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Get Form 5305-e (rev. January 2000)

Er section 530 of the Internal Revenue Code) Grantor s identification number Name of designated beneficiary Check if Amendment Designated beneficiary s identification number Address of designated beneficiary Date of birth of designated beneficiary Name of responsible individual (generally the parent or guardian of the designated beneficiary) Address of responsible individual Name of trustee Address or principal place of business of trustee The grantor whose name appears above is.

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