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Rm IT-2 as an entire page. See instructions on the back. Taxpayer s first name and middle initial Taxpayer s last name Your social security number Spouse s first name and middle initial Spouse s last name Spouse s social security number Box c Employer s name and full address (including ZIP code) W-2 Record 1 Box 12a Amount Code Box 15 State Box 16 State wages, tips, etc. (for NYS) Box 12b Amount Code Box 17 New York State in.
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