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Get IRS 5305-S 2002

Easury Internal Revenue Service Name of participant Date of birth of participant Address of participant Check if transfer SIMPLE IRA Check if amendment Address or principal place of business of trustee Name of trustee Social security number 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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