Page 3 - Pressure Seal Tax Catalog
P. 3
Stock Pressure Seal Multi-Purpose Stock Pressure Seal W-2
REMOVE SIDE EDGES FIRST
REMOVE SIDE EDGES FIRST
SLIDE FINGER BETWEEN FRONT & MIDDLE PANEL TO OPEN
SLIDE FINGER BETWEEN FRONT & MIDDLE PANEL TO OPEN
Future developments. For the latest information about Instructions for Employee (See also Notice to Instructions for Employee
developments related to Form W-2, such as legislation Employee on the back of Copy B.) (continued from back of Copy B) 2 Federal income tax withheld
enacted after it was published, go to Box 1. Enter this amount on the wages line of your tax
www.irs.gov/FormW2. return. Box 12 (continued) T—Adoption benefits (not included in box 1). Complete REMOVE SIDE EDGES FIRST
Notice to Employee Box 2. Enter this amount on the federal income tax with- However, if you were at least age 50 in 2024, your Form 8839 to figure any taxable and nontaxable
Do you have to file? Refer to the Form 1040 instructions held line of your tax return. employer may have allowed an additional deferral of up to amounts. SLIDE FINGER BETWEEN FRONT & MIDDLE PANEL TO OPEN 1 Wages, tips, other compensation 4 Social security tax withheld
Box 5. You may be required to report this amount on Form
V—Income from exercise of nonstatutory stock option(s)
REMOVE SIDE EDGES FIRST to determine if you are required to file a tax return. Even if $7,500 ($3,500 for section 401(k)(11) and 408(p) SIMPLE (included in boxes 1, 3 (up to the social security wage Future developments. For the latest information about Instructions for Employee (See also Notice to
THEN FOLD, CREASE AND TEAR THIS STUB ALONG PERFORATION F you don’t have to file a tax return, you may be eligible for 8959. See the Form 1040 instructions to determine if you plans). This additional deferral amount is not subject to the base), and 5). See Pub. 525 for reporting requirements. developments related to Form W-2, such as legislation Employee on the back of Copy B.) Instructions for Employee T—Adoption benefits (not included in box 1). Complete d Control number 3 Social security wages 6 Medicare tax withheld
(continued from back of Copy B)
are required to complete Form 8959.
overall limit on elective deferrals. For code G, the limit on
elective deferrals may be higher for the last 3 years before
W—Employer contributions (including amounts the
a refund if box 2 shows an amount or if you are eligible for
enacted after it was published, go to
Box 1. Enter this amount on the wages line of your tax
Box 6. This amount includes the 1.45% Medicare tax with-
www.irs.gov/FormW2.
held on all Medicare wages and tips shown in box 5, as
any credit.
employee elected to contribute using a section 125
Box 12 (continued)
(cafeteria) plan) to your health savings account. Report
you reach retirement age. Contact your plan administrator
return.
Form 8839 to figure any taxable and nontaxable
However, if you were at least age 50 in 2024, your
This information is being
Medicare wages and tips above $200,000.
held line of your tax return.
amounts.
REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST 8292944 fying children must have valid social security numbers report at least the allocated tip amount unless you can whether you made excess deferrals, consider these also included in box 1. It is subject to an additional 20% any credit. held on all Medicare wages and tips shown in box 5, as elective deferrals may be higher for the last 3 years before Y—Deferrals under a section 409A nonqualified deferred 6 Medicare tax withheld c Employer’s name, address and ZIP code 11 Nonqualified plans 9 12a See instructions for box 12
elective deferral limit must be included in income. See the
take the EITC for 2024 if your adjusted gross income (AGI)
Department of the Treasury—InternalRevenue Service
Form 1040 instructions.
Box 8. This amount is not included in box 1, 3, 5, or 7. For
Do you have to file? Refer to the Form 1040 instructions
Y—Deferrals under a section 409A nonqualified deferred
1 Wages, tips, other compensation
4 Social security tax withheld
2
$7,500 ($3,500 for section 401(k)(11) and 408(p) SIMPLE
compensation plan
to determine if you are required to file a tax return. Even if
Box 5. You may be required to report this amount on Form
is less than a certain amount. The amount of the credit is
Note: If a year follows code D through H, S, Y, AA, BB, or
(included in boxes 1, 3 (up to the social security wage
8959. See the Form 1040 instructions to determine if you
information on how to report tips on your tax return, see
Z—Income under a nonqualified deferred compensation
plans). This additional deferral amount is not subject to the
Earned income tax credit (EITC). You may be able to well as the 0.9% Additional Medicare Tax on any of those for more information. Amounts in excess of the overall on Form 8889. Notice to Employee Box 2. Enter this amount on the federal income tax with- employer may have allowed an additional deferral of up to V—Income from exercise of nonstatutory stock option(s) Federal income tax withheld OMB No. 1545-0008 5 Medicare wages and tips
based on income and family size. Workers without chil-
furnished to the
Internal Revenue Service.
the Form 1040 instructions.
