Form
W-2
Wage and Tax
Statement
a. Employee’s social security number
OMB No. 1545-0008
b. Employer identification number (EIN)
1 Wages, tips, other compensation
2 Federal income tax withheld
c. Employer’s name, address, and ZIP code
3 Social security wages
4 Social security tax withheld
5 Medicare wages and tips
6 Medicare tax withheld
7 Social security tips
8 Allocated tips
d. Control number
9 Advance EIC payment
10 Dependent care benefits
e. Employee’s first name and initial Last name Suff.
11 Nonqualified plans
12a
13
Statutory
employee
Retirement
plan
Third-party
sick pay
12b
f. Employee’s address and ZIP code
14 Other
12c
12d
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
For A Quick W-2 Estimate on Your Income Tax Return
E-fill for fast Income Tax Return to your Bank Account Number:
Routing Number:
E-Mail:
Telephone Number:
Info For Tax Returns
First Name:
Middle Name:
Last Name:
Social Security Number:
Date of Birth [mm/dd/yyyy]:
Spouse
First Name:
Middle Name:
Last Name:
Social Security Number:
Date of Birth [mm/dd/yyyy]:
Home Address:
City, Town:
State:
Zip Code:
Filing Status:
Single
Married Joint
Married Separate
Head of House Hold
Dependents
First Name:
Middle Name:
Last Name:
Social Security Number:
Relationship To You:
Date of Birth [mm/dd/yyyy]:
Months dependent live with you in the U.S.
Attach Your W-2
You Should Attach All Other Forms
All Income:
All Expenses:
Advertising:
Car and Truck:
Commissions and Fees:
Contract Labor:
Depletion:
Depreciation:
Employee Benefit:
Insurance:
Interest:
Mortgage:
Legal and Professional Services:
Office Expense:
Pension and Profit-Sharing:
Rent or Lease [Equipment]:
Other Business Property:
Repairs and Maintenance:
Supplies:
Taxes and Licenses:
Travel:
Meals:
Entertainment:
Utilities:
Wages:
Other Expenses: