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Account Type Checking Savings John and Jane Doe 123 Any Street Anytown USA 12345 Date Tape your voided check or preprinted PAY TO THE deposit slip here. PART VII WITHHOLDING NOTICE AND ELECTION Form W-4P OMB No. 1545-0415 Dept. of Treasury Internal Revenue Service Notice The distributions you receive from your IRA are subject to federal income tax withholding unless you waive withholding. These are Normal Distributions Distributions Due to Disability Substantially Equal Periodic Payments that...
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