EE, you made a make-up pension contribution for a prior
are required to complete Form 8959.
you don’t have to file a tax return, you may be eligible for
base), and 5). See Pub. 525 for reporting requirements.
dren could qualify for a smaller credit. You and any quali-
overall limit on elective deferrals. For code G, the limit on
W—Employer contributions (including amounts the
plan that fails to satisfy section 409A. This amount is
year(s) when you were in military service. To figure
Box 6. This amount includes the 1.45% Medicare tax with-
You must file Form 4137 with your income tax return to
a refund if box 2 shows an amount or if you are eligible for
d Control number
employee elected to contribute using a section 125
tax plus interest. See the Form 1040 instructions.
you reach retirement age. Contact your plan administrator
(cafeteria) plan) to your health savings account. Report
3 Social security wages
(SSNs). You can’t take the EITC if your investment income
prove with adequate records that you received a smaller
AA—Designated Roth contributions under a section
Earned income tax credit (EITC). You may be able to
well as the 0.9% Additional Medicare Tax on any of those
is more than the specified amount for 2024 or if income is
amounts for the year shown, not the current year. If no
for more information. Amounts in excess of the overall
amount. If you have records that show the actual amount
on Form 8889.
elective deferral limit must be included in income. See the
year is shown, the contributions are for the current year.
Medicare wages and tips above $200,000.
Box 8. This amount is not included in box 1, 3, 5, or 7. For
401(k) plan
A—Uncollected social security or RRTA tax on tips.
take the EITC for 2024 if your adjusted gross income (AGI)
5 Medicare wages and tips
earned for services provided while you were an inmate at
of tips you received, report that amount even if it is more
Form 1040 instructions.
a penal institution. For 2024 income limits and more infor-
compensation plan
Note: If a year follows code D through H, S, Y, AA, BB, or 1545-0008
is less than a certain amount. The amount of the credit is
or less than the allocated tips. Use Form 4137 to figure the
Include this tax on Form 1040 or 1040-SR. See the Form
BB—Designated Roth contributions under a section
403(b) plan
OMB No.
based on income and family size. Workers without chil-
Z—Income under a nonqualified deferred compensation
mation, visit www.irs.gov/EITC. See also Pub. 596. Any
8 Allocated tips
information on how to report tips on your tax return, see
DD—Cost of employer-sponsored health coverage. The
EE, you made a make-up pension contribution for a prior
social security and Medicare tax owed on tips you didn’t
1040 instructions.
the Form 1040 instructions.
EITC that is more than your tax liability is refunded to
plan that fails to satisfy section 409A. This amount is
B—Uncollected Medicare tax on tips. Include this tax on
year(s) when you were in military service. To figure
You must file Form 4137 with your income tax return to
report to your employer. Enter this amount on the wages
dren could qualify for a smaller credit. You and any quali-
amount reported with code DD is not taxable.
Form 1040 or 1040-SR. See the Form 1040 instructions.
report at least the allocated tip amount unless you can
fying children must have valid social security numbers
whether you made excess deferrals, consider these
c Employer’s name, address and ZIP code
you, but only if you file a tax return.
also included in box 1. It is subject to an additional 20%
C
line of your tax return. By filing Form 4137, your social
d
o
C—Taxable cost of group-term life insurance over $50,000
tax plus interest. See the Form 1040 instructions.
7 Social security tips
EE—Designated Roth contributions under a governmen-
(SSNs). You can’t take the EITC if your investment income
amounts for the year shown, not the current year. If no
tal section 457(b) plan. This amount does not apply to
Employee’s social security number (SSN). For your pro-
AA—Designated Roth contributions under a section
prove with adequate records that you received a smaller
security tips will be credited to your social security record
e
J
(used to figure your benefits).
