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HSA Snap-Pac - Custodial - Not Imprinted # 70202

The HSA Snap-Pac, which is available in either Trust or Custodial version, is complete, economical, and easy-to-use. This document contains two copies of the HSA Application with the HSA agreement printed on the reverse side (one for the HSA owner and one for the financial organizatiion) and one copy of the HSA Disclosure Statement (for the HSA owner). 5-Page, Snap-Apart, 2-Color, 8 1/2 x 11.