4 5 neW DIaGonal seam enveloPe - call customer service for availability all lasers 50 sHeets/pack – WHere noted: bulk packaGinG 500 sHeets/pack all lasers 50 sHeets/pack – WHere noted: bulk packaGinG 500 sHeets/pack laser CuT sHeeTs laser CuT sHeeTs OMB No. 1545-0008 State, Local Copy o File o y s e r r Empl , Form W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction 2018 22222 a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 1 1 0 1 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 Suff. 5405 L4UPR plans Act Notice, see separate instructions. OMB No. 1545-0008 State, Local Copy o File o y s e r r Empl , Form W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction 2018 22222 a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 9 9 1 1 0 1 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 Suff. plans Act Notice, see separate instructions. OMB No. 1545-0008 State, Local Copy o File o y s e r r Empl , Form W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction 2018 22222 a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 1 1 0 1 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 Suff. plans Act Notice, see separate instructions. OMB No. 1545-0008 State, Local Copy o File o y s e r r Empl , Form W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction 2018 22222 a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 1 1 0 1 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 Suff. plans Act Notice, see separate instructions. a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS This information is being furnished to the Internal Revenue Service. Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. OMB No. 1545-0008 41-0852411 Suff. 5205 L4UP www.irs.gov/efile plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans Copy B—To Be Filed With Employee's FEDERAL Tax Return. Form W-2 Wage and Tax Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. Form W-2 Wage and Tax Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement 2018 2018 2018 2018 Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e OMB No. 1545-0008 COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Dept. of the Treasury - IRS COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY OMB No. 1545-0008 Dept. of the Treasury - IRS OMB No. 1545-0008 Dept. of the Treasury - IRS OMB No. 1545-0008 Dept. of the Treasury - IRS 22222 Void Void 22222 Void 22222 W-2 Wage and Tax Statement Form 22222 Void Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory Retirement Third-party Plan Sick pay employee 13 W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form Employee’s social security no. b Employer number (EIN) b Employer number (EIN) b Employer number (EIN) b Employer number (EIN) For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction Suff. Suff. Suff. Suff. a a a a 2018 2018 2018 201 5406 L87R Act Notice, see separate instructions. Act Notice, see separate instructions. Act Notice, see separate instructions. Act Notice, see separate instructions. 8 Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e OMB No. 1545-0008 COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Dept. of the Treasury - IRS COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY Employer’s name, address, and ZIP code Employee’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld See instructions for box 12 10 11 plans 14 Other Employee’s social security no. 12a 12b 12c 12d c e 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 15 . o n . D . I e t a t s s ’ r e y o l p m E e t a t S 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name C o d e C o d e C o d e C o d e COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPY OMB No. 1545-0008 Dept. of the Treasury - IRS OMB No. 1545-0008 Dept. of the Treasury - IRS OMB No. 1545-0008 Dept. of the Treasury - IRS 22222 Void Void 22222 Void 22222 W-2 Wage and Tax Statement Form 22222 Void Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory em R p e l t o i y r e e e ment Third-party 13 Plan Sick pay Statutory Retirement Third-party Plan Sick pay employee 13 W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form Employee’s social security no. b Employer number (EIN) b Employer number (EIN) b Employer number (EIN) b Employer number (EIN) For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction For Privacy Act and Paperwork Reduction Suff. Suff. Suff. Suff. a a a a 2018 2018 2018 201 5406 L87R Act Notice, see separate instructions. Act Notice, see separate instructions. Act Notice, see separate instructions. Act Notice, see separate instructions. 8 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips Allocated tips 9 10 11 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 9 10 11 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name b Employer ID number (EIN) b Employer ID number (EIN) b Employer ID number (EIN) b Employer ID number (EIN) 5 Medicare wages and tips Dept. of the Treasury - IRS Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS Form W-2 Wage and Tax Statement Suff. Suff. Suff. Suff. 22222 22222 22222 22222 5405A L4UPAR 2018 2018 2018 2018 For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. OMB No. 1545-0008 OMB No. 1545-0008 OMB No. 1545-0008 OMB No. 1545-0008 Employers State, Local, or File Copy Employers State, Local, or File Copy Employers State, Local, or File Copy Employers State, Local, or File Copy Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS Dept. of the Treasury - IRS 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 