(included in boxes 1, 3 (up to the social security wage
year is shown, the contributions are for the current year.
amount. If you have records that show the actual amount
12d
contributions under a tax-exempt organization section
tection, this form may show only the last four digits of
is more than the specified amount for 2024 or if income is
of tips you received, report that amount even if it is more
C
earned for services provided while you were an inmate at
Box 10. This amount includes the total dependent care
401(k) plan
A—Uncollected social security or RRTA tax on tips.
base), and 5)
o
d
FF—Permitted benefits under a qualified small employer
403(b) plan
mation, visit www.irs.gov/EITC. See also Pub. 596. Any
arrangement. Also includes deferrals under a SIMPLE
e
complete SSN to the IRS and the Social Security
REMOVE SIDE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION with the SSA to correct any name, SSN, or money amount taxable for social security and Medicare taxes this year compensation plan limits may apply to the amount of traditional IRA contri- Clergy and religious workers. If you aren’t subject to teria) plan). Any amount over your employer’s plan limit E—Elective deferrals under a section 403(b) salary reduc- Dependent care benefits C o d e a Employee’s social security number 13 Statutory e Employee’s name, address and ZIP code
DD—Cost of employer-sponsored health coverage. The
Administration (SSA).
social security and Medicare tax owed on tips you didn’t
health reimbursement arrangement
1040 instructions.
your behalf (including amounts from a section 125 (cafe-
report to your employer. Enter this amount on the wages
GG—Income from qualified equity grants under section
teria) plan). Any amount over your employer’s plan limit
EITC that is more than your tax liability is refunded to
retirement account that is part of a section 401(k) arrange-
B—Uncollected Medicare tax on tips. Include this tax on
line of your tax return. By filing Form 4137, your social
you, but only if you file a tax return.
ment.
is also included in box 1. See Form 2441.
amount reported with code DD is not taxable.
Clergy and religious workers. If you aren’t subject to
Form 1040 or 1040-SR. See the Form 1040 instructions.
Box 11. This amount is (a) reported in box 1 if it is a distri-
C—Taxable cost of group-term life insurance over $50,000
8 Allocated tips
EE—Designated Roth contributions under a governmen-
social security and Medicare taxes, see Pub. 517.
E—Elective deferrals under a section 403(b) salary reduc-
83(i)
Employee’s social security number (SSN). For your pro-
security tips will be credited to your social security record
tion agreement
tal section 457(b) plan. This amount does not apply to
b Employer identification number (EIN)
12b
HH—Aggregate deferrals under section 83(i) elections as
contributions under a tax-exempt organization section
tection, this form may show only the last four digits of
bution made to you from a nonqualified deferred compen-
Corrections. If your name, SSN, or address is incorrect,
of the close of the calendar year
(used to figure your benefits).
(included in boxes 1, 3 (up to the social security wage
health reimbursement arrangement Nonqualified plans
C
sation or nongovernmental section 457(b) plan, or (b)
F—Elective deferrals under a section 408(k)(6) salary
II—Medicaid waiver payments excluded from gross
o
o
C
Box 10. This amount includes the total dependent care
arrangement. Also includes deferrals under a SIMPLE 7 Social security tips
base), and 5)
benefits that your employer paid to you or incurred on
D—Elective deferrals to a section 401(k) cash or deferred
your SSN. However, your employer has reported your
correct Copies B, C, and 2 and ask your employer to cor-
d
e
reduction SEP
included in box 3 and/or box 5 if it is a prior year deferral
457(b) plan.
d
FF—Permitted benefits under a qualified small employer
8292948
G—Elective deferrals and employer contributions (includ-
12d
income under Notice 2014-7.
e
complete SSN to the IRS and the Social Security
rect your employment record. Be sure to ask the employer
FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE SIDE EDGES FIRST REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION your SSN. However, your employer has reported your benefits that your employer paid to you or incurred on D—Elective deferrals to a section 401(k) cash or deferred 457(b) plan. FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION a penal institution. For 2024 income limits and more infor- or less than the allocated tips. Use Form 4137 to figure the Include this tax on Form 1040 or 1040-SR. See the Form BB—Designated Roth contributions under a section FOLD, CREASE AND TEAR ALONG PERFORATION 9 12a See instructions for box 12 10 Dependent care benefits Third-party 12c C o e d 14 Other a Employee’s social security number
ing nonelective deferrals) to a section 457(b) deferred
to file Form W-2c, Corrected Wage and Tax Statement,
Box 13. If the “Retirement plan” box is checked, special
under a nonqualified or section 457(b) plan that became
Administration (SSA).
