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W-2 a Employee's social security number 1 Wages, dips, other compensation 2 Federal income tax withheld 123-45-6789 $21,528 $2152.80 Employer...

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  • Attachment 1
  • Attachment 2
W-2a Employee's social security number1 Wages, dips, other compensation2 Federal income tax withheld123-45-6789$21,528$2152.80Employer identification number1 social security wagesa Social security tar withheld22-9876543$21,528$1334.74c Employer's name, address, and ZIP code5 Medicare wages and tipsG Medicare tax withheldSample EmployerTown, State 12345$21,5285312.16d Central numberr Social security dpa8 Allocated dipse Employee's first name and initialLast name1510 Dependent care benefits1 Employee's address and ZIP code11 Nonqualified plans17:12h1712rStatutory employee[XI12dRetirement Plan.Third-party sick pay ....[114 Other15 State Employer's State ID number16 State wages, tips, etc.17 State Income tax18 Local wages, tips etc.19 Local20 LocaltyXX 123-456-98/987income tax$21,528$645.84W-2 Wage and Tax Statement
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