ConocoPhillips — Change of Address (company IR deck)

Slide 1 — Address Change Request

17-581 F, 1-25 IN ORDER TO AVOID DELAYS FORM MUST BE COMPLETE Owner Name (as it appears on payment or statement detail): Address Change Request Mail, fax or email to: ConocoPhillips Company Attn: Station X 315 S. Johnstone Ave. Bartlesville, OK 74003-9956 Fax: 918.662.3513 [email protected] If Applicable, use this space for Notary: STATE OF COUNTY OF The foregoing instrument was acknowledged before me on this day of , 20 . (Seal) Signature To send form electronically: *PLEASE NOTE: IF ANY FIELD IS INCOMPLETE OR DOES NOT MATCH THE INFORMATION IN OUR SYSTEM, NO CHANGES WILL BE MADE. WE WILL CONTACT YOU AT THE ADDRESS WE HAVE ON FILE OR THROUGH THE EMAIL ADDRESS YOU HAVE PROVIDED. UPDATES WILL ONLY BE MADE TO THE OWNER NUMBER(S) PROVIDED ON THE FORM. IF NO OWNER NUMBER IS PROVIDED AND FORM IS NOTARIZED, UPDATES WILL BE MADE TO OWNER NUMBERS MATCHING THE OLD ADDRESS. Old Address: New Address: Tax Identification No.: (Last 4 Digits) OR Social Security No.: (Last 4 Digits) Signature: Phone #: Date: *E-mail Address: Owner Number(s): (If unknown, please notarize this form.) For detailed information on how we handle and protect your personal information/data, please refer to the ConocoPhillips’ Privacy Policy. SIGN SIGN Click to E-mail Form

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