a Employee’s social security Safe, accurate, Visit the IRS website
number OMB No. 1545-0008 FAST! Use at
XXX-XX-9362 www.irs.gov/efile.
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
92-0856310 22188.40 3252.18
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
ALL TERRAIN FORCE LLC 22188.40 1375.66
5 Medicare wages and tips 6 Medicare tax withheld
10475 CROSSPOINT BLVD STE 100 22188.40 321.72
7 Social security tips 8 Allocated tips
INDIANAPOLIS IN 46256
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
YVO TERAN o
d
e
821 INDIAN TRAILS APT B 13 Statutory Retirement
party employee
sick pay
Third-
plan
12b
C
o
d
e
CARMEL IN 46032 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, 17 State income tax 18 Local wages, tips, 19 Local income tax 20 Locality
IN 8000398923 001 etc. 114.76 etc. 238.42 name
22188.40 22188.40 29
OH 54-245110
Form W-2 Wage and Tax Statement 2024 Department of the Treasury—Internal Revenue Service
Copy B—To Be Filed With Employee’s FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
Future developments. For the latest information about Corrections. If your name, SSN, or address is incorrect,
developments related to Form W-2, such as legislation correct Copies B, C, and 2 and ask your employer to correct
enacted after it was published, go to www.irs.gov/FormW2. your employment record. Be sure to ask the employer to file
Form
Notice to Employee W-2c, Corrected Wage and Tax Statement, with the SSA to
Do you have to file? Refer to the Form 1040 instructions to correct any name, SSN, or money amount error reported to
determine if you are required to file a tax return. Even if you the SSA on Form W-2. Be sure to get your copies of Form
don’t have to file a tax return, you may be eligible for a W-2c from your employer for all corrections made so you
refund if box 2 shows an amount or if you are eligible for may file them with your tax return. If your name and SSN
any credit. are correct but aren’t the same as shown on your social
security card, you should ask for a new card that displays
Earned income tax credit (EITC). You may be able to take your correct name at any SSA office or by calling 800-772-
the EITC for 2024 if your adjusted gross income (AGI) is 1213. You may also visit the SSA website at www.SSA.gov.
less than a certain amount. The amount of the credit is
based on income and family size. Workers without children Cost of employer-sponsored health coverage (if such cost is
could qualify for a smaller credit. You and any qualifying provided by the employer). The reporting in box 12, using
children must have valid social security numbers (SSNs). code DD, of the cost of employer-sponsored health
You can’t take the EITC if your investment income is more coverage is for your information only. The amount reported
with code DD is not taxable.
than the specified amount for 2024 or if income is earned
for services provided while you were an inmate at a penal Credit for excess taxes. If you had more than one employer
institution. For 2024 income limits and more information, in 2024 and more than $10,453.20 in social security and/or
visit www.irs.gov/EITC. See also Pub. 596. Any EITC that is Tier 1 railroad retirement (RRTA) taxes were withheld, you
more than your tax liability is refunded to you, but only if may be able to claim a credit for the excess against your
you file a tax return. federal income tax. See the Form 1040 instructions. If you
Employee’s social security number (SSN). For your had more than one railroad employer and more than
protection, this form may show only the last four digits of $6,129.90 in Tier 2 RRTA tax was withheld, you may be able
your SSN. However, your employer has reported your to claim a refund on Form 843. See the Instructions for
complete SSN to the IRS and the Social Security Form 843.
Administration (SSA). (See also Instructions for Employee on the back of Copy C.)
Clergy and religious workers. If you aren’t subject to social
security and Medicare taxes, see Pub. 517.
a Employee’s social security This information is being furnished to the Internal Revenue Service.
number If you are required to file a tax return, a negligence penalty or
OMB No. 1545-0008
XXX-XX-9362 other sanction
may be imposed on you if this income is taxable and you fail to
report it.
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
92-0856310 51204.00 742.45
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
ALL TERRAIN FORCE LLC 51204.00 3174.60
5 Medicare wages and tips 6 Medicare tax withheld
10475 CROSSPOINT BLVD STE 100 51204.00 6144.48
7 Social security tips 8 Allocated tips
INDIANAPOLIS IN 46256
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
YVO TERAN
o
d
e
821 INDIAN TRAILS APT B 13 Statutory Retirement
party employee
sick pay
Third-
plan
12b
C
o
d
e
CARMEL IN 46032 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, 17 State income tax 18 Local wages, tips, 19 Local income tax 20 Locality
IN 8000398923 001 etc.
