Transcription of Form 5305 (Rev. April 2017)
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Form 5305(Rev. April 2017) Department of the Treasury Internal Revenue ServiceTraditional Individual retirement trust Account(Under section 408(a) of the Internal Revenue Code)Do not file with the Internal Revenue ServiceName of grantorDate of birth of grantorAccount numberAddress of grantorCheck if amendment .. Name of trusteeAddress or principal place of business of trusteeThe grantor named above is establishing a traditional individual retirement account under section 408(a) to provide for his or her retirement and for the support of his or her beneficiaries after trustee named above has given the grantor the disclosure statement required by Regulations section grantor has assigned the trustdollars ($) in grantor and the trustee make the following IExcept in the case of a rollover contribution described in section 402(c), 403(a)(4), 403(b)(8), 408(d)(3), or
Traditional Individual Retirement Trust Account (Under section 408(a) of the Internal Revenue Code) Do not . file with the Internal Revenue Service. Name of grantor. Date of birth of grantor. Account numberAddress of grantor Check if amendment . . . . Name of trustee. Address or principal place of business of trustee
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