13 12d 12d 12d 12c 12c 12c 14 other other 12b 12b a

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13 12d 12d 12d 12c 12c 12c Other 14 14 14 Other Other 12b 12b 12b 11 12a 12 12a Nonqualified plans 12a Nonqualified plans 11 See instructions for box 12 Nonqualified plans 11 10 Dependent care benefits W-2 Wage and Tax 2017 W-2 Wage and Tax 2017 W-2 Wage and Tax Employee Reference Copy WI.State Reference Copy WI.State Filing Copy Statement OMB No. 1545-0008 Statement Return. Statement Copy C for employee’s records. 2017 Copy 2 to be filed with OMB No. 1545-0008 2017 W-2 Wage and Tax OMB No. 1545-0008 employee’s State Income Tax Copy 2 to be filed with Return. Federal Filing Copy employee’s State Income Tax Statement OMB No. 1545-0008 Copy B to be filed with Federal Income Tax Return. 1532.25 167.42 1532.25 employee’s 167.42 1532.25 95.00 167.42 1532.25 95.00 1532.25 22.22 1532.25 95.00 1532.25 22.22 084817 BALT/YAD A 2316 1532.25 22.22 1532.25 A 2316 JTH TAX INC 631-48-4817 084817 BALT/YAD A 084817 BALT/YAD Batch #02594 1716 CORPORATE LANDING P 2316 JTH TAX INC 631-48-4817 VIRGINIA BEACH VA 23454 JTH TAX INC 631-48-4817 1716 CORPORATE LANDING P 54-1828391 1532.25 1716 CORPORATE LANDING P VIRGINIA BEACH VA 23454 2316 AHMED NAFEZ SHEHADEH VIRGINIA BEACH VA 23454 54-1828391 1532.25 3942 N OAKLAND AVE 54-1828391 1532.25 90fd-ca50-86a2-ac4d 167.42 APT 338 AHMED NAFEZ SHEHADEH AHMED NAFEZ SHEHADEH 95.00 MILWAUKEE WI 53211 3942 N OAKLAND AVE 3942 N OAKLAND AVE 22.22 WI 036000018703204 APT 338 631-48-4817 APT 338 A 53.51 MILWAUKEE WI 53211 MILWAUKEE WI 53211 631-48-4817 WI 036000018703204 SINGLE WI 036000018703204 1532.25 53.51 53.51 53.51 Taxable Marital Status: 1532.25 AHMED NAFEZ SHEHADEH Exemptions/Allowances: 1532.25 3942 N OAKLAND AVE ____________________ 1532.25 APT 338 FEDERAL: WI. State Wages, 084817 BALT/YAD MILWAUKEE WI 53211 0 Tips, Etc. JTH TAX INC 1716 CORPORATE LANDING P VIRGINIA BEACH VA 23454 STATE: Box 16 of W-2 54-1828391 0 90fd-ca50-86a2-ac4d AHMED NAFEZ SHEHADEH 3942 N OAKLAND AVE WI. State Income Tax APT 338 Medicare MILWAUKEE WI 53211 WI 036000018703204 53.51 2017 Box 17 of W-2 Gross Pay Social Security SUI/SDI Tax Withheld Box 14 of W-2 Box 4 of W-2 Social Security Wages Fed. Income Medicare Tax 95.00 Box 5 of W-2 Tax Withheld Withheld 22.22 Box 2 of W-2 Box 6 of W-2 Wages 1,532.25 1532.25 Box 3 of W-2 167.42 1,532.25 Wages, Tips, other 1,532.25 Compensation Box 1 of W-2 1,532.25 Gross Pay 1,532.25 1,532.25 Reported W-2 Wages 1,532.25 1,532.25
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This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. IMPORTANT NOTE: In order to insure efficient processing, attach this W-2 to your tax return like this (following agency instructions): Notice to Employee NOTE: THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FILING WITH YOUR FEDERAL, STATE AND LOCAL/CITY INCOME TAX RETURNS. Department of the Treasury - Internal Revenue Service TAX RETURN OTHER W-2’S THIS FORM W-2 Instructions for Employee Do you have to file? Refer to the Form 1040 instructions to determine if you are required to file a tax return. Even if you don’t have to file a tax return, you may be eligible for a refund if box 2 shows an amount or if you are eligible for any credit.
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