plans 14 Other Code 12a 12b 12c 12d 13 Statutory employee Retirement plan Third-party sick pay Department of the Treasury - Internal Revenue Service This information is being furnished to the Internal Revenue Service. Code Code a Employer’s name, address, and ZIP code c d Employee’s name, address, and ZIP code e 15 Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Code See inst. for box 12 Copy 1/D Employer's-State, Local or File Copy 22222 State 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 plans 14 Other Code 12a 12b 12c 12d 13 Statutory employee Retirement plan Third-party sick pay Code Code a Employer’s name, address, and ZIP code c d Employee’s name, address, and ZIP code e 15 Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Code See inst. for box 12 Copy 1/D Employer's-State, Local or File Copy 22222 - 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 plans 14 Other Code 12a 12b 12c 12d 13 Statutory employee Retirement plan Third-party sick pay Code Code a Employer’s name, address, and ZIP code c d Employee’s name, address, and ZIP code e 15 Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Code See inst. for box 12 Copy 1/D Employer's-State, Local or File Copy 22222 b b b For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form Employee's soc. sec. no. Control number Employee's soc. sec. no. Control number Employee's soc. sec. no. Control number Suff. Suff. Suff. DETACH BEFORE MAILING L3UPR W-2 Wage and Tax Statement 2017 OMB No. 1545-0008 OMB No. 1545-0008 OMB No. 1545-0008 State State Department of the Treasury - Internal Revenue Service This information is being furnished to the Internal Revenue Service. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form W-2 Wage and Tax Statement 2017 Department of the Treasury - Internal Revenue Service This information is being furnished to the Internal Revenue Service. Form W-2 Wage and Tax Statement 2017 a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS This information is being furnished to the Internal Revenue Service. Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. OMB No. 1545-0008 41-0852411 Suff. 5205 L4UP www.irs.gov/efile plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code See inst. for box 12 Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans a Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld c Employer's name, address, and ZIP code d Control number e Employee's name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 11 12a 13 12b 12c 12d 15 State Employer's state ID number 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Dept. of the Treasury -- IRS Code Statutory employee Retirement plan Third-party sick pay Code Code Code Other 14 State income tax 17 State wages, tips, etc. 16 OMB No. 1545-0008 41-0852411 Suff. plans Copy B—To Be Filed With Employee's FEDERAL Tax Return. Form W-2 Wage and Tax Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. Form W-2 Wage and Tax Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement 2018 2018 2018 2018 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d e 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d e 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 5215 e b Employer’s iden n number (EIN) Employee’s social security number b Employer’s n number (EIN) Employee’s social security number b Employer’s iden n number (EIN) Employee’s social security number e b Employer’s iden n number (EIN) Employee’s social security number Suff. Suff. Suff. Suff. a a a a L276 2018 2018 2018 2018 22222 For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. 22222 22222 22222 EMPLOYER'S State, Local, or File Copy Department of the Treasury - IRS EMPLOYER'S State, Local, or File Copy Department of the Treasury - IRS EMPLOYER'S State, Local, or File Copy Department of the Treasury - IRS EMPLOYER'S State, Local, or File Copy Department of the Treasury - IRS 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code Department of the Treasury - Internal Revenue Service OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d e 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code Department of the Treasury - Internal Revenue Service OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d e 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code Department of the Treasury - Internal Revenue Service OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 14 Other 12b 12c 12d e Employee’s name, address, and ZIP code See instructions for box 12 12a C o d 13 C S o t d a e tutory employee Retirement plan 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code Department of the Treasury - Internal Revenue Service OMB No. 1545-0008 15 e t a t S Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax Copy B To Be Filed with Employee's FEDERAL Tax Return. 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Wage and Tax Statement C o d e C o d e Third-party sick pay Copy 2 To Be Filed with Employee's State, City, or Local Income Tax Return. Copy 2 To Be Filed with Employee's State, City, or Local Income Tax Return. Copy C For EMPLOYEE'S RECORDS. (See Notice to Employee on back of Copy B). This information is being furnished to the Internal Revenue Service. This information is being furnished to the Internal Revenue Service. If you are required to a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. 