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Get Ira4 W4p Laz Fillable Form

SOCIAL SECURITY NUMBER DATE OF BIRTH DATE OF DEATH (IF APPLICABLE) DISTRIBUTION REASON l l l l l l l l l l l TYPE OF IRA (SELECT ONE): l l Traditional IRA SIMPLE IRA DAYTIME PHONE NUMBER Select One. (For further information, see Additional Information included with this form.) Early Distribution, no known exception Early Distribution, exception applies (includes IRS Levy) Disability Death Prohibited Transaction Revocation Normal Transfer to another IRA Direct Rollover to an employer-spo.

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