264.84 etc.
550.44 name
51204.00 51204.00 29
Form W-2 Wage and Tax Statement
Copy C—For EMPLOYEE’S RECORDS
2023 Department of the Treasury—Internal Revenue Service
Safe, accurate,
FAST! Use
(See Notice to Employee on the back of Copy
B.)
Instructions for Employee received a distribution in the same calendar year, and you are or
will be age 62 by the end of the calendar year, your employer
(See also Notice to Employee on the back of Copy B.) should file Form SSA-131, Employer Report of Special Wage
Box 1. Enter this amount on the wages line of your tax return. Payments, with the Social Security Administration and give you a
Box 2. Enter this amount on the federal income tax withheld line of copy.
your tax return. Box 12. The following list explains the codes shown in box 12. You
Box 5. You may be required to report this amount on Form 8959. may need this information to complete your tax return. Elective
See the Form 1040 instructions to determine if you are required to deferrals (codes D, E, F, and S) and designated Roth contributions
complete Form 8959. (codes AA, BB, and EE) under all plans are generally limited to a
total of $23,000 ($16,000 if you only have SIMPLE plans; $26,000 for
Box 6. This amount includes the 1.45% Medicare tax withheld on all section 403(b) plans if you qualify for the 15-year rule explained in
Medicare wages and tips shown in box 5, as well as the 0.9% Pub. 571). Deferrals under code G are limited to $23,000. Deferrals
Additional Medicare Tax on any of those Medicare wages and tips under code H are limited to $7,000.
above
$200,000. However, if you were at least age 50 in 2024, your employer may
have allowed an additional deferral of up to $7,500 ($3,500 for
Box 8. This amount is not included in box 1, 3, 5, or 7. For section 401(k)(11) and 408(p) SIMPLE plans). This additional
information on how to report tips on your tax return, see the Form deferral amount is not subject to the overall limit on elective
1040 instructions. deferrals. For code G, the limit on elective deferrals may be higher
You must file Form 4137 with your income tax return to report at for the last 3 years before you reach retirement age. Contact your
least the allocated tip amount unless you can prove with adequate plan administrator for more information.
records that you received a smaller amount. If you have records Amounts in excess of the overall elective deferral limit must be
that show the actual amount of tips you received, report that included in income. See the Form 1040 instructions.
amount even if it is more or less than the allocated tips. Use Form Note: If a year follows code D through H, S, Y, AA, BB, or EE, you
4137 to figure the social security and Medicare tax owed on tips made a make-up pension contribution for a prior year(s) when you
you didn’t report to your employer. Enter this amount on the wages were in military service. To figure whether you made excess
line of your tax return. By filing Form 4137, your social security tips deferrals, consider these amounts for the year shown, not the
will be credited to your social security record (used to figure your current year. If no year is shown, the contributions are for the
benefits). current year.
Box 10. This amount includes the total dependent care benefits A—Uncollected social security or RRTA tax on tips. Include this tax
that your employer paid to you or incurred on your behalf on Form 1040 or 1040-SR. See the Form 1040 instructions.
(including amounts from a section 125 (cafeteria) plan). Any
amount over your employer’s plan limit is also included in box 1. B—Uncollected Medicare tax on tips. Include this tax on Form
See Form 2441. 1040 or 1040-SR. See the Form 1040 instructions.
Box 11. This amount is (a) reported in box 1 if it is a distribution C—Taxable cost of group-term life insurance over $50,000
made to you from a nonqualified deferred compensation or (included in boxes 1, 3 (up to the social security wage base), and 5)
nongovernmental section 457(b) plan, or (b) included in box 3 D—Elective deferrals to a section 401(k) cash or deferred
and/or box 5 if it is a prior year deferral under a nonqualified or arrangement. Also includes deferrals under a SIMPLE retirement
section 457(b) plan that became taxable for social security and account that is part of a section 401(k) arrangement.
