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Kimihia he parongo mo

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Child support administrative review - statement of financial position IR178

(published October 2007) 

About this form

This form will provide information about your financial position to enable the review officer to determine the effects of any change to the child support assessment.

Adobe Acrobat PDF | 180kb | 4 pages

When to use this form

The Review Officer will use the information about your financial circumstances on this form to determine the effects of any change in the child support assessment.

What you will need

Your IRD number and as many details as you can fill in, on this IR178 form.

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After you finish

Please print, sign and post the completed form and all necessary paperwork to your nearest Inland Revenue office.

You may wish keep a copy of this form for your personal records.

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