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    Copy B-To Be Filed With Employee's FEDERAL Tax Return

    Uploaded by

    Kyle im taken by cailey hand Hand
    This document is a W-2 form for Tara G Hand reporting wages and tax withholdings from Midwest Waffles, Inc. in 2020. It shows that Tara earned $3362.86 in wages, $18,909.40 in Social Security wages, and $22,272.26 in total wages. It also lists tax amounts withheld for Federal, Social Security, and Medicare taxes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Copy B-To Be Filed With Employee's FEDERAL Tax Return

    Uploaded by

    Kyle im taken by cailey hand Hand
    535 views5 pages
    This document is a W-2 form for Tara G Hand reporting wages and tax withholdings from Midwest Waffles, Inc. in 2020. It shows that Tara earned $3362.86 in wages, $18,909.40 in Social Security wages, and $22,272.26 in total wages. It also lists tax amounts withheld for Federal, Social Security, and Medicare taxes.

    Original Description:

    Original Title

    TaraHand2020W2

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    © © All Rights Reserved

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    This document is a W-2 form for Tara G Hand reporting wages and tax withholdings from Midwest Waffles, Inc. in 2020. It shows that Tara earned $3362.86 in wages, $18,909.40 in Social Security wages, and $22,272.26 in total wages. It also lists tax amounts withheld for Federal, Social Security, and Medicare taxes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    535 views5 pages

    Copy B-To Be Filed With Employee's FEDERAL Tax Return

    Uploaded by

    Kyle im taken by cailey hand Hand
    This document is a W-2 form for Tara G Hand reporting wages and tax withholdings from Midwest Waffles, Inc. in 2020. It shows that Tara earned $3362.86 in wages, $18,909.40 in Social Security wages, and $22,272.26 in total wages. It also lists tax amounts withheld for Federal, Social Security, and Medicare taxes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 5

    253-91-0348 8015002.2021010590408.

    97802

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, Tips, other compensation 2 Federal Income Tax Withheld

    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21


    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax Withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and Tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number (EIN) 12c

    TARA G HAND 27-4092761


    PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    253-91-0348 1833.93
    CLEVES OH 45002-9016
    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
    KY 318940 1524.96 59.29 .00 .00
    KY 318940 .00 .00 1652.95 23.97 HEBRON
    Copy B-To be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    Visit the IRS Web Site at www.irs.gov/efile

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, Tips, other compensation 2 Federal Income Tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax Withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and Tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number (EIN) 12c


    TARA G HAND 27-4092761
    PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93

    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
    KY 318940 1524.96 59.29 .00 .00
    KY 318940 .00 .00 1652.95 23.97 HEBRON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, Tips, other compensation 2 Federal Income Tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax Withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and Tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071
    .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number (EIN) 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    KY 318940 1524.96 59.29 .00 .00
    KY 318940 .00 .00 1652.95 23.97 HEBRON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    This information is being furnished to the Internal Revenue Service. If you are required to file 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.
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, Tips, other compensation 2 Federal Income Tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax Withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and Tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54

    *97802*
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    97802 employee Plan Sick Pay

    b Employer Identification Number (EIN) 12c

    TARA G HAND 27-4092761 PLAN-P125


    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    1833.93
    CLEVES OH 45002-9016 253-91-0348
    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
    KY 318940 1524.96 59.29 .00 .00
    KY 318940 .00 .00 1652.95 23.97 HEBRON
    Copy C for Employee’s Records (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    253-91-0348
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 20747.30 365.15 .00 .00
    OH 52774536 .00 .00 412.06 8.66 ANDERSON
    Copy B-To be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    Visit the IRS Web Site at www.irs.gov/efile