Medicare taxes this year because there is no longer a substantial E—Elective deferrals under a section 403(b) salary reduction agreement
risk of forfeiture of your right to the deferred amount. This box
shouldn’t be used if you had a deferral and a distribution in the (continued on back of Copy 2)
same calendar year. If you made a deferral and
a Employee’s social security
number OMB No. 1545-0008
XXX-XX-9362
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
92-0856310 42670.00 6254.20
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
ALL TERRAIN FORCE LLC 42670.00 2645.50
5 Medicare wages and tips 6 Medicare tax withheld
10475 CROSSPOINT BLVD STE 100 42670.00 618.71
7 Social security tips 8 Allocated tips
INDIANAPOLIS IN 46256
d Control number 9 10 Dependent care benefits
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
YVO TERAN o
d
e
821 INDIAN TRAILS APT B 13 Statutory
employe
e
Retiremen
t plan
Third-
party
sick pay
12b
C
o
d
e
CARMEL IN 46032 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, 17 State income tax 18 Local wages, tips, 19 Local income tax 20 Locality
IN 8000398923 001 etc.
220.70 etc.
458.70 name
42670.00 42670.00 29
OH 54-245110 42670.00 1093.00
Form W-2 Wage and Tax Statement 2022 Department of the Treasury—Internal Revenue Service
Copy 2—To Be Filed With Employee’s State, City, or Local
Income Tax Return
Instructions for Employee (continued from back of Copy C) Y—Deferrals under a section 409A nonqualified deferred
compensation plan
Box 12 (continued)
Z—Income under a nonqualified deferred compensation plan that
F—Elective deferrals under a section 408(k)(6) salary reduction SEP
fails to satisfy section 409A. This amount is also included in box
G—Elective deferrals and employer contributions (including 1. It is subject to an additional 20% tax plus interest. See the Form
nonelective deferrals) to a section 457(b) deferred compensation 1040 instructions.
plan
AA—Designated Roth contributions under a section 401(k) plan
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
BB—Designated Roth contributions under a section 403(b) plan
organization plan. See the Form 1040 instructions for how to
deduct. DD—Cost of employer-sponsored health coverage. The amount
reported with code DD is not taxable.
J—Nontaxable sick pay (information only, not included in box 1, 3,
or 5) EE—Designated Roth contributions under a governmental section
457(b) plan. This amount does not apply to contributions under a
K—20% excise tax on excess golden parachute payments. See the tax- exempt organization section 457(b) plan.
Form 1040 instructions.
FF—Permitted benefits under a qualified small employer health
L—Substantiated employee business expense reimbursements reimbursement arrangement
(nontaxable)
GG—Income from qualified equity grants under section 83(i)
M—Uncollected social security or RRTA tax on taxable cost of
group- term life insurance over $50,000 (former employees only). HH—Aggregate deferrals under section 83(i) elections as of the
See the Form 1040 instructions. close of the calendar year
N—Uncollected Medicare tax on taxable cost of group-term life II—Medicaid waiver payments excluded from gross income under
insurance over $50,000 (former employees only). See the Form 1040 Notice 2014-7.
instructions. Box 13. If the “Retirement plan” box is checked, special limits
P—Excludable moving expense reimbursements paid directly to a may apply to the amount of traditional IRA contributions you may
member of the U.S. Armed Forces (not included in box 1, 3, or 5) deduct. See Pub. 590-A.
Q—Nontaxable combat pay. See the Form 1040 instructions for Box 14. Employers may use this box to report information such as
details on reporting this amount. state disability insurance taxes withheld, union dues, uniform
payments, health insurance premiums deducted, nontaxable
R—Employer contributions to your Archer MSA. Report on Form income, educational assistance payments, or a member of the
8853. clergy’s parsonage allowance and utilities. Railroad employers use
S—Employee salary reduction contributions under a section 408(p) this box to report railroad retirement (RRTA) compensation, Tier 1
SIMPLE plan tax, Tier 2 tax, Medicare tax, and Additional Medicare Tax. Include
T—Adoption benefits (not included in box 1). Complete Form 8839 tips reported by the employee to the employer in railroad
to figure any taxable and nontaxable amounts. retirement (RRTA) compensation.
V—Income from exercise of nonstatutory stock option(s) (included Note: Keep Copy C of Form W-2 for at least 3 years after the due
in boxes 1, 3 (up to the social security wage base), and 5). See Pub. date for filing your income tax return. However, to help protect
525 for reporting requirements. your social security benefits, keep Copy C until you begin
receiving social security benefits, just in case there is a question
W—Employer contributions (including amounts the employee about your work record and/or earnings in a particular year.
elected to contribute using a section 125 (cafeteria) plan) to your
health savings account. Report on Form 8889.
