Form W-2 - Wage And Tax Statement - 2008

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a Employee’s social security number
For Official Use Only
Void
OMB No. 1545-0008
1 Wages, tips, other compensation
b Employer identification number (EIN)
2 Federal income tax withheld
3 Social security wages
4 Social security tax withheld
c Employer’s name, address, and ZIP code
5 Medicare wages and tips
6 Medicare tax withheld
7 Social security tips
8 Allocated tips
9 Advance EIC payment
10 Dependent care benefits
d Control number
Last name
11 Nonqualified plans
e Employee’s first name and initial
12a See instructions for box 12
Suff.
c
o
d
e
Statutory
Retirement
Third-party
13
12b
employee
plan
sick pay
c
o
d
e
14 Other
12c
c
o
d
e
12d
c
o
d
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5
e
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5
f Employee’s address and ZIP code
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5
15
Employer’s KY withholding tax ID number
16 KY wages, tips, etc.
17 KY income tax
18 Local wages, tips, etc. 19 Local income tax
20 Locality name
KY
&
Wage and Tax
W-2
Department of the Treasury–Internal Revenue Service
For Privacy Act and Paperwork Reduction
Statement
Form
Act Notice, see back of Copy D.
Copy A For Social Security Administration – Send this entire page with
Printing cost paid by KY Department of Revenue.
Form W-3 to the Social Security Administration; photocopies are not acceptable.
Cat. No. 10134D
Do Not Cut, Fold, or Staple Forms on This Page — Do Not Cut, Fold, or Staple Forms on This Page

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