Get IRS 4852 1998
T or Profit-Sharing Plans, IRAs, Insurance Contracts, Etc. 1. Name (First, middle, last) OMB No. 1545-0458 2. Taxpayer Ident. Number(TIN) 3. Address 4. Please fill in the year at the end of the statement. I have been unable to obtain (or have received an incorrect) Form W-2, Wage and Tax Statement, or Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-sharing Plans IRA's, Insurance Contracts, etc., from my employer or payer named below. I have notified the Internal Re.
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