Professional Documents
Culture Documents
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
Filing Status Exemptions OH 51-534602 17148.69 236.45 13791.11 137.91 MilfrdJD
FITWH S 2
OH S 1
a Employee's social security number
Description Amount Box e Employee's name and address 9 Advanced EIC payment 10 Dependent care benefits
W2
WITHHOLDINGS 15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
Description Amount Box OH 51-534602 17148.69 236.45 13791.11 137.91 MilfrdJD
Fed. Income Tax 674.88 2
Soc. Security Tax 1063.21 4
Medicare Tax 248.67 6
a Employee's social security number
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
OH 51-534602 17148.69 236.45 13791.11 137.91 MilfrdJD
291-60-5185
c Employer's name, address, and ZIP code 1 Wages,tips,other compensation 2 Federal income tax
JUNGLE JIMS INTERNATIONAL MARKET, INC 17148.69 674.88
3 Social security wages 4 Social security tax
5440 DIXIE HWY
17148.69 1063.21
Employee Reference Copy
FAIRFIELD, OH 45014
Wage and Tax Statement
e Employee's name and address 9 Advanced EIC payment 10 Dependent care benefits
ROBERT S SMITH
11 Nonqualified plans 12 See instrs. for box 12
98 SOUTH EAST ST DD 4500.89
FAYETTEVILLE, OH 45118 13 Stat emp. Ret. Plan 3 Party Sick
W 673.91
Copy C for Employee's records.
14 Other
HEASAVE 673.91
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
OH 51-534602 17148.69 236.45 13791.11 137.91 MilfrdJD
2017
a Employee's social security number
14 Other
ROBERT S SMITH
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
3357.58 33.58 MlfrdJD2
e Employee's name and address 9 Advanced EIC payment 10 Dependent care benefits
ROBERT S SMITH
11 Nonqualified plans 12 See instrs. for box 12
98 SOUTH EAST ST
FAYETTEVILLE, OH 45118 13 Stat emp. Ret. Plan 3 Party Sick
14 Other
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
3357.58 33.58 MlfrdJD2
14 Other
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
3357.58 33.58 MlfrdJD2
291-60-5185
c Employer's name, address, and ZIP code 1 Wages,tips,other compensation 2 Federal income tax
JUNGLE JIMS INTERNATIONAL MARKET, INC
3 Social security wages 4 Social security tax
5440 DIXIE HWY
Employee Reference Copy
FAIRFIELD, OH 45014
Wage and Tax Statement
e Employee's name and address 9 Advanced EIC payment 10 Dependent care benefits
ROBERT S SMITH
11 Nonqualified plans 12 See instrs. for box 12
98 SOUTH EAST ST
FAYETTEVILLE, OH 45118 13 Stat emp. Ret. Plan 3 Party Sick
Copy C for Employee's records.
14 Other
W2
15 State & Employer's state ID 16 State wages,tips,etc 17 State income tax 18 Local wages,tips,etc. 19 Local income tax 20 Locality name
3357.58 33.58 MlfrdJD2