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Shows the cumulative total amount of premiums paid for the Box 4. Shows the fair market value FMV of your QLAC as of December 31 2014. ISSUER S federal identification no. OMB No. 1545-XXXX PARTICIPANT S taxpayer identification no. 1a Annuity amount on start date Form Qualifying Longevity Annuity Contract Information 1098-Q INTERNAL USE ONLY DRAFT AS OF November 3 2014 1b Annuity start date 2 Check if start date may be accelerated 3 Total premiums 4 FMV of QLAC 5a 5b 5c 5d 5e 5f City or town...
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