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Get IRS 1099-R 2015

Nt or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. IRA/ SEP/ SIMPLE 8 Other $ City or town, state or province, country, and ZIP or foreign postal code 9a Your percentage of total distribution 10 Amount allocable to IRR within 5 years 11 1st year of desig. Roth contrib. 12 State tax withheld 15 Local tax withheld Account number (see instructions) $ $ 1099-R $ 13 State/Payer s state no. 14 State distribution $ $ $ Form % % 9b Total employee contributions www.irs.gov/form1.

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