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0VA500VA50104320200101W2ReportW2Report001(1)(1)
0VA500VA50104320200101W2ReportW2Report001(1)(1)
LITHO COATER
61602.64 1341.95
1 Wages, tips, other comp. 2 Federal income tax withheld
MD State Wages, Tips, etc.
61602.64 3819.36 Box 16 of W-2
3 Social security wages 4 Social security tax withheld
Gross Pay $63,659.44
61602.64 893.24 Less: Non-Taxable Earnings
Less: Retirement Deductions
$0.00
5 Medicare wages and tips 6 Medicare tax withheld $0.00
Less: Other Pre-tax Deductions ($2,056.80)
7 Social security tips 8 Allocated tips Less: Third Party Sick Pay $0.00
Total Reported Wages $61,602.64
9 10 Dependent care benefits
MD State Income Tax
Box 17 of W-2
11 Nonqualified plans 12a DD 5573.52
Tax Withheld $3,358.99
12b W 1144.68
13 Statutory
employee
Retirement
plan
Third-party
sick pay 12c AA 1850.51
12d
Employee’s social security no. 14
PSL511 773.28
DUSTILYNN M BENNY
217-23-4098 DEN 202.80 932 OXFORD AVE
Employer ID number (EIN) LFP 26.00 ABERDEEN, MD 21001
52-0902777 MHD 1533.04
15 St. Employer’s state ID number 16 State wages, tips, etc. 17 State income tax
MD 01761223 61602.64 3358.99 The Form W-2 Box 1 wages are the Gross Wages as of your last pay statement for the year minus any non-taxable earnings or deductions, plus
any additional compensation received after the last pay statement. Gross pay may not match Box 1 wages due to deductions for retirement
deferrals, health insurance, or other Sec. 125 cafeteria plan deductions, etc.
18 Local wages, tips, etc. 19 Local income tax 20 Locality name
Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement
Copy B — To Be Filed With Copy 2 — To Be Filed With Copy 2 — To Be Filed With
Employee’s FEDERAL Tax Return. OMB No. 1545-0008 Employee’s State, City, or Local OMB No. 1545-0008 Employee’s State, City, or Local OMB No. 1545-0008
Department of Treasury - Department of Treasury - Department of Treasury -
This information is being furnished to the IRS. Internal Revenue Service Income Tax Return. Internal Revenue Service Income Tax Return. Internal Revenue Service
Control Control Control
number 0VA50 1043 00025 number 0VA50 1043 00025 number 0VA50 1043 00025
Employer’s name, address, and ZIP code Employer’s name, address, and ZIP code Employer’s name, address, and ZIP code
11 Nonqualified plans 12a DD 5573.52 11 Nonqualified plans 12a DD 5573.52 11 Nonqualified plans 12a DD 5573.52
12b W 1144.68 12b W 1144.68 12b W 1144.68
13 Statutory
employee
Retirement
plan
Third-party
sick pay 12c AA 1850.51 13 Statutory
employee
Retirement
plan
Third-party
sick pay 12c AA 1850.51 13 Statutory
employee
Retirement
plan
Third-party
sick pay 12c AA 1850.51
12d 12d 12d
Employee’s social security no. 14 Employee’s social security no. 14 Employee’s social security no. 14
217-23-4098 PSL511 773.28 217-23-4098 PSL511 773.28 217-23-4098 PSL511
DEN
773.28
202.80
0 PYW2
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
0VA50 1043 00000
LITHO COATER
Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement
Copy B — To Be Filed With Copy 2 — To Be Filed With Copy 2 — To Be Filed With
Employee’s FEDERAL Tax Return. OMB No. 1545-0008 Employee’s State, City, or Local OMB No. 1545-0008 Employee’s State, City, or Local OMB No. 1545-0008
Department of Treasury - Department of Treasury - Department of Treasury -
This information is being furnished to the IRS. Internal Revenue Service Income Tax Return. Internal Revenue Service Income Tax Return. Internal Revenue Service
Control Control Control
number 0VA50 1043 00026 number 0VA50 1043 00026 number 0VA50 1043 00026
Employer’s name, address, and ZIP code Employer’s name, address, and ZIP code Employer’s name, address, and ZIP code
1 Wages, tips, other comp. 2 Federal income tax withheld 1 Wages, tips, other comp. 2 Federal income tax withheld 1 Wages, tips, other comp. 2 Federal income tax withheld
3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
Notice to Employee
Do you have to file? Refer to the Instructions for money amount error reported to the SSA on Form Box 2. Enter this amount on the federal income tax
Forms 1040 and 1040-SR to determine if you are W-2. Be sure to get your copies of Form W-2c from withheld line of your tax return.
