California Schedule W-2 - Wage And Withholding Summary - 2009
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1TAXABLE YEAR
CALIFORNIA SCHEDULE
Wage and Withholding Summary
W-2
2009
Important: Attach this form to the back of your Forms 540/540A, 540 2EZ, or Form 540NR (Long or Short).
Name(s) as shown on return
SSN or ITIN
-
-
Attach your Form(s) W-2 to the front of your income tax return, or complete CA Sch W-2. Use this schedule to transfer information from your
Form(s) W-2. If you need more space, complete a separate CA Sch W-2. If you complete a CA Sch W-2, do not submit your Form(s) W-2.
Keep them for your records. Transfer the amounts from your Form(s) W-2 to the appropriate boxes on this schedule. If Form(s) W-2 contain data
from multiple states, you cannot use this form. The shaded areas need to be completed to ensure excess SDI/VPDI claims.
Taxpayer W-2 information. (Transfer amounts from your Form(s) W-2 to the appropriate boxes below.) Complete a box for each
Form W-2 you receive.
1st W-2
2nd W-2
Social Security Number (box a)
—
—
Social Security Number (box a)
—
—
Employer ID Number (EIN) (box b)
Employer ID Number (EIN) (box b)
State & Employer’s State ID Number (box 15)
State & Employer’s State ID Number (box 15)
Employer Name (box c)
Employer Name (box c)
State Wages, Tips, etc. (box 16)
State Wages, Tips, etc. (box 16)
CA State Income Tax (box 17)
CA State Income Tax (box 17)
Social Security Wages (box 3)
Social Security Wages (box 3)
SDI/VPDI (Local Income Tax) (box 14 or 19)
SDI/VPDI (Local Income Tax) (box 14 or 19)
3rd W-2
4th W-2
Social Security Number (box a)
—
—
Social Security Number (box a)
—
—
Employer ID Number (EIN) (box b)
Employer ID Number (EIN) (box b)
State & Employer’s State ID Number (box 15)
State & Employer’s State ID Number (box 15)
Employer Name (box c)
Employer Name (box c)
State Wages, Tips, etc. (box 16)
State Wages, Tips, etc. (box 16)
CA State Income Tax (box 17)
CA State Income Tax (box 17)
Social Security Wages (box 3)
Social Security Wages (box 3)
SDI/VPDI (Local Income Tax) (box 14 or 19)
SDI/VPDI (Local Income Tax) (box 14 or 19)
Spouse/RDP W-2 information. (Transfer amounts from your Form(s) W-2 to the appropriate boxes below.) Complete a box for
each Form W-2 you receive.
1st W-2
2nd W-2
Social Security Number (box a)
Social Security Number (box a)
—
—
—
—
Employer ID Number (EIN) (box b)
Employer ID Number (EIN) (box b)
State & Employer’s State ID Number (box 15)
State & Employer’s State ID Number (box 15)
Employer Name (box c)
Employer Name (box c)
State Wages, Tips, etc. (box 16)
State Wages, Tips, etc. (box 16)
CA State Income Tax (box 17)
CA State Income Tax (box 17)
Social Security Wages (box 3)
Social Security Wages (box 3)
SDI/VPDI (Local Income Tax) (box 14 or 19)
SDI/VPDI (Local Income Tax) (box 14 or 19)
3rd W-2
4th W-2
Social Security Number (box a)
Social Security Number (box a)
—
—
—
—
Employer ID Number (EIN) (box b)
Employer ID Number (EIN) (box b)
State & Employer’s State ID Number (box 15)
State & Employer’s State ID Number (box 15)
Employer Name (box c)
Employer Name (box c)
State Wages, Tips, etc. (box 16)
State Wages, Tips, etc. (box 16)
CA State Income Tax (box 17)
CA State Income Tax (box 17)
Social Security Wages (box 3)
Social Security Wages (box 3)
SDI/VPDI (Local Income Tax) (box 14 or 19)
SDI/VPDI (Local Income Tax) (box 14 or 19)
1. Total state wages from the Form(s) W-2 for taxpayer (Add box 16 from all Form(s) W-2 for taxpayer)
For nonresidents or part-year residents, enter your total California wages from all your Form(s) W-2 for taxpayer
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $__________________
(Add box 16 from all Form(s) W-2 for taxpayer).
2. Total state wages from the Form(s) W-2 for spouse/RDP (Add box 16 from all Form(s) W-2 for spouse/RDP)
For nonresidents or part-year residents, enter the total California wages from all Form(s) W-2 for spouse/RDP
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $__________________
(Add box 16 from all Form(s) W-2 for spouse/RDP).
3. Total California Wages from all Form(s) W-2 . (Add line 1 and line 2, enter here and on Form 540 2EZ,
line 9; Forms 540/540A, or Form 540NR (Long or Short), line 12. If completing Form 540X,
report any W-2 income on line 1a, column B, that was not reported on the original tax return.). . . . . . . . . $__________________
8031093
Schedule W-2 2009
For Privacy Notice, get form FTB 1131.
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