Form W-2 - Wage And Tax Statement - 2012 Page 7

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Instructions for Employee
contributions (codes AA, BB, and EE) under all plans are generally
(Also see Notice to
limited to a total of $17,000 ($11,500 if you only have SIMPLE plans;
Employee, on the back of Copy B.)
$20,000 for section 403(b) plans if you qualify for the 15-year rule
explained in Pub. 571). Deferrals under code G are limited to
Box 1. Enter this amount on the wages line of your tax return.
$17,000. Deferrals under code H are limited to $7,000.
Box 2. Enter this amount on the federal income tax withheld line of
However, if you were at least age 50 in 2012, your employer may
your tax return.
have allowed an additional deferral of up to $5,500 ($2,500 for
Box 8. This amount is not included in boxes 1, 3, 5, or 7. For
section 401(k)(11) and 408(p) SIMPLE plans). This additional deferral
information on how to report tips on your tax return, see your Form
amount is not subject to the overall limit on elective deferrals. For
1040 instructions.
code G, the limit on elective deferrals may be higher for the last 3
Unless you have records that show you did not receive the
years before you reach retirement age. Contact your plan
amount reported in box 8 as allocated tips, you must file Form
administrator for more information. Amounts in excess of the overall
4137, Social Security and Medicare Tax on Unreported Tip Income,
elective deferral limit must be included in income. See the “Wages,
with your income tax return to report the allocated tip amount. On
Salaries, Tips, etc.” line instructions for Form 1040.
Form 4137 you will figure the social security and Medicare tax owed
Note. If a year follows code D through H, S, Y, AA, BB, or EE, you
on the allocated tips shown on your Form(s) W-2 that you must
made a make-up pension contribution for a prior year(s) when you
report as income and on other tips you did not report to your
were in military service. To figure whether you made excess
employer. By filing Form 4137, your social security tips will be
deferrals, consider these amounts for the year shown, not the
credited to your social security record (used to figure your benefits).
current year. If no year is shown, the contributions are for the
Box 10. This amount is the total dependent care benefits that your
current year.
employer paid to you or incurred on your behalf (including amounts
A—Uncollected social security or RRTA tax on tips. Include this tax
from a section 125 (cafeteria) plan). Any amount over $5,000 is also
on Form 1040. See “Other Taxes” in the Form 1040 instructions.
included in box 1. Complete Form 2441, Child and Dependent Care
Expenses, to compute any taxable and nontaxable amounts.
B—Uncollected Medicare tax on tips. Include this tax on Form
1040. See “Other Taxes” in the Form 1040 instructions.
Box 11. This amount is (a) reported in box 1 if it is a distribution
C—Taxable cost of group-term life insurance over $50,000 (included
made to you from a nonqualified deferred compensation or
in boxes 1, 3 (up to social security wage base), and 5)
nongovernmental section 457(b) plan or (b) included in box 3 and/or
5 if it is a prior year deferral under a nonqualified or section 457(b)
D—Elective deferrals to a section 401(k) cash or deferred
plan that became taxable for social security and Medicare taxes this
arrangement. Also includes deferrals under a SIMPLE retirement
year because there is no longer a substantial risk of forfeiture of
account that is part of a section 401(k) arrangement.
your right to the deferred amount.
E—Elective deferrals under a section 403(b) salary reduction
Box 12. The following list explains the codes shown in box 12. You
agreement
may need this information to complete your tax return. Elective
(continued on back of Copy 2)
deferrals (codes D, E, F, and S) and designated Roth

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