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M COMPLETED BY (NAME) 1. PURCHASE PAYMENT TYPE/SOURCE 1. Regular 2. 60-Day Rollover (Select one by marking an "x" in the appropriate box.) 3. Direct Transfer/Rollover (Select by marking an "x" in the appropriate box.) TO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - FROM l v Traditional IRA SEP IRA Roth IRA* Former 457(b) SIMPLE Pension/ 457(b) Pension/ GovernIRA 401(k) Non-Profit 401(g) mental Tradi.

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