your behalf (including amounts from a section 125 (cafe-
11
C
Retirement
retirement account that is part of a section 401(k) arrange-
sick pay
GG—Income from qualified equity grants under section
because there is no longer a substantial risk of forfeiture of
is also included in box 1. See Form 2441.
o
butions you may deduct. See Pub. 590-A.
ment.
d
employee
Box 11. This amount is (a) reported in box 1 if it is a distri-
plan
your right to the deferred amount. This box shouldn’t be
error reported to the SSA on Form W-2. Be sure to get
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
social security and Medicare taxes, see Pub. 517.
e
83(i)
of the close of the calendar year 12c
HH—Aggregate deferrals under section 83(i) elections as
tion agreement
Box 14. Employers may use this box to report informa-
organization plan. See the Form 1040 instructions for how
your copies of Form W-2c from your employer for all cor-
10
bution made to you from a nonqualified deferred compen-
used if you had a deferral and a distribution in the same
to deduct.
tion such as state disability insurance taxes withheld,
Corrections. If your name, SSN, or address is incorrect,
sation or nongovernmental section 457(b) plan, or (b)
union dues, uniform payments, health insurance premi-
F—Elective deferrals under a section 408(k)(6) salary
calendar year. If you made a deferral and received a distri-
II—Medicaid waiver payments excluded from gross
rections made so you may file them with your tax return. If
your name and SSN are correct but aren’t the same as
J—Nontaxable sick pay (information only, not included in
bution in the same calendar year, and you are or will be
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt b Employer identification number (EIN)
correct Copies B, C, and 2 and ask your employer to cor-
reduction SEP
included in box 3 and/or box 5 if it is a prior year deferral
ums deducted, nontaxable income, educational assis-
G—Elective deferrals and employer contributions (includ- 12b
rect your employment record. Be sure to ask the employer
shown on your social security card, you should ask for a
under a nonqualified or section 457(b) plan that became
income under Notice 2014-7.
age 62 by the end of the calendar year, your employer
box 1, 3, or 5)
ing nonelective deferrals) to a section 457(b) deferred
Box 13. If the “Retirement plan” box is checked, special
C
to file Form W-2c, Corrected Wage and Tax Statement,
tance payments, or a member of the clergy’s parsonage
K—20% excise tax on excess golden parachute pay-
REMOVE THESE EDGES FIRST
taxable for social security and Medicare taxes this year
should file Form SSA-131, Employer Report of Special
new card that displays your correct name at any SSA
ments. See the Form 1040 instructions.
allowance and utilities. Railroad employers use this box
o
d
limits may apply to the amount of traditional IRA contri-
butions you may deduct. See Pub. 590-A.
error reported to the SSA on Form W-2. Be sure to get
and give you a copy.
tax, Tier 2 tax, Medicare tax, and Additional Medicare
Box 14. Employers may use this box to report informa-
SSA website at www.SSA.gov.
your right to the deferred amount. This box shouldn’t be
your copies of Form W-2c from your employer for all cor-
ments (nontaxable)
organization plan. See the Form 1040 instructions for how
to deduct.
Cost of employer-sponsored health coverage (if such
tion such as state disability insurance taxes withheld,
Box 12. The following list explains the codes shown in box
M—Uncollected social security or RRTA tax on taxable
Tax. Include tips reported by the employee to the
used if you had a deferral and a distribution in the same
cost is provided by the employer). The reporting in box
calendar year. If you made a deferral and received a distri-
employer in railroad retirement (RRTA) compensation.
union dues, uniform payments, health insurance premi-
12. You may need this information to complete your tax
furnished to the Internal
cost of group-term life insurance over $50,000 (former
rections made so you may file them with your tax return. If
bution in the same calendar year, and you are or will be
your name and SSN are correct but aren’t the same as
Note: Keep Copy C of Form W-2 for at least 3 years
Revenue Service. If you
55447 office or by calling 800-772-1213. You may also visit the Wage Payments, with the Social Security Administration L—Substantiated employee business expense reimburse- to report railroad retirement (RRTA) compensation, Tier 1 with the SSA to correct any name, SSN, or money amount because there is no longer a substantial risk of forfeiture of compensation plan e 13 Statutory employee Retirement plan Third-party sick pay 14 Other This information is being 15 State Employer’s state ID number 16 State wages, tips, etc.
