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ROTHIRAWITHDRAWAL AUTHORIZATIONRefer to pages 2 and 3 of this form for reporting and withholding notice information. PART 1.ROTH IRA COUNTERPART 2.ROTH IRA TRUSTEE OR CUSTODIAN To be completed by
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Allentown PA 18002-0147 is the zip code for a specific location in Allentown, Pennsylvania.
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