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Roth IRA Rollover Certification    8880 W. Sunset Rd., Ste 250, Las Vegas, NV 89148  Client Services: 888‐855‐9856    1  Account Owner Information  Name:  Account #:  Address:  City:  Social Security #:  Date of Birth:  State:  Zip:  Phone:    2   Roth IRA to Roth IRA Rollover Requirement  To be an eligible rollover, all questions must be answered “No” or “N/A.”  Amount:  $  Check #: (if available)Â...
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