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0MB No 1645-0008 0MB No. 15'5-0008

d Control NurTi>er 1 Wages, tips, oth•r COR'l)ensation 2 Federal income WI withheld d Control Nurrtler 11 Wages, bps, olfl er cofll)8nsati0n 2 Federal Incorr. tax withheld

4708.00 385.04 4708.00 385.04

3 Social security wages 4 Social security tax wilhheld
b Erfl)loyer identification number (ElN) 3 Social security wages 4 Social HC:Urity tax witlheld b E!ll>loyer idlntificatioo number (EIN)

52-0812977 4708.00 291 . 90 52-0812977 4708 . 00 291.90

a Erll)loyee's social security number 5 Medicare wages and tips 5 M.c:ticara wages and tips 6 Medicare tax withheld
6 Medicare ta.x withheld a Erfl)loyH's social security number

604-92-1644 4708.00 68.27 604-92-1644 4708 . 00 68.27

c E"l)loyer's name, address and ZIP code c ERllloy•r's name, address and ZIP code
BARRETT BUSINESS SERVICES INC BARRETT BUSINESS SERVICES INC
SUITE 100 SUITE 100
ONE RIDGE GATE DRIVE ONE RIDGE GATE DRIVE
TEMECULA CA 92590 TEMECULA CA 92590

7 Social security tips e Allocated tips 7 Social security tips 8 Allocated tips

10 Dependent care b1nefrts 11 Nonqualified plans 10 Dependent care benafn 11 Nonqualified plans

12b 12c 12b 12c

0 0 0 0

13 Statutory Retirement Third-party 14 C>tler 13 Statutory Retirement Third-party 14 Other

employee plan sick pay CASO I 47.08 employee plan sick pay CASO I 47.08

e Enl)loyee's name, address and ZIP code e En1)1oyN's name, address and ZIP code

JAROM ZUNIGA JAROM ZUNIGA

2615 MILLSWEET PLACE 2615 MILLSWEET PLACE
RIVERSIDE CA 92503 RIVERSIDE CA 92503

15 State Employer's state I.D. no. 16 State wages, tips, etc . 15 State Employer's state I.D. no. 16 State wages, tips, etc .

2020 CA_j 39636402 4708.00 2020 CA 139636402 4708 . 00

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!W-2 JW-2
Wage and Tax Statement 17 State income tax 18 local wages, tips, etc . Wage and Tax Statement
I 17 Sta.le income tax 18 local wages, tips, etc .

Copy C - For EMPLOYEE'S 4 5 •79 Copy B - To Be Filed W~h 45.79

RECORDS (See Notice to 1----------4------------ Employee's FEDERAL Tax
Return.
Employee on back of Copy B.)
Tr-.s mtormat1on 1s bEoing fums t1ed to tne This mtom1at1 on 1s t,e1n9 IUffllShBd 10 the
lrtemal Revenue Serv ice II you are reQuired 1B local income tax 20 locality name lrtemdl Re-,,enueService 19 local income tax 20 Locality name
toti!e ata,retl..lTI. ane9hgencepenally c.-

!--------•--+----------
olMf sanction may be imposed on you 1f th s
1ncorne1s tat.atil e and you fail to report •

[)(.N trnenlol lheTreas\.Ty- Do:-partmentorme Treas\.Ty -

1r1"1"T ~ q~enue Serv•- ~ lntema1Re-v enue Ser-nee