It-2 - Summary Of W-2 Statements (2011)
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1
2IT-2
New York State Department of Taxation and Finance
Summary of W-2 Statements
New York State • New York City • Yonkers
Do not detach or separate the W-2 Records below. File Form 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
Box 15 State
Box 16 State wages, tips, etc. ( for NYS )
Code
Box b Employer identification number ( EIN )
Box 12b Amount
Code
Box 17 New York State income tax withheld
This W-2 record is for
( mark an X in one box ):
Box 12c Amount
Code
Box 18 Local wages, tips, etc.
( see instr. )
Taxpayer
Spouse
Locality a
Box 1 Wages, tips, other compensation
Box 12d Amount
Code
Locality b
Box 19 Local income tax withheld
Box 8 Allocated tips
Locality a
Box 13 Statutory employee
Locality b
Box 14 a Amount
Box 20 Locality name
Description
Locality a
Box 10 Dependent care benefits
Box 14 b Amount
Description
Locality b
Box 11 Nonqualified plans
Box 14 c Amount
Description
Corrected ( W-2c)
Do not detach.
Box c Employer’s name and full address ( including ZIP code )
W-2
Record 2
Box 12a Amount
Code
Box 15 State
Box 16 State wages, tips, etc. ( for NYS )
Box b Employer identification number ( EIN )
Box 12b Amount
Code
Box 17 New York State income tax withheld
This W-2 record is for
( mark an X in one box ):
Box 12c Amount
Code
Box 18 Local wages, tips, etc.
( see instr. )
Taxpayer
Spouse
Locality a
Box 1 Wages, tips, other compensation
Box 12d Amount
Code
Locality b
Box 19 Local income tax withheld
Box 8 Allocated tips
Locality a
Box 13 Statutory employee
Locality b
Box 14 a Amount
Description
Box 20 Locality name
Locality a
Box 10 Dependent care benefits
Box 14 b Amount
Description
Locality b
Box 11 Nonqualified plans
Box 14 c Amount
Description
Corrected ( W-2c)
1021110094
Please file this original scannable form with the Tax Department.
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