How do I add ringtones that were downloaded from itunes to my iphone 5

How do I download ringtones that were downloaded from Itunes to my iphone 5.

You don't, as ringtones are a one time purchase and as such can't be redownloaded.
If you still have them on your iTunes library, you may sinc them from there.
If you have a backup that contains them, you may restore your phone from that backup.
Or you can go to expresslane.apple.com and try for a re-issue. Which they do only occasionally and depending on the circumstances.

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