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List type and amount 10e For Paperwork Reduction Act Notice see instructions. Cat. No. 37699X Form 8891 Rev. 12-2012 Page 2 Section references are to the Internal Revenue Code. Form U.S. Information Return for Beneficiaries of Certain Canadian Registered Retirement Plans Rev. December 2012 For calendar year 20 Department of the Treasury Internal Revenue Service Name as shown on Form 1040 OMB No. 1545-0074 Attach to Form 1040. or tax year beginni.

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