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ThisblueEarnings Summary section sect is included with youl w-2 to herp descrrbe porilons ln more dota Thereverse sideincludes reralinformation that you may also find helpful. general
1. The followlna lnf6rm.tl^h '6fr^-r
Cotp.I fmployenrse ofr 600100lllLz,P I ozossc B7 lT
I Dcpt
Emplrycr'! nanc, !ddles!, and Zlp codc
control numbr
'
Gross Pay
3225.70 2 2 11 2 .
Soclal Securltv ' Tax Withheld
KILLINGTON PICO SKI RESORT PARTNERS 4763 KILLINGTON RD KILLINGTONVT 05751 Batch #03128
ct Enptoye'! nanc, aodi---, iiE-ZiFEft!-
Box ofW-2 4
Fad, Income Tax Wlthheld
Box ofW-2 2
2. Your Gross Pav was
Medicare Tax Wlthheld
VT. State Income Tax Box 17 of W-2 SUIISDI Box 14 of W-2
7 1. 5 1
Box ofW-2 6
usted as fo follows to Wages, Tlps, other wa! Compensatlon Con Box 1 of W-2 VT. State Waoes. Tips, Etc. Box 16 of W-2
ANA BEGAZO CORNEJO URB EL ROSARIO K-10 CERR COLORADO AREOUIPA,PER
Empbyer'! FED lD numbl 20-nltn5?tt wagct, tlp!, other comp.
a .
Emptoye'!
009-92-8130
l-ederal incometaxwilhheld
SSA numbcr
Gross Pay Less Exempt Wages Reported W-2 Wages
3,225.70 N/A 3,225.7O
3,225.70 3,225.70 0.00
3,225.70 3,225.70 0.00
3,225.70 N/A 3,225.7O
3225.70
3 Sclal seurity wrge!
iloorcarc wag6 rnd lip! I 6 Sei.l leurity Medicrrc
221.12
tax wilhheld lax wilhhcld
scirl 9
seurity iip6 paymcnt
E Allcated tips lo Dcp'ndcnt care benefitirot mx lz
AdvrnccElC
W-4 Profile.
14 Olhct
lzc I t2d I I 3 Sbt emplRet phnprt plrty sicke.l
15 StarelEmptoycti *a-olo
A N A B E G A Z O C OR N E J O I URB EL ROSARIO I K.1O CERR COLORADO I AREQUIPA,PER
vT
14it0208485333F01
incomc tax
6 Stltc wages, taps, etc.
t7 s|!t
ll
3225.70
name
7 1. 5 1
L@al Incomc ilx
LErt wrges, tips, elc. ru Lerlity
o 20i0 aDP
SocialSecurityNumber:009-92-8130 TaxableMaritalStatus: SINGLE Exemptions/Allowances : FEDERAL: 1 STATE: 1 Single
w196,
l|p!,
other comp.
r{erat
3225.70
J Seaal asurlly wage3
Income iax withheld
221.12
{ S@ial ssurity lmyithheld 3
5
Waga, iipa, other cornp
rderat
3225.70
Seisl ssurity wage! ,l Scill
Medicarewagesandlipa
Income tax wilhheld
221.12
leu.tty
hx
tax withlrcld
whhhcld
Medice.c w"ga
4 S6ial seurity tax withhelJ 5 d Medicare wages and tips Conlrol numbr
Employer'e Medicare tax wilhheld
mE ilpa
D Mediclrc lrx withheld
Mcdicare
d Coni.ol numbcr I O+t
c
6001001I|LZP I ozoggc
Corp. I
Employer only use IT fi7
d c
Conkol number
I Dept
Employer'r name, rddlcs!, and Zlp code
600100 11lLzP | 070330
Corp. I Employer only use
KILLINGTON PICO SKI RESORT PARTNERS 4763 KILLINGTON RD KILLINGTON VT 057'1
Empbycr'! FED lD numbcl 20-8485333 S@isl ccurity tip6 r EIC paymaltr ilonqurliticd plrm 14 Olhcr
EDployer's name, address, and Zlp code
lr
fi7
600100 11lLzP
name, addrees, and Zlp code
Employer only use ' 137
KILLINGTONPICO SKI RESORT PARTNERS 4763 KILLINGTONRD KILLINGTONVT 05751
E JDA numEr
KILLINGTONPICO SKI RESORT PARTNERS 4763 KILLINGTON RD KILLINGTONVT 05751
Jye
ooq-qt-er"^
All@ated lo Dcpcndcnl lips
Employer's FEO D numUer
20-8485333
lipa
Employe's SSA nurnber
8 Allcaled tip!
S@aal lsurity
009-92-8130
catc bncfhs
Advance EIC paymenl
ru uependent care bnetits l2a
l2! Se instuclionc lot box f2
t2b l2c
11 Nonqualitiedpta;a
t4 Olhet
''o
l2c tzd
'--l
13 stlt enp,lRetptln Fd elrty;ick eay
e/l Empbyc'! namc, lddless rnd Zlp cqlc
I
ANA BEGAZO CORNEJO URB EL ROSARIO K-l0 CERR COLORADO AREQUIPA,PER
!7 Stdc income ilx
3 Strt emp.lRet phnl3d prrty sict pcj I I I e/t Employc's nane, addreaa and.lp-odE I I ANA BEGAZO CORNEJO I I URB EL ROSARIO
I
prrty oicl p!
name, rddres! and
'v?"" ';a35b1Pdi |fidiffi
U L@!l
K-10 CERR COLORADO AREQUIPA.PER
6 Slatc wag6, tipc, etc.
3225.70
lip!, etc,
wagcs,
'uui'"" ;59*i ln=iiil?6li
Slale income lax
ANA BEGAZO CORNEJO URB EL ROSARIO K.1O CERR COLORADO AREQUIPA.PER
Slal ) wages, lips, etc,
16 Shle LGat
wagec, lips, elc.
3225.70
wagea, tipg, elc. naDe ru L@alily
3225.70
71 .51
19 Leal income tu lU Lcllity name
7 1. 5 1
I9
I
L@al income tax
H;*;m#*H,mlp .W;?,Hj,H*i:ffil"e k*3g#i:*?pm
I I I I
I
