email: BlueOwl.Repurchases@dstsystems.com | Email: ServiceDesk@blueowl.com |
Overnight Mail: OTIC c/o DST Systems, Inc. as Processing Agent, 430 W 7th Street, Suite 219398, Kansas City, MO 64105 | Toll Free: 1-844-331-3341 |