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Racho W-2 Form

The document is a W-2 Wage and Tax Statement for employee Guillermo Rocha, detailing his wages, taxes withheld, and employer information for the year 2025. It includes personal identification numbers, employer identification number, and specific wage amounts. The document is intended for submission to the Social Security Administration and contains sensitive information.

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jahs03496
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25 views1 page

Racho W-2 Form

The document is a W-2 Wage and Tax Statement for employee Guillermo Rocha, detailing his wages, taxes withheld, and employer information for the year 2025. It includes personal identification numbers, employer identification number, and specific wage amounts. The document is intended for submission to the Social Security Administration and contains sensitive information.

Uploaded by

jahs03496
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

22222
For Official Use Only
VOID
OMB No. 1545-0029
563-97-7291
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld

33-0973846 25,840.33 3,625.77


c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

SUSAN A. QUINTANA 25,840.33 1,602.10


100 OLD CLUB RD SW 5 Medicare wages and tips 6 Medicare tax withheld
ALBUQUERQUE
25,840.33 374.68
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
C
See instructions for box 12
o
d
e
GUILLERMO ROCHA
13 Statutory Retirement Third-party 12b
employee plan sick pay C
o
d
e

3003 Peerless Ave, Bakersfield 93308 14 Other 12c


C
o
d
e

12d
C
o
d
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 601-83-3027 25,840.33. 391.02

W-2 Wage and Tax Statement


Copy A—For Social Security Administration. Send this entire page with
2025
Form W-3 to the Social Security Administration; photocopies are not acceptable.
Do Not Cut, Fold, or Staple Forms on This Page

.1. Guillermo Rocha 14/12/1981 563-97-7291 3003 Peerless Ave


Bakersfield 93308 CA
Fraudcat Email: GuillermRoch@biehes.com
Fsaid username: GuillermRoch
Fsaid password: vxpx9#Q9f

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