w2-form – NHR – National Housing Relief

IRS Supplement Intake

Father's Name

Mother's Name

Other Contact

Mother's Madien Name

Place of Birth

Address Line 1

City

State

Name year Company

Company Name

Employer's Name

Adjusted Gross Income / BGI

Identity Pin

Employment Date

Previous year w-2 form

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Please attach a W‑2 form from 2023/2024 or any earlier year. Forms from 2025 and later will not be accepted.