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Get IRS 5305-S 2017-2021

De) Date of birth of participant Address of participant Name of trustee Do not file with the Internal Revenue Service Account number Check if transfer SIMPLE IRA Check if amendment . . . . . Address or principal place of business of trustee The participant named above is establishing a savings incentive match plan for employees of small employers individual retirement account (SIMPLE IRA) under sections 408(a) and 408(p) to provide for his or her retirement and for the support of.

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