Page 23 - Income Documentation

IMPORTANT TAX DOCUMENT
RECIPIENT'S TIN: XXX-XX-9739 Account number: 48056302 Vanguard Brokerage
Contact Info: 800-662-2739
WILLIAM D ARMES 2020 Form 1099-R PAYER'S:
IRA VFTC AS CUSTODIAN Vanguard Fiduciary Trust Company
ROLLOVER ACCOUNT Distributions From Pensions, Annuities, Retirement or P.O. Box 982901

461 KAKKIS DR UNIT 102 Profit-Sharing Plans, IRAs, Insurance Contracts, etc. El Paso, TX 79998-2901
LONG BEACH CA 90803-6374
PAYER'S TIN: 23-2869268

OMB No. 1545-0119
Employee
contributions/
Taxable Federal Designated Roth IRA/ 1st year of
Gross Taxable amount not Total income tax contributions or Distribution SEP/ desig. Roth State tax State/Payer's State
distribution amount determined distribution withheld insurance premiums code(s) SIMPLE contrib. withheld state no. distribution
(Box 1) (Box 2a) ------(Box 2b)------ (Box 4) (Box 5) (Box 7) (Box 11) (Box 14) (Box 15) (Box 16)

2,800.00 2,800.00 X 1,782.00 07 X 0.00

Copy B Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your return.
This information is being furnished to the IRS.
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