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Get UMB Bank ACTF01 2019-2024

Will need to complete the trustee transfer form required by your new HSA custodian. UMB Health Savings Account Number (Enter your 10-digit number found on your HSA statement - if available) 9 8 As owner of the Health Savings Account identified above, I hereby request that the custodian take the closure action selected below. I acknowledge that I took the necessary steps to liquidate any invested funds prior to sending this request and understand that my request will NOT be processed if any f.

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