ums deducted, nontaxable income, educational assis-
return. Elective deferrals (codes D, E, F, and S) and desig-
J—Nontaxable sick pay (information only, not included in
age 62 by the end of the calendar year, your employer
employees only). See the Form 1040 instructions.
box 1, 3, or 5)
tance payments, or a member of the clergy’s parsonage
shown on your social security card, you should ask for a
12, using code DD, of the cost of employer-sponsored
after the due date for filing your income tax return.
nated Roth contributions (codes AA, BB, and EE) under all
are required to file a tax
N—Uncollected Medicare tax on taxable cost of group-
new card that displays your correct name at any SSA
However, to help protect your social security benefits,
health coverage is for your information only. The amount
K—20% excise tax on excess golden parachute pay-
reported with code DD is not taxable.
ments. See the Form 1040 instructions.
Local wages, tips, etc.
should file Form SSA-131, Employer Report of Special
allowance and utilities. Railroad employers use this box
penalty or other sanction
return, a negligence
plans are generally limited to a total of $23,000 ($16,000 if
e Employee’s name, address and ZIP code
term life insurance over $50,000 (former employees only).
office or by calling 800-772-1213. You may also visit the
to report railroad retirement (RRTA) compensation, Tier 1
See the Form 1040 instructions.
Wage Payments, with the Social Security Administration
you only have SIMPLE plans; $26,000 for section 403(b)
L—Substantiated employee business expense reimburse-
keep Copy C until you begin receiving social security
Credit for excess taxes. If you had more than one
benefits, just in case there is a question about your work
and give you a copy.
tax, Tier 2 tax, Medicare tax, and Additional Medicare
plans if you qualify for the 15-year rule explained in Pub.
SSA website at www.SSA.gov.
directly to a member of the U.S. Armed Forces (not
M—Uncollected social security or RRTA tax on taxable
employer in 2024 and more than $10,453.20 in social 571). Deferrals under code G are limited to $23,000. P—Excludable moving expense reimbursements paid record and/or earnings in a particular year. Cost of employer-sponsored health coverage (if such Box 12. The following list explains the codes shown in box ments (nontaxable) Tax. Include tips reported by the employee to the may be imposed on you 18
security and/or Tier 1 railroad retirement (RRTA) taxes Deferrals under code H are limited to $7,000. included in box 1, 3, or 5) cost is provided by the employer). The reporting in box 12. You may need this information to complete your tax cost of group-term life insurance over $50,000 (former employer in railroad retirement (RRTA) compensation. if this income is taxable
were withheld, you may be able to claim a credit for the Q—Nontaxable combat pay. See the Form 1040 instruc- 12, using code DD, of the cost of employer-sponsored return. Elective deferrals (codes D, E, F, and S) and desig- employees only). See the Form 1040 instructions. Note: Keep Copy C of Form W-2 for at least 3 years and you fail to report it. 2024 17 State income tax
nated Roth contributions (codes AA, BB, and EE) under all
after the due date for filing your income tax return.
excess against your federal income tax. See the Form tions for details on reporting this amount. health coverage is for your information only. The amount plans are generally limited to a total of $23,000 ($16,000 if N—Uncollected Medicare tax on taxable cost of group- However, to help protect your social security benefits, 16 State wages, tips, etc. 20 Locality name
term life insurance over $50,000 (former employees only).
reported with code DD is not taxable.
R—Employer contributions to your Archer MSA. Report on
1040 instructions. If you had more than one railroad
employer and more than $6,129.90 in Tier 2 RRTA tax was (See also Instructions for Employee Form 8853. Credit for excess taxes. If you had more than one you only have SIMPLE plans; $26,000 for section 403(b) See the Form 1040 instructions. keep Copy C until you begin receiving social security Wage and Tax 5-1/4”
plans if you qualify for the 15-year rule explained in Pub.
