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Get Irs Form 5324

4: Reason for Distribution (continued) Account Number Owner s Name (Last, First, Middle Initial) Owner s Social Security Number Date of Birth (MM/DD/YY) Address of Residence (Required) - P.O. Box not accepted (City, State, Zip) Mailing Address - If different from above (P.O. Boxes accepted) ( ) Day Phone ( ) Evening Phone E-mail Address If your address is different from what is currently shown on your account, your signature must be guaranteed in Section 11. SECTION 2: Account Type.

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