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Get 2001 Form 4972 (fill-in Version). Tax On Lump-sum Distributions

Ipient of distribution Part I 2001 (From Qualified Plans of Participants Born Before 1936) 28 Identifying number Complete this part to see if you can use Form 4972 Yes No 1 Was this a distribution of a plan participant s entire balance (excluding deductible voluntary employee contributions and certain forfeited amounts) from all of an employer s qualified plans of one kind (pension, profit-sharing, or stock bonus)? If No, do not use this form 2 Did you roll over any part of the.

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