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W-2 Form?
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Wage & Tax Statement — based on current W-2 layout conventions for recordkeeping purposes.
$14.99
per document
1
Employer
2
Employee
3
Wages & Taxes
Employer Information
Tax Year *
Employer EIN *
Employer Name *
Employer Address *
State
Employer State ID
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Employee Information
Employee SSN *
Control Number
(optional)
First Name & Initial *
Last Name *
Employee Address *
Box 13 Checkboxes
Statutory Employee
Retirement Plan
Third-Party Sick Pay
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Wages & Tax Information
Enter the amounts from your payroll records. Social Security and Medicare taxes are auto-calculated but can be adjusted.
Box 1 — Wages, Tips, Other Compensation *
$
Box 2 — Federal Income Tax Withheld *
$
Box 3 — Social Security Wages
$
Box 4 — SS Tax Withheld
(auto)
$
Box 5 — Medicare Wages
$
Box 6 — Medicare Tax Withheld
(auto)
$
Box 16 — State Wages
$
Box 17 — State Income Tax
$
+ Optional Boxes (7, 8, 10, 11, 12, 14, 18–20)
+
Box 7 — SS Tips
$
Box 8 — Allocated Tips
$
Box 10 — Dependent Care
$
Box 11 — Nonqualified Plans
$
Box 14 — Other
Box 20 — Locality Name
Box 18 — Local Wages
$
Box 19 — Local Tax
$
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