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Get IRS 1099-R 2017

Stal code OMB No. 1545-0119 1 Gross distribution 2a Taxable amount 2017 $ Form $ 2b Taxable amount not determined PAYER S federal identification number RECIPIENT S identification number Total distribution 3 Capital gain (included in box 2a) $ /Designated Roth contributions or insurance premiums $ withheld For State, City, or Local Tax Department 6 Net unrealized appreciation in employer s securities $ 7 Distribution code(s) Street address (including apt. no.) 4 Federal.

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