Year End W-2 Adjustments
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1
2W-2 ADDITIONS
COMPANY:
PAYROLL COMPANY:
Fax:
Employee:______________________________________________
Fed
SS
Med
Box 14
PERSONAL USE OF CAR:
in
in
in
" P "
(2012 mileage .555)
Fed
SS
Med
Box 14
HEALTH SAVINGS ACCOUNT:
x
x
x
" W "
(add both employee & employer contributions)
Fed
SS
Med
Box 12
GROUP LIFE INSURANCE:
in
in
in
" C "
(greater than $50,000)
2% "S" SHAREHOLDER
Fed
SS
Med
Box 14
HEALTH INSURANCE:
in
x
x
" HEALTH "
(company paid amount - deductible for corp)
Fed
SS
Med
Box 14
HEALTH SAVINGS ACCOUNT:
in
x
x
" HSA "
(company paid amount - deductible for corp)
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Parent category: Financial