Form Rev-20 As - Employer Withholding For Pennsylvania Taxable Compensation Guide - Directions For Completing Federal Form W-2 Block 16 Page 5

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Part B continued-ADD the following items to the Box 1 amount:
Item
Withhold
Amount
12 Reimbursements for employee business
Yes
To the extent the item is an allowable
expenses reimbursed under an
deduction for federal income tax
accountable plan
purposes, but not for PA purposes.
Such items include:
a. Job hunting and travel expenses
incurred by an individual seeking
new employment in the same trade
or profession.
b. Taxes based on income.
c. Commerce or trade association
dues, country club dues, etc.
d. Fees incurred for seeking or
securing new employment or
different job with current employer.
e. Travel expenses incurred for travel
between different employments.
13 Educational assistance plan tuition
RESERVED
Amount to the extent not already included
14 Education and related travel expenses
Yes
in block 1
incurred by an individual seeking new
employment
15 Difference between FMV of federal
Yes
Amount to the extent not already included
in block 1
non-qualified stock option at exercise and
any amounts paid for the stock or the
option when the option had a readily
ascertainable value at the time it was
granted and there are no substantial
limitations or restrictions on transferability
or alienability of the stock
16 Difference between FMV of federal
Yes
Amount to the extent not already included
non-qualified stock option at lapse of
in block 1
limitations or restrictions and any amounts
paid for the stock or option when the option
had a readily ascertainable value at the
time it was granted and there are
substantial limitations or restrictions on
transferability or alienability of the stock
Yes
Amount to the extent not already included
17 Difference between FMV of federal
in block 1
non-qualified stock option at disposition
and any amounts paid for the option when
the option had a readily ascertainable
value at the time it was granted and the
option was disposed of before exercise
Yes
18 Difference between FMV of incentive stock
Amount to the extent not already included
option at disposition and any amounts paid
in block 1
for the option when the option was
disposed of before exercise
19 Difference between FMV of incentive stock
Amount to the extent not already included
Yes
option at the time it was exercised and the
in block 1
amounts paid for the option when the
option was exercised before it was
disposed of
Page 3

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