5214 e b Employer’s iden n number (EIN) Employee’s social security number b Employer’s n number (EIN) Employee’s social security number b Employer’s iden n number (EIN) Employee’s social security number e b Employer’s iden n number (EIN) Employee’s social security number Suff. Suff. Suff. Suff. a a a a L275 www.irs.gov/efile 2018 2018 2018 2018 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code 15 State Employer’s state I.D. no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 14 Other Employee’s social security number 10 Dependent care 11 plans 13 Statutory employee Retirement plan T hird-party sick pay See instructions for box12 12a C o d e 12b C o d e 12c C o d e 12d C o d e Employee’s name, address, and ZIP code e b Employ umber (EIN) 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code 15 State Employer’s state I.D. no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 14 Other Employee’s social security number 10 Dependent care 11 plans 13 Statutory employee Retirement plan Third-party sick pay 2 1 x o b r o f s n o i t c u r t s n i e e S 12a C o d e 12b C o d e 12c C o d e 12d C o d e Employee’s name, address, and ZIP code e b Employ number (EIN) 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code 15 State Employer’s state I.D. no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 14 Other Employee’s social security number 10 Dependent care 11 plans 13 Statutory employee Retirement plan Third-party sick pay See instructions for box 12 12a C o d e 12b C o d e 12c C o d e 12d C o d e Employee’s name, address, and ZIP code e b Employ number (EIN) 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 8 Allocated tips 3 Social security wages 4 Social security tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheld c Employer’s name, address, and ZIP code 15 State Employer’s state I.D. no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 14 Other Employee’s social security number 10 Dependent care 11 plans 13 Statutory employee Retirement plan Third-party sick pay See instructions for box 12 12a C o d e 12b C o d e 12c C o d e 12d C o d e Employee’s name, address, and ZIP code e b Employ number (EIN) Form Form Visit the IRS Web Site OMB No.1545-0008 OMB No.1545-0008 COPY B To Be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service This information is being furnished to the Internal Revenue Service. If you are required to a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. COPY C For EMPLOYEE'S RECORDS (See Notice to Employee on back of Copy B.) at Form OMB No.1545-0008 Form OMB No.1545-0008 Dept. of the Treasury - IRS Dept. of the Treasury - IRS Suff. Suff. Suff. Suff. a a a a 5216 L4UPW 2018 W-2 Wage and Tax Statement 2018 W-2 Wage and Tax Statement 2018 W-2 Wage and Tax Statement 2018 W-2 Wage and Tax Statement Income Tax Return Copy 2 For Employee's State, City or Local Income Tax Return Copy 2 For Employee's State, City or Local Dept. of the Treasury - IRS Dept. of the Treasury - IRS Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement This information is being furnished to the Internal Revenue Service penalty/other sanction may be imposed on you if this income is taxable and you fail to report it. 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name OMB No. 1545-0008 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name OMB No. 1545-0008 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name OMB No. 1545-0008 1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld a Employee's soc. sec. no. c Employer’s name, address, and ZIP code d Control number e Employee’s name, address, and ZIP code 7 Social security tips 8 Allocated tips 9 10 Dependent care 11 plans 12a 12b 12c 12d 13 Stat. Emp. Ret. plan 3rd-party sick pay 14 Other 15 State Emplr.’s state I.D. # 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name OMB No. 1545-0008 b Employer ID number (EIN) b Employer ID number (EIN) b Employer ID number (EIN) b Employer ID number (EIN) 5 Medicare wages and tips Dept. of the Treasury - IRS Dept. of the Treasury - IRS Dept. of the Treasury - IRS Dept. of the Treasury - IRS 2018 2018 201 2018 Suff. Suff. Suff. Suff. 5205A L4UPA 8 5212 __ LW2BC Safe, accurate, FAST! Use Visit the IRS website at www.irs.gov/efile e Suff. Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0008 b c Employer’s name, address, and ZIP code d Control number 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 C o d e 12b C o d e 12c C o d e 12d C o d e 13 Statutory employee Retirement plan Third-party sick pay 14 Other 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement 2018 Department of the Treasury—Internal Revenue Service Copy B—To Be Filed With Employee’s FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. on the back of Copy B.) or Copy 2 to be Filed With Employee s State, City or Local Income Tax Return ’ Safe, accurate, FAST! Use Suff. Employee’s name, address, and ZIP code a Employee’s social security number OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you may be imposed on you if this income is taxable and you fail to report it. b c Employer’s name, address, and ZIP code d Control number e 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 11 12a See instructions for box 12 C o d e 12b C o d e 12c C o d e 12d C o d e 13 Statutory employee Retirement plan Third-party sick pay 14 Other 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement 2018 Department of the Treasury—Internal Revenue Service Copy C—For EMPLOYEE’S RECORDS (See Notice to Employee 2018 2018 2018 laser W-2 ComBIneD forms ideal for electronic filing THESE COMBINED FORMATS ELIMINATE COLLATING! 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