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Payer:
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Payer's Federal Identification Number (FIN):340727612 |
DEFENSE FINANCE AND ACCOUNTING SERVICE | |
CLEVELAND CENTER | |
1240 EAST NINTH STREET | |
CLEVELAND, OH 44199-2055 | |
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Recipient:
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Recipient's Identification Number:
361-56-9005 |
MANTIONE CHARLES | |
808 FRONT ST | |
MARYVILLE, TN 37804-4227 | |
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Submission Type: | Original document |
Account Number (Optional): | 361569005RET01 |
Distribution Code Value: | Normal distribution |
Distribution Code: | 7 |
Distribution Code Value: | Not significant |
Distribution Code: | Blank |
Tax Amount Undetermined Code: | Not checked |
Total Distribution Code: | Not checked |
First Year Roth Contribution: | 0000 |
SEP Indicator: | IRA/SEP/SIMP box not checked |
FATCA Indicator: | not FATCA |
Date of Payment for Reportable Death Benefits under Section 6050Y: | 00-00-0000 |
Tax Withheld: | $678.00 |
Total Employee Contributions: | $0.00 |
Unrealized Appreciation: | $0.00 |
Other Income: | $0.00 |
Gross Distribution: | $10,737.00 |
Taxable Amount: | $10,737.00 |
Eligible Capital Gains: | $0.00 |
Amount to IRR: | $0.00 |