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You may not take the usual tax deduction for HSA contributions for any funds transferred from your IRA and contributed to your HSA. ACCEPTANCE to be completed by 1st Kentucky Bank. Please send the check payable to 1st Kentucky Bank Custodian representing liquidation of funds as indicated above along with a copy of this form to identify the check as a transfer of assets to Attn HSA Department P. IRA to HSA Transfer Form A one-time tax-free trustee-to-trustee transfer of IRA funds to an HSA is...

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