ACC 105

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Employee
Form W-2 Information Roach, Kelly Volpe, Ralph Myer, Randi Ford, Kenneth Carmen, Chrissy Zuber, Hal

1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security taxes withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Advance EIC payment
10. Dependent care benefits
11. Nonqualified plans
12a - 12c: See reference guide
13. Indicate correct boxes
14. Other
16. State wages, tips, etc.
17. State income tax
18. Local wages, tips, etc.
19. Local income tax

Form W-3 Information Provide amounts for the following fields:

1. Wages, tips, and other compensation $
2. Federal income tax withheld $
3. Social security wages $
4. Social security wages withheld $
5. Medicare wages and tips $
6. Medicare tax withheld $
7. Social security tips $
8. Allocated tips $
9. Advance EIC payments $
10. Dependent care benefits $
11. Nonqualified plans $
12. Deferred compensation $
16. State wages, tips, etc $
17. State income tax $
18. Local wages, tips, etc. $
19. Local income tax $

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