Nora Barry Fischer

HSA #1

Bank of America. Cash account — Interest

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Spouse's income — 1

82 1 0 — 1. Income Gain Codes: ASLO or less B=$1.001 - $2,500 © $2,501 - $5,000 D=$5001 - $15,000 E=S15001 - $20,000 (See Columns BI and D4) F $50,001 - $100,000 G =S100,001 - $1,000,000 HI =$1,000,001 - $5,000,000 H2 “More than $5,000,000 2, Vahue Codes J-$15.000 oe less K=$15,001 - $50,000 L 550,001 - $100,000 M=5100,001 - $250,000 (See Columns C1 and D3) N=$250,001 « $500,000 O=$500,001 + $1,000,000 PI =S1000001 « $5,000,000 2 -55,000,001 - $25,000,000 P3525, 000,001 - $50,000,000 14 More thie $50,000,000 3. Value Method Codes Q Appraisal R~Cast (Real Este Only) 5 =Asstssment T ~Cash Market (See Colusa C2) U Book Value \ =Onher W =Estimuint

Qualified Plan #6 was completely distributed in 2012 and rolled into Qualified Plan #5.