Form W-2 - 2015 Wage And Tax Statement
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27 Social security tips
1 Wages, tips, other compensation
2 Federal income tax withheld
W-2 Wage and Tax Statement
Form
c Employer’s name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security tax withheld
9
5 Medicare wages and tips
6 Medicare tax withheld
10 Dependent care benefits
11 Nonqualified plans
12a See instructions for box 12
C
O
D
E
Statutory
Retirement
Third-party
e Employee’s name, address, and ZIP code
13
14 Other
12b
Employee
Plan
sick pay
C
O
D
E
b Employer identification number (EIN)
12c
C
O
D
E
a Employee’s social security number
12d
C
O
D
E
15 State
Employer’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
Copy B-To Be Filed With Employee’s FEDERAL Tax Return
This information is being furnished to the Internal Revenue Service.
Dept. of the Treasury - IRS
OMB No. 1545-0008
Visit the IRS website at
This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
7 Social security tips
1 Wages, tips, other compensation
2 Federal income tax withheld
W-2 Wage and Tax Statement
Form
c Employer’s name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security tax withheld
9
5 Medicare wages and tips
6 Medicare tax withheld
10 Dependent care benefits
11 Nonqualified plans
12a See instructions for box 12
C
O
D
E
Statutory
Retirement
Third-party
e Employee’s name, address, and ZIP code
13
14 Other
12b
Employee
Plan
sick pay
C
O
D
E
b Employer identification number (EIN)
12c
C
O
D
E
a Employee’s social security number
12d
C
O
D
E
15 State
Employer’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
OMB No. 1545-0008
Dept. of the Treasury - IRS
Copy C-For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.)
Visit the IRS website at
7 Social security tips
1 Wages, tips, other compensation
2 Federal income tax withheld
W-2 Wage and Tax Statement
Form
c Employer’s name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security tax withheld
9
5 Medicare wages and tips
6 Medicare tax withheld
10 Dependent care benefits
11 Nonqualified plans
12a See instructions for box 12
C
O
D
E
e Employee’s name, address, and ZIP code
Statutory
Retirement
Third-party
13
14 Other
12b
Employee
Plan
sick pay
C
O
D
E
b Employer identification number (EIN)
12c
C
O
D
E
a Employee’s social security number
12d
C
O
D
E
15 State
Employer’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
OMB No. 1545-0008
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return
Dept. of the Treasury - IRS
7 Social security tips
1 Wages, tips, other compensation
2 Federal income tax withheld
W-2 Wage and Tax Statement
Form
c Employer’s name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security tax withheld
9
5 Medicare wages and tips
6 Medicare tax withheld
10 Dependent care benefits
11 Nonqualified plans
12a See instructions for box 12
C
O
D
E
Statutory
Retirement
Third-party
e Employee’s name, address, and ZIP code
13
14 Other
12b
Employee
Plan
sick pay
C
O
D
E
b Employer identification number (EIN)
12c
C
O
D
E
a Employee’s social security number
12d
C
O
D
E
15 State
Employer’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
OMB No. 1545-0008
Dept. of the Treasury - IRS
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return
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