required to file a tax return. Even if you don’t have to your employer for all corrections made so you may Box 5. You may be required to report this amount
file a tax return, you may be eligible for a refund if box file them with your tax return. If your name and SSN on Form 8959, Additional Medicare Tax. See
2 shows an amount or if you are eligible for any credit. are correct but aren’t the same as shown on your the Instructions for Forms 1040 and 1040-SR to
Earned income credit (EIC). You may be able to take social security card, you should ask for a new card determine if you are required to complete Form 8959.
the EIC for 2020 if your adjusted gross income (AGI) is that displays your correct name at any SSA office or
by calling 800-772-1213. You may also visit the SSA Box 6. This amount includes the 1.45% Medicare Tax
less than a certain amount. The amount of the credit withheld on all Medicare wages and tips shown in box
is based on income and family size. Workers without website at www.SSA.gov.
5, as well as the 0.9% Additional Medicare Tax on any
children could qualify for a smaller credit. You and Cost of employer-sponsored health coverage of those Medicare wages and tips above $200,000.
any qualifying children must have valid social security (if such cost is provided by the employer). The
numbers (SSNs). You can’t take the EIC if your reporting in box 12, using code DD, of the cost of Box 8. This amount is not included in box 1, 3, 5,
investment income is more than the specified amount employer-sponsored health coverage is for your or 7. For information on how to report tips on your
for 2020 or if income is earned for services provided information only. The amount reported with code tax return, see the Instructions for Forms 1040 and
while you were an inmate at a penal institution. For DD is not taxable. 1040-SR.
2020 income limits and more information, visit Credit for excess taxes. If you had more than one You must file Form 4137, Social Security and
www.irs.gov/EITC. See also Pub. 596, Earned Income employer in 2020 and more than $8,537.40 in social Medicare Tax on Unreported Tip Income, with your
Credit. Any EIC that is more than your tax liability is security and/or Tier 1 railroad retirement (RRTA) taxes income tax return to report at least the allocated
refunded to you, but only if you file a tax return. were withheld, you may be able to claim a credit for tip amount unless you can prove with adequate
Clergy and religious workers. If you aren’t subject the excess against your federal income tax. If you records that you received a smaller amount. If you
to social security and Medicare taxes, see Pub. 517, had more than one railroad employer and more than have records that show the actual amount of tips you
Social Security and Other Information for Members of $5,012.70 in Tier 2 RRTA tax was withheld, you may received, report that amount even if it is more or less
the Clergy and Religious Workers. also be able to claim a credit. See the Instructions than the allocated tips. Use Form 4137 to figure the
for Forms 1040 and 1040-SR and Pub. 505, Tax social security and Medicare tax owed on tips you
Corrections. If your name, SSN, or address is didn’t report to your employer. Enter this amount on
incorrect, correct Copies B, C, and 2 and ask your Withholding and Estimated Tax.
the wages line of your tax return. By filing Form 4137,
employer to correct your employment record. Be sure Instructions for Employee your social security tips will be credited to your social
to ask the employer to file Form W-2c, Corrected security record (used to figure your benefits).
Wage and Tax Statement, with the Social Security Box 1. Enter this amount on the wages line of your
Administration (SSA) to correct any name, SSN, or tax return.
(Instructions for Employee continued on back of Copy 2.)
Instructions for Forms 1040 and 1040-SR. clergy’s parsonage allowance and utilities. Railroad
Q—Nontaxable combat pay. See the Instructions for employers use this box to report railroad retirement
Forms 1040 and 1040-SR for details on reporting this AA—Designated Roth contributions under a section
401(k) plan (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare
amount. tax, and Additional Medicare Tax. Include tips
R—Employer contributions to your Archer MSA. BB—Designated Roth contributions under a section reported by the employee to the employer in railroad
Report on Form 8853, Archer MSAs and Long-Term 403(b) plan retirement (RRTA) compensation.
Care Insurance Contracts. DD—Cost of employer-sponsored health coverage. Note: Keep Copy C of Form W-2 for at least 3 years
S—Employee salary reduction contributions under a The amount reported with code DD is not taxable. after the due date for filing your income tax return.
section 408(p) SIMPLE plan (not included in box 1) EE—Designated Roth contributions under a However, to help protect your social security
NTF 2583655
T—Adoption benefits (not included in box 1). governmental section 457(b) plan. This amount benefits, keep Copy C until you begin receiving social
Complete Form 8839, Qualified Adoption Expenses, does not apply to contributions under a tax-exempt security benefits, just in case there is a question about
to compute any taxable and nontaxable amounts. organization section 457(b) plan. your work record and/or earnings in a particular year.
FF—Permitted benefits under a qualified small
employer health reimbursement arrangement (See also Notice to Employee on back of Copy B.)