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Roth IRA Contribution InstructionsIROTH IRA OWNER INFORMATION
NAME, ADDRESS, CITY, STATE, AND ZEROTH IRA ACCOUNT (PLAN) NUMBER2CONTRIBUTION INFORMATION(See Additional Information included with this
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This form is related to reporting financial information to First Southern Bank.
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Customers and account holders of First Southern Bank may be required to file this form.
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The purpose of this form is to comply with financial regulations and report necessary information to the bank.
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Information such as account details, transactions, and other financial data may need to be reported on this form.
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