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Get IRS 1099-R 2009

Distribution Street address (including apt. no.) $ 6 Net unrealized appreciation in employer s securities $ RECIPIENT S name 4 Federal income tax withheld 5 Employee contributions /Designated Roth contributions or insurance premiums RECIPIENT S identification number 3 Capital gain (included in box 2a) $ PAYER S federal identification number $ 7 Distribution code(s) City, state, and ZIP code 1st year of desig. Roth contrib. IRA/ SEP/ SIMPLE 9a Your percentage of total dist.

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