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2016 W-2 and EARNINGS SUMMARY £5$
Employee Reference Copy This blue Earnings Summary section is included with your W-2 to help describe portions in more detail.
I A/ O Wage and Tax The reverse side includes general information that you may also find helpful.
VV “4 Statement
Copy C for employee's records.
2016
OMB No. 1545-0008 1. The following information reflects your final 2016 pay stub plus any adjustments submitted by your employer.
d Control number Dept. Corp. Employer use only
Gross Pay 87066.94 Social Security 5132.74 PA. State Income Tax 227.91
301138 CLI2/CTS SSH215 A Tax Withheld Box 17 of W-2
c Employer’s name, address, and ZIP code Box 4 of W-2 Local Income Tax 252.42
COGNIZANT TECHNOLOGY Fed. Income 15909.79 Medicare Tax 1200.40
Box 19 of W-2
SOLUTIONS US CORPORATION Tax Withheld Withheld SUI/SDI 5.57
211 QUALITY CIR STE 150 Box 2 of W-2 Box 6 of W-2 Box 14 of W-2
COLLEGE STATION TX 77845
2. Your Gross Pay was adjusted as follows to produce your W-2 Statement.
Batch #02502
Wages, Tips, other Social Security Medicare PA. State Wages,
e/f Employee’s name, address, and ZIP code Compensation Wages Wages Tips. Etc.
Box 1 of W-2 Box 3 of W-2 Box 5 of W-2 Box 16 of W-2
PHANEENDRA GUGGILAM
2611 SW 16TH ST Gross Pay 87.066.94 87.066.94 87.066.94 7.962.63
UNIT 22 Plus GTL(C-Box12) 27.12 27.12 27.12 N/A
BENTONVILLE AR 72712-4584 Less Other Cafe 125 4.308.00 4,308.00 4,308.00 538.50
b Employer's FED ID number a Employee’s SSA number
Reported W-2 Wages 82,786.06 82,786.06 82,786.06 7,424.13
13-3924155 709-22-9628
1 Wages, tips, other comp. 2 Federal income tax withheld
82786.06 15909.79
3 Social security wages 4 Social security tax withheld
82786.06 5132.74
5 Medicare wages and tips 6 Medicare tax v/ithheld
82786.06 1200.40
7 Social security tips 8 Allocated tips
Verification Code 10 Dependent care benefits 3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dept.
7804-B575-BE5E-155A
11 Nonqualified plans 12a See instructions for box 12
Cl____________ 27.12 PHANEENDRA GUGGILAM Social Security Number:709-22-9628
14 Other
12b R I 799.46 2611 SW 16TH ST Taxable Marital Status: SINGLE
12c DDI 8714.16
5.57 SUI
3314.25 TXREL 12d I UNIT 22 Exemptions/Allowances:
13 Slat emp I Ret. planbrd party sick pay BENTONVILLE AR 72712-4584 FEDERAL: 0
STATE: 0
15 State Employer’s state ID no 16 State wages, tips, etc.
TOTAL STATE
17 State income tax 18 Local wages, tips, etc.
4472.12 7424.13
19 Local income tax 20 Locality name 2016 ADP. LLC
252.42 640204
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
82786.06 15909.79 82786.06 15909.79 82786.06 15909.79
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
82786.06 5132.74 82786.06 5132.74 82786.06 5132.74
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
82786.06 1200.40 82786.06 1200.40 82786.06 1200.40
d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only
301138 CLI2/CTS SSH215 A 301138 CLI2/CTS SSH215 A 301138 CLIZ'CTS SSH215 A
c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code
COGNIZANT TECHNOLOGY COGNIZANT TECHNOLOGY COGNIZANT TECHNOLOGY
SOLUTIONS US CORPORATION SOLUTIONS US CORPORATION SOLUTIONS US CORPORATION
211 QUALITY CIR STE 150 211 QUALITY CIR STE 150 211 QUALITY CIR STE 150
COLLEGE STATION TX 77845 COLLEGE STATION TX 77845 COLLEGE STATION TX 77845
b Employer’s FED ID number a Employee’s SSA number b Employer’s FED ID number a Employee’s SSA number b Employer's FED ID number a Employee’s SSA number
13-3924155 709-22-9628 13-3924155 709-22-9628 13-3924155 709-22-9628
7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips
Verification Code 10 Dependent care benefits 9 10 Dependent care benefits 9 10 Dependent care benefits
7804-B575-BE5E-155A
11 Nonqualified plans 12a See instructions for box 12 11 Nonqualified plans 12a 11 Nonqualified plans 12a
C| 27.12 C | 1.29 C | 1.29
14 Other 12b P| 799.46 14 Other 12b P | 799.46 14 Other 12b P | 799.46
DD| 8714.16 12c 12c
5.57 SUI 5.57 PA SUI 5.57 PA SUI
3314.25 TXREL T28 3314.25 TXREL T28 3314.25 TXREL T2ci
13 Stat emp Ret. plan 3rd party sick pay 13 stat emp Ret. plan 3rd party sick pay 13 Stat emp Ret. plan 3rd party sick pay
e/f Employee’s name, address and ZIP code e/f Employee’s name, address and ZIP code e/f Employee's name, address and ZIP code
PHANEENDRA GUGGILAM PHANEENDRA GUGGILAM PHANEENDRA GUGGILAM
2611 SW 16TH ST 2611 SW 16TH ST 2611 SW 16TH ST
UNIT 22 UNIT 22 UNIT 22
BENTONVILLE AR 72712-4584 BENTONVILLE AR 72712-4584 BENTONVILLE AR 72712-4584
15 State Employer's state ID no 16 State wages, tips, etc. 15 State Employer's state ID no. 16 State wages, tips, etc. 15 State Employer’s state ID no. 16 State wages, tips, etc.
TOTAL STATE PA 1940 7725 7424.13 PA 1940 7725 7424.13
17 State income tax 18 Local wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 17 State income tax 18 Local wages, tips, etc.
4472.12 7424.13 227.91 227.91
19 Local income tax 20 Locality name 19 Local income tax 20 Locality name 19 Local income tax 20 Locality name
252.42 640204
Federal Filing Copy PA.State Reference Copy PA.State Filing Copy
W-2 oiditJinciu
T“ 2016
QMB No. 1545-0008
Copy B io be filed with employees Federal Income Tax Return.
w-2 X.nT T“ 2016
OimeillClll
Copy 2 to be filed with employee's State Income Tax
OMB No. 1545-0008
Return.
W-2 X- T“ 2016 OMB No. 1545-0008
Copy 2 to be filed with employee's State Income Tax Return.
