Form W-2gu - Guam Wage And Tax Statement - 2016 Page 5

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Notice to Employee
(Also see the Instructions for Employee on this page and the back of Copy C.)
Do you have to file? Refer to the Form 1040 instructions to determine if you are
required to file a tax return. Even if you do not have to file a tax return, you may be
Instructions for Employee
eligible for a refund if box 2 shows an amount or if you are eligible for any credit.
Copies B and C; corrections. File Copy B of this form with your 2016 Guam
(Also see Notice to Employee on this page.)
income tax return. Keep Copy C for your records. If your name, social security
Box 5. You may be required to report this amount on Form 8959, Additional
number (SSN), or address is incorrect, correct Copies B and C and ask your
Medicare Tax. See the Form 1040 instructions to determine if you are required to
employer to correct your employment record. Be sure to ask your employer to file
complete Form 8959.
Form W-2c, Corrected Wage and Tax Statement, with the Social Security
Box 6. This amount includes the 1.45% Medicare Tax withheld on all Medicare
Administration (SSA) to correct any name, amount, or SSN error reported to the
wages and tips shown in box 5, as well as the 0.9% Additional Medicare Tax on
SSA.
any of those Medicare wages and tips above $200,000.
Estimated tax. If you expect to owe $1,000 or more in tax (including self-
Box 11. This amount is (a) reported in box 1 if it is a distribution made to you from
employment tax) for 2017, you may have to make estimated tax payments to the
a nonqualified deferred compensation or nongovernmental section 457(b) plan or
U.S. Internal Revenue Service. Use Form 1040-ES, Estimated Tax for Individuals.
(b) included in box 3 and/or 5 if it is a prior year deferral under a nonqualified or
Clergy and religious workers. If you are not subject to social security and
section 457(b) plan that became taxable for social security and Medicare taxes this
Medicare taxes, see Pub. 517, Social Security and Other Information for Members
year because there is no longer a substantial risk of forfeiture of your right to the
of the Clergy and Religious Workers.
deferred amount. This box should not be used if you had a deferral and a
Cost of employer-sponsored health coverage (if such cost is provided by the
distribution in the same calendar year. If you made a deferral and received a
employer). The reporting in box 12, using code DD, of the cost of employer-
distribution in the same calendar year, and you are or will be age 62 by the end of
sponsored health coverage is for your information only. The amount reported
the calendar year, your employer should file Form SSA-131, Employer Report of
with code DD is not taxable.
Special Wage Payments, with the Social Security Administration and give you a
copy.
Credit for Guam income tax withheld. If you are required to file your return with
the United States or the Commonwealth of the Northern Mariana Islands instead of
Box 12. The following list explains the codes shown in box 12. You may need this
with Guam, add the Guam income tax withheld to the other withholding tax credits
information to complete your tax return. Elective deferrals (codes D, E, F, and S)
on your income tax return.
and designated Roth contributions (codes AA, BB, and EE) under all plans are
generally limited to a total of $18,000 ($12,500 if you have only SIMPLE plans;
Credit for excess social security tax. If you had more than one employer in 2016
$21,000 for section 403(b) plans if you qualify for the 15-year rule explained in
and more than $7,347 in social security tax was withheld, you can have the excess
Pub. 571). Deferrals under code G are limited to $18,000. Deferrals under code H
refunded by filing Form 843, Claim for Refund and Request for Abatement, with
are limited to $7,000.
the Department of the Treasury, Internal Revenue Service Center, Austin, TX
73301-0215, USA. However, if you are required to file Form 1040 with the United
However, if you were at least age 50 in 2016, your employer may have allowed
States, you must claim the excess tax as a credit on Form 1040.
an additional deferral of up to $6,000 ($3,000 for section 401(k)(11) and 408(p)
SIMPLE plans). This additional deferral amount is not subject to the overall limit on
Unreported tip income. You must file Form 4137, Social Security and Medicare
elective deferrals. For code G, the limit on elective deferrals may be higher for the
Tax on Unreported Tip Income, with your income tax return to report at least the
last 3 years before you reach retirement age. Contact your plan administrator for
allocated tip amount unless you can prove a smaller amount with adequate
more information. Amounts in excess of the overall elective deferral limit must be
records. If you have records that show the actual amount of tips you received,
included in income. See the “Wages, Salaries, Tips, etc.” line instructions for your
report that amount even if it is more or less than the allocated tips. Use Form 4137
tax return.
to figure the social security and Medicare tax owed on tips you did not report to
your employer. Enter this amount on the wages line of your tax return. (Form
(continued on back of Copy C)
1040-SS filers, see the instructions for Form 1040-SS, Part I, line 5.) By filing this
form, your social security tips will be credited to your social security record (used
to figure your benefits).

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