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Get Form 5305 (Rev. January 1998). Individual Retirement Trust Account

Ion 408(a) of the Internal Revenue Code) Date of birth of grantor Identifying number (see instructions) Address of grantor Check if Amendment Name of trustee Address or principal place of business of trustee The grantor whose name appears above is establishing an individual retirement account under section 408(a) to provide for his or her retirement and for the support of his or her beneficiaries after death. The trustee named above has given the grantor the disclosure statement required.

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