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IRA Rollover Request Form - home.capitalone360.com

REQUEST FOR A TRANSFER OR DIRECT ROLLOVER This form is being used to complete a: Traditional IRA transfer to a Capital One 360 Traditional IRA Roth IRA transfer to a Capital One 360 Roth IRA Simple IRA transfer to a Capital One 360 Traditional IRA. Employer Plan [401(k), 403(b) or other]direct rollover to a Capital One 360 Traditional IRA

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