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Health Savings Account (HSA) Instructions for Account Closure Form To close your HSA, complete all of the required sections of the enclosed form. If you have an HSA Investment Account, we will liquidate your investments.
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Document Date: 2014-07-24 09:24:38


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File Size: 234,53 KB

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Company

PayFlex Systems USA Inc. / /

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IndustryTerm

online account / /

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Position

administrator / as applicable / Executor/Administrator / tax advisor / administrator / /

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