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SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL …

1100 (Rev. 10/2014) 2014 Ascensus, Inc. SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL account agreement Form 5305 SA under section 408(p) of the Internal Revenue Code. FORM (Rev. March 2002) The participant named on the application 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 his or her beneficiaries after death. The custodian named on the application has given the participant the disclosure statement required by Regulations section 6.

1100 (Rev. 10/2014) ©2014 Ascensus, Inc. SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT Form 5305 …

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