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Get NY DTF IT-1099-R 2019-2021

IT-1099-R as an entire page. See instructions on the back. Name(s) as shown on return Identifying number as shown on return 1099-R  Record 1 Corrected (1099-R) Recipient’s identification number for this 1099-R................... Box 11 1st year of desig. Roth contrib. Box A Payer’s name and full address State Box 12 State tax withheld (for NY State) N Y Box B Payer’s federal identification number Box 3 Capital gain (included in box 2a) Box 1 Gross distribut.

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