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 20747.30 365.15 .00 .00
    OH 52774536 .00 .00 412.06 8.66 ANDERSON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 12a See instructions for box 12
    11 Nonqualified plans
    NORCROSS GA 30071 .00 2758.54
    .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 20747.30 365.15 .00 .00
    OH 52774536 .00 .00 412.06 8.66 ANDERSON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    This information is being furnished to the Internal Revenue Service. If you are required to file 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.
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761 PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 1833.93
    253-91-0348
    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
    OH 52774536 20747.30 365.15 .00 .00
    OH 52774536 .00 .00 412.06 8.66 ANDERSON
    Copy C for Employee’s Records (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    253-91-0348
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 136.65 1.37 HARRISON
    OH 52774536 .00 .00 31.60 .35 MASON
    Copy B-To be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    Visit the IRS Web Site at www.irs.gov/efile

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 136.65 1.37 HARRISON
    OH 52774536 .00 .00 31.60 .35 MASON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 136.65 1.37 HARRISON
    OH 52774536 .00 .00 31.60 .35 MASON
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    This information is being furnished to the Internal Revenue Service. If you are required to file 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.
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761 PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 1833.93
    253-91-0348
    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
    OH 52774536 .00 .00 136.65 1.37 HARRISON
    OH 52774536 .00 .00 31.60 .35 MASON
    Copy C for Employee’s Records (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    253-91-0348

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 133.27 2.00 SHARONVILL
    OH 52774536 .00 .00 49.56 .74 SPRINGBORO
    Copy B-To be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    Visit the IRS Web Site at www.irs.gov/efile

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 133.27 2.00 SHARONVILL
    OH 52774536 .00 .00 49.56 .74 SPRINGBORO
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 133.27 2.00 SHARONVILL
    OH 52774536 .00 .00 49.56 .74 SPRINGBORO
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    This information is being furnished to the Internal Revenue Service. If you are required to file 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.
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761 PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 1833.93
    253-91-0348
    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
    OH 52774536 .00 .00 133.27 2.00 SHARONVILL
    OH 52774536 .00 .00 49.56 .74 SPRINGBORO
    Copy C for Employee’s Records (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    253-91-0348

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 20758.55 415.15 SPRINGDALE
    OH 52774536 .00 .00 364.35 8.39 WOODLAWN
    Copy B-To be filed with employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service
    Visit the IRS Web Site at www.irs.gov/efile

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR
    10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 2758.54
    .00 .00 DD
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761
    5932 RAINBOW HILL DR PLAN-P125
    a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 253-91-0348 1833.93
    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
    OH 52774536 .00 .00 20758.55 415.15 SPRINGDALE
    OH 52774536 .00 .00 364.35 8.39 WOODLAWN
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c

    TARA G HAND 27-4092761


    PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    253-91-0348 1833.93
    CLEVES OH 45002-9016
    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
    OH 52774536 .00 .00 20758.55 415.15 SPRINGDALE
    OH 52774536 .00 .00 364.35 8.39 WOODLAWN
    Copy 2- To be filed with employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

    This information is being furnished to the Internal Revenue Service. If you are required to file 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.
    CORRECTED( If checked) d Control Number 7 Social Security Tips 1 Wages, tips, other compensation 2 Federal Income tax Withheld
    W-2 Wage And Tax Statement 2020 3362.86 22272.26 1495.21
    c Employer’s Name, Address, and ZIP code 8 Allocated Tips 3 Social Security Wages 4 Social Security Tax withheld
    .00 18909.40 1380.86
    9 5 Medicare Wages and tips 6 Medicare Tax Withheld
    MIDWEST WAFFLES, INC. 22272.26 323.03
    5986 FINANCIAL DR 10 Dependent Care Benefits 11 Nonqualified plans 12a See instructions for box 12
    NORCROSS GA 30071 .00 .00 DD 2758.54
    e Employee’s Name, Address, and ZIP code 13 Statutory Retirement Third Party 14 Other 12b
    employee Plan Sick Pay

    b Employer Identification Number 12c


    TARA G HAND 27-4092761 PLAN-P125
    5932 RAINBOW HILL DR a Employee’s Social Security Number 12d
    CLEVES OH 45002-9016 1833.93
    253-91-0348
    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
    OH 52774536 .00 .00 20758.55 415.15 SPRINGDALE
    OH 52774536 .00 .00 364.35 8.39 WOODLAWN
    Copy C for Employee’s Records (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Department of the Treasury - Internal Revenue Service

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