Form W-2gu - Guam Wage And Tax Statement - 2012 (Page 5 of 9) in pdf

Notice to Employee

Unreported tip income. Use Form 4137 to figure the social security and

Refund. Even if you do not have to file a tax return, you should file to get a

Medicare tax owed on tips you did not report to your employer. Enter this

refund if box 2 shows Guam income tax withheld or if you can take the

amount on the wages line of your tax return. (Form 1040-SS filers, see the

earned income credit.

instructions for Form 1040-SS, Part I, line 5.) By filing this form, your social

Copies B and C; corrections. File Copy B of this form with your 2012 Guam

security tips will be credited to your social security record (used to figure

income tax return. Keep Copy C for your records. If your name, social

your benefits).

security number (SSN), or address is incorrect, correct Copies B and C and

(Also see the Instructions for Employee on this page and the back of Copy C.)

ask your employer to correct your employment record. Be sure to ask your

employer to file Form W-2c, Corrected Wage and Tax Statement, with the

Instructions for Employee

Social Security Administration (SSA) to correct any name, amount, or SSN

error reported to the SSA.

(Also see Notice to Employee on this page.)

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

employment tax) for 2013, you may have to make estimated tax payments to

from a nonqualified deferred compensation or nongovernmental section

the U.S. Internal Revenue Service. Use Form 1040-ES, Estimated Tax for

457(b) plan or (b) included in box 3 and/or 5 if it is a prior year deferral under

Individuals.

a nonqualified or section 457(b) plan that became taxable for social security

Clergy and religious workers. If you are not subject to social security and

and Medicare taxes this year because there is no longer a substantial risk of

Medicare taxes, see Pub. 517, Social Security and Other Information for

forfeiture of your right to the deferred amount.

Members of the Clergy and Religious Workers.

Box 12. The following list explains the codes shown in box 12. You may

Cost of employer-sponsored health coverage (if such cost is provided

need this information to complete your tax return. Elective deferrals (codes

by the employer). The reporting in Box 12, using Code DD, of the cost of

D, E, F, and S) and designated Roth contributions (codes AA, BB, and EE)

employer-sponsored health coverage is for your information only. The

under all plans are generally limited to a total of $17,000 ($11,500 if you have

amount reported with code DD is not taxable.

only SIMPLE plans; $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

Credit for Guam income tax withheld. If you are required to file your return

$17,000. Deferrals under code H are limited to $7,000.

with the United States or the Commonwealth of the Northern Mariana Islands

However, if you were at least age 50 in 2012, your employer may have

instead of with Guam, add the Guam income tax withheld to the other

allowed an additional deferral of up to $5,500 ($2,500 for section 401(k)(11)

withholding tax credits on your income tax return.

and 408(p) SIMPLE plans). This additional deferral amount is not subject to

Credit for excess social security tax. If you had more than one employer in

the overall limit on elective deferrals. For code G, the limit on elective

2012 and more than $4,624.20 in social security tax was withheld, you can

deferrals may be higher for the last 3 years before you reach retirement age.

have the excess refunded by filing Form 843, Claim for Refund and Request

Contact your plan administrator for more information. Amounts in excess of

for Abatement, with the Department of the Treasury, Internal Revenue

the overall elective deferral limit must be included in income. See the

Service Center, Austin, TX 73301-0215, USA. However, if you are required to

“Wages, Salaries, Tips, etc.” line instructions for your tax return.

file Form 1040 with the United States, you must claim the excess tax as a

(continued on back of Copy C)

credit on Form 1040.

Form W-2gu - Guam Wage And Tax Statement - 2012 Page 5

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