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Wage and Tax Statment: This Copy Does Not Include State or Local Tax Information

The document is a W-2 Wage and Tax Statement for the year 2023, detailing employee Tiffany Randall's wages, taxes withheld, and employer information. It includes specific figures for wages, federal income tax withheld, social security wages, and Medicare wages. The document also instructs the recipient to send the entire page to the Social Security Administration.

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157 views1 page

Wage and Tax Statment: This Copy Does Not Include State or Local Tax Information

The document is a W-2 Wage and Tax Statement for the year 2023, detailing employee Tiffany Randall's wages, taxes withheld, and employer information. It includes specific figures for wages, federal income tax withheld, social security wages, and Medicare wages. The document also instructs the recipient to send the entire page to the Social Security Administration.

Uploaded by

qmzrpkhjpy
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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This copy does not include state or local tax information.

a Employee's social security number


CORRECTED OMB No. 1545-0008
XXX-XX-2137
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
XX-XXX9071 $8820.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
TIMOTHY RUNKLES II $8820.00 $546.00
1979 MARCUS AVE, SUITE, 5 Medicare wages and tips 6 Medicare tax withheld
LAKE SUCCESS, NY 11042-null $8820.00 $127.00
7 Social security tips 8 Allocated tips

d Control number 9 10 Dependent care benefits


e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
TIFFANY RANDALL
13 Statutory Retirement Third Party 12b
employee plan sick pay

f Employee's address and ZIP code


450 HIGHWAY H APT B 14 Other 12c

LEASBURG, MO 65535-0000
12d

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

W-2 Wage and Tax Statment 2023


Department of the Treasury—Internal
Form Revenue Service
For Privacy Act and
Copy A – For Social Security Administration. Paperwork Reduction Act
Send this entire page with Form W-3 to the Social Notice, see the separate
Security Administration; photocopies are not instructions.
acceptable.
Cat. No. 10134D

For more details or instructions on this information return document, please visit:
https://www.irs.gov/payments/online-account-for-individuals-frequently-asked-questions

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