S—Employee salary reduction contributions under a sec-
benefits, just in case there is a question about your work
P—Excludable moving expense reimbursements paid
withheld, you may be able to claim a refund on Form 843. on the back of Copy C.) (See also Notice to Employee on back of Copy B) employer in 2024 and more than $10,453.20 in social 571). Deferrals under code G are limited to $23,000. record and/or earnings in a particular year. W-2 Statement
See the Instructions for Form 843. tion 408(p) SIMPLE plan Deferrals under code H are limited to $7,000. directly to a member of the U.S. Armed Forces (not 15 State Employer’s state ID number Form 19 Local income tax
security and/or Tier 1 railroad retirement (RRTA) taxes included in box 1, 3, or 5) Copy B-To Be Filed
were withheld, you may be able to claim a credit for the Q—Nontaxable combat pay. See the Form 1040 instruc- Local wages, tips, etc. Department of the Treasury—InternalRevenue Service
excess against your federal income tax. See the Form tions for details on reporting this amount. 18 With Employee’s
1040 instructions. If you had more than one railroad R—Employer contributions to your Archer MSA. Report on FEDERAL Tax Return
employer and more than $6,129.90 in Tier 2 RRTA tax was Form 8853. 2024 State income tax 2 Federal income tax withheld
withheld, you may be able to claim a refund on Form 843. (See also Instructions for Employee S—Employee salary reduction contributions under a sec- (See also Notice to Employee on back of Copy B) 17 Locality name
tion 408(p) SIMPLE plan
on the back of Copy C.)
See the Instructions for Form 843. Wage and Tax 20 1 Wages, tips, other compensation 4 Social security tax withheld
Form W-2 Statement 19 Local income tax
EMPLOYEE’S RECORDS
Copy C-For 2 Federal income tax withheld d Control number 3 Social security wages 6 Medicare tax withheld
(See Notice to Employee on
OMB No. 1545-0008
5 Medicare wages and tips
ALSO AVAILABLE IN 5-1/4” the back of Copy B.) 1 Wages, tips, other compensation 4 Social security tax withheld c Employer’s name, address and ZIP code 9
6 Medicare tax withheld
d Control number
3 Social security wages
5 Medicare wages and tips
OMB No. 1545-0008
12a
C
o
11 Nonqualified plans
d
e
12d
10 Dependent care benefits
65797 2-WIDE FORMAT c Employer’s name, address and ZIP code 9 7 Social security tips 8 Allocated tips a Employee’s social security number
C
o
d e
12c
C
8 Allocated tips 12a C o 12b C o d b Employer identification number (EIN) o d e
17X14 H 7 Social security tips 11 Nonqualified plans a Employee’s social security number e 13 Statutory employee Retirement Third-party 14 Other
d
e
12d
10 Dependent care benefits
sick pay
o
C
plan
e
d
12c
C
o
d
TXF W2-CNB 12b b Employer identification number (EIN) e 14 Other e Employee’s name, address and ZIP code 16 State wages, tips, etc.
C
o
d
e
Third-party
Retirement
H sick pay
plan
13 Statutory
employee
15 State Employer’s state ID number
Local wages, tips, etc.
18
PSFEZ-BLANK-POP TXF W2-CNP e Employee’s name, address and ZIP code 16 18 State wages, tips, etc. 2024 Wage and Tax 17 19 State income tax Department of the Treasury—InternalRevenue Service
Locality name
20
15 State Employer’s state ID number
W-2
Statement
Local income tax
Copy 2-To Be Filed With
Form
10-1/2”
Local wages, tips, etc.
Employee’s State, City, or
Local Income Tax Return .
W-2 Statement
Local income tax
Form 2024 Wage and Tax 17 State income tax 20 Locality name
Employee’s State, City, or Department of the Treasury—InternalRevenue Service
FROM: Copy 2-To Be Filed With 19
Local Income Tax Return .
SEE REVERSE SIDE FOR OPENING INSTRUCTIONS SEE REVERSE SIDE FOR OPENING INSTRUCTIONS Important Tax Document Enclosed 10-1/2” FROM: First-Class Mail
SEE REVERSE SIDE FOR OPENING INSTRUCTIONS Important Tax Document Enclosed
First-Class Mail
TXF MULTI USE F TXF EZ-BLANK-POP
14” EZ-Fold Multi-Purpose 14” EZ-Fold Multi-Purpose TXF W2-CNB TXF W2-CNP
Blank Blank - Use for ACA 1095 14” Blank EZ-Fold 14” Printed EZ-Fold
Block Out on Backer - Simplex Blank Backer - Simplex or Duplex 4 Corner 4 Corner Copies - B,C, 2, 2
2-WIDE Backer w/Instructions - Simplex Backer w/Instructions - Simplex
TXF EZ-BLANK-POP-2W - 17” x 14”
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