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Form W-2

Start entering the Form W-2 information and e-file the return. It’s super simple. Fill, Submit & Download.

2222

Void

a Employee's Social Security number

For offical use only

OMB No. 1545-0008

b Employer Identifcation number (EIN)

c Employer's name, address, and Zip code

d Control Nmuber

e Employee's First Name and Initial

Last Name

Suff.

f Employee's address and zip code

1 Wages, Tips, other compensation

2 Federal income tax withheld

3 Social security wages

4 Social security tax withheld

5 Medicare wages and tips

6 Medicare tax withheld

7 Social security tips

8 Allocted tips

9

10 Dependent care benefits

11 Nonqualified plans

12a See instructions for box 12

13

Statutory employee

Retirement plan

Third party sick pay

12b

14 Other

12c

12d

15 State

Employess's state id number

16 State Wages, tips etc.

17 State income tax

18 Local Wages, tips, etc.

19 Local Income Tax

20 Locality Name

Form W-2 Wage and Tax Statement

Copy A-For Social Security Administration. Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable.

Department of treasury - Internal revenue service

For Privacy Act & Paperwork Reduction

Act Notice, See the Seprate Instructions.


Cat.No. 10134D

Do Not Cut, Fold Or Staple Form on This Page

Department of the Treasury—Internal Revenue Service

For Privacy Act and Paperwork Reduction

Act Notice, see the separate instructions.