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Click Download from the Markup Toolbar.
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Select a download option:
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Markups as comments
Only markups that are being reviewed or edited will be saved as editable comments in the PDF.
Annotations change to a draft image if you download a file containing stamp, symbol, or image annotations into Adobe Acrobat with Markups as comments selected and you rotate the annotations. This is an Adobe Acrobat limitation.
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Flatten markups
Only markups that are being reviewed or edited will be burned into the PDF, making the markups uneditable.
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