7–36 Payroll Accounting
Transaction No. 38 (Continued)
22222 Void
a Employee’s social security number
000-00-4567
For Official Use Onl
OMB No. 1 545-0008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2Federal income tax withheld
00-0000660 13740.00 1299.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Philadelphia, PA 19175-0682 7 Social security tips 8 Allocated tips
d Control number 9 Verification code 10 Dependent care benefits
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
Catherine L. For
Code
13 Statutory Retirement Third-party 12b
employee plan sick pay
Code
18 DUNDEE AVENUE 12c
PHILADELPHIA, PA 19151-1919 14 Other Code
12d
22222 Void
a Employee’s social security number
000-00-9352
For Official Use Onl
OMB No. 1 545-0008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2Federal income tax withheld
00-0000660 12750.00 770.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
13500.00 837.00
Glo-Brite Paint Company 5 Medicare wages and tips 6 Medicare tax withheld
2215 Salvador Street 13500.00 195.78
Philadelphia, PA 19175-0682 7 Social security tips 8 Allocated tips
d Control number 9 Verification code 10 Dependent care benefits
W-2
Wage and Tax
Statement 20– Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork
Reduction Act Notice, see back of Copy D.
Source: Internal Revenue Service.