DO NOT STAPLE OR FOLD
a
Control number
For Official Use Only
33333
OMB No. 1545-0008
b
941-SS
Military
943
944-SS
1
Wages, tips, other compensation
2
Income tax withheld
Kind
of
Hshld.
Medicare
Third-party
3
Social security wages
4
Social security tax withheld
Payer
emp.
govt. emp.
sick pay
c
Total number of Forms W-2
d Establishment number
5
Medicare wages and tips
6
Medicare tax withheld
e
Employer identification number (EIN)
7
Social security tips
8
f
Employer’s name
9
Advance EIC payments
10
11
Nonqualified plans
12
Deferred compensation
13
For third-party sick pay use only
14
Income tax withheld by payer of third-party sick pay
g
Employer’s address and ZIP code
h
Other EIN used this year
15
Check the appropriate box
Type
W-2AS
W-2CM
W-2GU
W-2VI
of
i
Employer’s territorial ID number
Form
Contact person
Telephone number
For Official Use Only
(
)
E-mail address
Fax number
(
)
Copy A—For Social Security Administration
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief,
they are true, correct, and complete.
Signature
Title
Date
2 0
0 6
W-3SS
Department of the Treasury
Transmittal of Wage and Tax Statements
Form
Internal Revenue Service
Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-2VI
to the Social Security Administration (SSA). See Where To File Copy A on page 2. Photocopies are not acceptable.
Do not send any remittance (cash, checks, money orders, etc.) with Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS.
Instructions for Forms W-2AS, W-2GU,
New checkbox for box b on Form W-3SS. We added a new checkbox
to box b on Form W-3SS. Use the “944-SS” checkbox in box b if you
W-2VI, and W-3SS
file Form 944-SS, Employer’s Annual Federal Tax Return. Form 944-SS
Section references are to the Internal Revenue Code unless otherwise
for 2006 is a newly developed form.
noted.
Magnetic media filing is discontinued. The Social Security
Notice to Employers in the Commonwealth of the
Administration (SSA) will no longer accept any magnetic media reporting
Northern Mariana Islands
of Forms W-2AS, W-2CM, W-2GU, or W-2VI. Instead, see Electronic
reporting on page 3.
If you are an employer in the Commonwealth of the Northern Mariana
Islands, you must contact the Division of Revenue and Taxation,
When To File
Capitol Hill, Saipan, MP 96950, to get Form W-2CM and the
File Copy A of Form W-3SS with Copy A of Form W-2AS, W-2GU,
instructions for completing and filing that form.
W-2CM, or W-2VI by February 28, 2007.
What’s New
However, if you file electronically, you may file by April 2, 2007. Visit
Modification to box e on Form W-2. We modified the “Last name”
SSA’s Employer Reporting Instructions and Information website at
part of box e on Forms W-2AS, W-2GU, and W-2VI to allow space for
for electronic filing options.
employee suffix names such as “Jr.” or “Sr.”
Extension to file. You may request an automatic extension of time to
New reporting codes for box 12 on Forms W-2. We added two new
file Forms W-2AS, W-2GU, W-2CM, or W-2VI by sending Form 8809,
reporting codes to box 12 on Forms W-2AS, W-2GU, and W-2VI that
Application for Extension of Time To File Information Returns, to the
relate to section 6051(a)(8) as modified by the Economic Growth and
address shown on that form. You must request the extension by the
Tax Relief Reconciliation Act of 2001. Use code AA to report
due date of Forms W-2. You will have an additional 30 days to file. See
designated Roth contributions to a section 401(k) plan. Use code BB to
Form 8809 for details.
report designated Roth contributions under a section 403(b) salary
Caution. Even if you receive an extension of time to file Forms W-2AS,
reduction agreement. See page 6 for details.
W-2GU, W-2CM, or W-2VI, you must still furnish the forms to your
Employee instructions added to Copy B. We made the employee
employees by January 31, 2007. But see Extension to furnish Forms
instructions on the back of Copy C easier to read by increasing their
W-2 to employees on page 3.
type size and continuing the instructions on the back of Copy B.
Cat. No. 10117S