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Nolasco W2
Nolasco W2
Nolasco W2
7 Social security tips 8 Allocated tips 9 Advance EIC payment 7 Social security tips 8 Allocated tips 9 Advance EIC payment
10 Dependent care benefits 11 Nonqualified plans 10 Dependent care benefits 11 Nonqualified plans
12a 13 Statutory employee Retirement plan 3rd-party sick pay 12a 13 Statutory employee Retirement plan 3rd-party sick pay
12b 12b
14 Other 14 Other
12c 12c
12d 12d
Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS
This information is being furnished to the Internal Revenue Service
This information is being furnished to the IRS. If you are required to file a tax return, a negligence penalty/other sanction Printed by Paylocity Payroll
may be imposed on you if this income is taxable and you fail to report it. Page 1 of 2
Copy C - FOR EMPLOYEE'S RECORDS ONLY 2021 OMB No.
1545-0008
a Employee's social 1 Wages, tips, other comp. 2 Federal income tax withheld
security number 13979.28 1056.24
497-59-6010 3 Social security wages 4 Social security tax withheld
b Employer ID number 13979.28 866.72
81-4779752 5 Medicare wages and tips 6 Medicare tax withheld
13979.28 202.70
c Employer's name, address, and ZIP code
Lewis Property Services Inc
155 Railroad Plz
Royersford, PA 19468
d Control number
119789 185
e Employee's name, address, and ZIP code
Marcos Nolasco Ramirez
6505 Precourt Dr
Orlando, FL 32809-6444
12b
14 Other
12c
12d
Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS
This information is being furnished to the IRS. If you are required to file a tax return, a negligence penalty/other sanction Printed by Paylocity Payroll
may be imposed on you if this income is taxable and you fail to report it. Page 2 of 2