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CONTRIBUTION AND INVESTMENT SELECTION - Elements …

CONTRIBUTION AND INVESTMENT SELECTION - Elements …

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Contribution for Tax Year _____ (Qualified HSA funding distributions from an IRA must be made for the current tax year) 2. Rollover (Distribution from an HSA or Archer MSA that is being deposited into this HSA) ... 3107_2614H HSA Contribution and Investment Selection (5/2012)

  Selection, Investment, Contributions, Contribution and investment selection

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