r. Social Securay/Tax C Number: (Secondary, If °operable) Account Type (select one) DInclovidual - (Non IRA) Joint Trust Trust 0Corpeusiness EIUGAUVUTMA O 403B O 0ther: ['SIMPLE IRA ['SEP IRA ['Traditional or Rollover IRA ['Roth IRA O Beneficiary IRA O Beneficiary Roth IRA DEstate DOualified