Page 3 - Pressure Seal Tax Catalog

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 5). See Pub. 525 for reporting requirements.
W—Employer contributions (including amounts the 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 Box 12 (continued) elected to contribute using a section 125 (cafeteria) plan) to
www.irs.gov/FormW2. return unless those instructions direct you to report it However, if you were at least age 50 in 2026, your employer your health savings account. Report on Form 8889. REMOVE SIDE EDGES FIRST
Y—Deferrals under a section 409A nonqualified deferred
Notice to Employee elsewhere. may have allowed an additional elective deferral or designated compensation plan.
Do you have to file? Refer to the Form 1040 instructions Box 2. Enter this amount on the federal income tax Roth contribution (catch-up contribution) to your plan. For Z—Income under a nonqualified deferred compensation plan SLIDE FINGER BETWEEN FRONT & MIDDLE PANEL TO OPEN 1 Wages, tips, other compensation 4 Social security tax withheld
withheld line of your tax return.
information about the limits on these catch-up contributions,
REMOVE SIDE EDGES FIRST to determine if you are required to file a tax return. Even if that fails to satisfy section 409A. This amount is also included Future developments. For the latest information about Instructions for Employee (See also Notice to Instructions for Employee 5). See Pub. 525 for reporting requirements.
THEN FOLD, CREASE AND TEAR THIS STUB ALONG PERFORATION F you don’t have to file a tax return, you may be eligible for Box 5. You may be required to report this amount on Form including the higher limit if you were age 60 through 63 as of in box 1. It is subject to an additional 20% tax plus interest. developments related to Form W-2, such as legislation Employee on the back of Copy B.) (continued from back of Copy B) W—Employer contributions (including amounts the employee d Control number 3 Social security wages 6 Medicare tax withheld
See the Form 1040 instructions.
8959. See the Form 1040 instructions to determine if you
December 31, 2026, see Pub. 525. Contact your plan
elected to contribute using a section 125 (cafeteria) plan) to
administrator for more information. Amounts in excess of the
Box 1. Enter this amount on the wages line of your tax
Box 12 (continued)
enacted after it was published, go to
a refund if box 2 shows an amount or if you are eligible for
are required to complete Form 8959.
any credit.
Box 6. This amount includes the 1.45% Medicare tax
your health savings account. Report on Form 8889.
overall elective deferral limit must be included in income. See the
www.irs.gov/FormW2.
AA—Designated Roth contributions under a section 401(k)
return unless those instructions direct you to report it
Y—Deferrals under a section 409A nonqualified deferred
However, if you were at least age 50 in 2026, your employer
plan.
plan.
Roth contribution (catch-up contribution) to your plan. For
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you
Box 2. Enter this amount on the federal income tax
take the EITC for 2026 if your adjusted gross income (AGI)
as well as the 0.9% Additional Medicare Tax on any of
This information is being
REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST 9139117 children must have valid social security numbers (SSNs). report at least the allocated tip amount unless you can current year. contributions under a tax-exempt organization section 457(b) any credit. Box 6. This amount includes the 1.45% Medicare tax overall elective deferral limit must be included in income. See the plan. BB—Designated Roth contributions under a section 403(b) 6 Medicare tax withheld c Employer’s name, address and ZIP code 11 Nonqualified plans 9 12a See instructions for box 12
compensation plan.
1 Wages, tips, other compensation
DD—Cost of employer-sponsored health coverage. The
Do you have to file? Refer to the Form 1040 instructions
those Medicare wages and tips above $200,000.
Department of the Treasury—InternalRevenue Service
made a make-up pension contribution for a prior year(s) when
AA—Designated Roth contributions under a section 401(k) 4 Social security tax withheld
information about the limits on these catch-up contributions,
withheld line of your tax return.
you were in military service. To figure whether you made excess
to determine if you are required to file a tax return. Even if
that fails to satisfy section 409A. This amount is also included
is less than a certain amount. The amount of the credit is
Internal Revenue Service.
furnished to the
in box 1. It is subject to an additional 20% tax plus interest.
including the higher limit if you were age 60 through 63 as of
Box 8. This amount is not included in box 1, 3, 5, or 7. For
Earned income tax credit (EITC). You may be able to withheld on all Medicare wages and tips shown in box 5, Form 1040 instructions. BB—Designated Roth contributions under a section 403(b) Notice to Employee elsewhere. may have allowed an additional elective deferral or designated Z—Income under a nonqualified deferred compensation plan 2 Federal income tax withheld OMB No. 1545-0029 5 Medicare wages and tips
based on income and family size. Workers without children
Box 5. You may be required to report this amount on Form
amount reported with code DD is not taxable.
December 31, 2026, see Pub. 525. Contact your plan
8959. See the Form 1040 instructions to determine if you
See the Form 1040 instructions.
information on how to report tips on your tax return, see
EE—Designated Roth contributions under a governmental
could qualify for a smaller credit. You and any qualifying
deferrals, consider these amounts for the year shown, not the
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
the Form 1040 instructions.
administrator for more information. Amounts in excess of the
section 457(b) plan. This amount does not apply to
current year. If no year is shown, the contributions are for the
are required to complete Form 8959.
