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Marcus Roberts W-2 Form

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wolfandcookies6
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630 views1 page

Marcus Roberts W-2 Form

Uploaded by

wolfandcookies6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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a Employee's social security number For Official Use Only

555-XX-XXXX OMB No. 1545-0008


b Employer Identification Number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
10-XXXXXXX $45,762.00 $7,234.25
c Employer's name, address, and ZIP code 3 Social security wages 4 Social secuity tax withheld
$45,762.00 $2,837.24
5 Medicare wages and tips 6 Medicare tax withheld
$45,762.00 $663.55
Winners! Shoe Store
2424 Tumbleweed Ave. 7 Social security tips 8 Allocated tips
Sacramento, CA 94205
d Control number 9 10 Dependent care benefits

e Employee's first name and initial Last name Suff. 11 Nonqualfied plans 12a See instructions for box 12
C
o
d
e
Statutory Retirement Third-party
13 employee plan sick pay 12b
C
o
d
e

14 Other 12c
C
o
d
e

12d
MARCUS E. ROBERTS C
3000 Casitas St. o
d
Sacramento, CA 94204 e

f Employee's address and ZIP code


15 State Employer's State ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
CA 10-XXXXXXX $45,762.00 $1,870.52

Department of the Treasury - IRS

2023

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