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In addition to wage and withholding information, employee/employer names, addresses, and identification numbers are required
a
Employee’s social security number
Safe, accurate,
IRS
Visit the IRS website
OMB No. 1545-0008
FAST! Use
e-file
at
www.irs.gov/efile
.
b
Employer identification number(EIN)
1
Wages, tips, other compensation
2
Federal income tax withheld
c
Employer’s name, address, and ZIP code
3
Social security wages
4
Social security tax withheld
Name
Name
5
Medicare wages and tips
6
Medicare tax withheld
Street
City
7
Social security tips
8
Allocated tips
State
ZIP Code
Foreign Country
d
Control number
9
10
Dependent care benefits
e
Employee’s first name and initial
Last name
Suff.
11
Nonqualified plans
12
a
code
See instructions for box 12
First
M.I.
13
Statutory employee
Retirement plan
Third-party sick pay
12
b
code
Last
Suff.
12
c
code
f
Employee’s address and ZIP code
14
Other
12
d
code
Description
Amount
Street
City
State
ZIP Code
Foreign Country
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
Form
W-2
Wage and Tax Statement
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.
2013
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