#6123 Roth IRA Excess Worksheet

$0.75

Quantity Nonimprint Imprinted
1-49 $0.75 N/A
50-99 $0.68 $0.95
100-249 $0.65 $0.83
250-499 $0.53 $0.64
500-999 $0.44 $0.54
1,000-2,499 $0.32 $0.37
2,500-4,999 $0.29 $0.34
5,000-9,999 $0.26 $0.31
10,000 $0.25 $0.30
NOTE: Forms are available to be purchased individually, and there are no minimum quantity requirements.
Imprinting includes up to four lines of type – black ink.
Additional quantities are available at a reduced fee.

Description

#6123 Roth IRA Excess Worksheet

  • Identifies type of excess
  • Details correction procedures
  • Documents how the excess amount was determined
  • Calculates earnings attributable to the excess

Imprinted

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