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Working for Families

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Middle names, Mobile and Anything else we should know are optional. Please complete all other fields.

Personal Details

IRD number:

First name:

Middle names: (if any)

Last name:

Email:

Phone:

Mobile:

General

My children and I are all NZ residents:: YesNo

I or my partner paid child support:: YesNo

I or my partner received child support:: YesNo

Anything else we should know: (child with passive income, received unsupported child’s benefit, etc)

Partner

I lived with a partner in the past 5 years:: YesNo

Child 1

Child’s full name:

Child’s date of birth:

Days per fortnight in your care: (more information): Changed during past 5 years

Child 2

Child’s full name:

Child’s date of birth:

Days per fortnight in your care:: Changed during past 5 years

Child 3

Child’s full name:

Child’s date of birth:

Days per fortnight in your care:: Changed during past 5 years

Child 4

Child’s full name:

Child’s date of birth:

Days per fortnight in your care:: Changed during past 5 years

Child 5

Child’s full name:

Child’s date of birth:

Days per fortnight in your care:: Changed during past 5 years

: I have more than 5 children

Tax years are April to March, named for the calendar year they end. For example, the 2014 tax year began 1 Apr 2013 and ended 31 Mar 2014.

TaxRefunds.co.nz Limited is one of New Zealand’s largest tax agents, certified for e-filing by Inland Revenue.

Trust account audited by Audit Professionals.

Postal address: “TaxRefunds.co.nz Limited, Private Bag 4988, Christchurch 8140, New Zealand“.

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