You must file Form 4137 with your income tax return to
d Control number
3 Social security wages
You can’t take the EITC if your investment income is more
A—Uncollected social security or RRTA tax on tips. Include this
withheld on all Medicare wages and tips shown in box 5,
Earned income tax credit (EITC). You may be able to
than the specified amount for 2026 or if income is earned
plan.
Form 1040 instructions.
as well as the 0.9% Additional Medicare Tax on any of
FF—Permitted benefits under a qualified small employer health
prove with adequate records that you received a smaller
tax on Form 1040 or 1040-SR. See the Form 1040 instructions.
plan.
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you
those Medicare wages and tips above $200,000.
reimbursement arrangement.
B—Uncollected Medicare tax on tips. Include this tax on Form
5 Medicare wages and tips
take the EITC for 2026 if your adjusted gross income (AGI)
amount. If you have records that show the actual amount
made a make-up pension contribution for a prior year(s) when
for services provided while you were an inmate at a penal
of tips you received, report that amount even if it is more
institution. For 2026 income limits and more information,
1040 or 1040-SR. See the Form 1040 instructions.
you were in military service. To figure whether you made excess 1545-0029
DD—Cost of employer-sponsored health coverage. The
is less than a certain amount. The amount of the credit is
Box 8. This amount is not included in box 1, 3, 5, or 7. For
based on income and family size. Workers without children
8 Allocated tips
C—Taxable cost of group-term life insurance over $50,000
GG—Income from qualified equity grants under section 83(i).
amount reported with code DD is not taxable.
visit www.irs.gov/EITC. See also Pub. 596. Any EITC that
OMB No.
deferrals, consider these amounts for the year shown, not the
HH—Aggregate deferrals under section 83(i) elections as of the
EE—Designated Roth contributions under a governmental
information on how to report tips on your tax return, see
or less than the allocated tips. Use Form 4137 to figure the
could qualify for a smaller credit. You and any qualifying
section 457(b) plan. This amount does not apply to
is more than your tax liability is refunded to you, but
the Form 1040 instructions.
close of the calendar year.
(included in boxes 1, 3 (up to the social security wage base), and
current year. If no year is shown, the contributions are for the
social security and Medicare tax owed on tips you didn’t
only if you file a tax return.
5).
children must have valid social security numbers (SSNs).
C
C—Taxable cost of group-term life insurance over $50,000 Employer’s name, address and ZIP code
report to your employer. Enter this amount on the wages
You must file Form 4137 with your income tax return to
II—Medicaid waiver payments excluded from gross income
current year.
7 Social security tips
D—Elective deferrals to a section 401(k) cash or deferred
o
You can’t take the EITC if your investment income is more
A—Uncollected social security or RRTA tax on tips. Include this
contributions under a tax-exempt organization section 457(b)
d
under Notice 2014-7.
e
plan.
arrangement. Also includes deferrals under a SIMPLE retirement
report at least the allocated tip amount unless you can
line of your tax return. By filing Form 4137, your social
Employee’s social security number (SSN). For your
S
tax on Form 1040 or 1040-SR. See the Form 1040 instructions.
security tips will be credited to your social security record
12d
FF—Permitted benefits under a qualified small employer health
prove with adequate records that you received a smaller
protection, this form may show only the last four digits of
than the specified amount for 2026 or if income is earned
TA—Employer contributions under a section 128 Trump
reimbursement arrangement.
account that is part of a section 401(k) arrangement.
account contribution program paid to a Trump account of an
C
(used to figure your benefits).
amount. If you have records that show the actual amount
B—Uncollected Medicare tax on tips. Include this tax on Form
for services provided while you were an inmate at a penal
o
d
e
complete SSN to the IRS and the Social Security
visit www.irs.gov/EITC. See also Pub. 596. Any EITC that
agreement.
benefits that your employer paid to you or incurred on
REMOVE SIDE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION Statement, with the SSA to correct any name, SSN, or deferral under a nonqualified or section 457(b) plan that J—Nontaxable sick pay (information only, not included in box 1, may apply to the amount of traditional IRA contributions you Clergy and religious workers. If you aren’t subject to your behalf (including amounts from a section 125 nonelective deferrals) to a section 457(b) deferred compensation Dependent care benefits 12c C o d e C o d e 13 Statutory e Employee’s name, address and ZIP code 14b Treasury Tipped Occupation Code(s)
HH—Aggregate deferrals under section 83(i) elections as of the
F—Elective deferrals under a section 408(k)(6) salary reduction
or less than the allocated tips. Use Form 4137 to figure the
TP—Total amount of cash tips reported to the employer. “Cash
Administration (SSA).
tips” includes tips received in cash, charged, or under a tip-
your behalf (including amounts from a section 125
is more than your tax liability is refunded to you, but
social security and Medicare tax owed on tips you didn’t
(included in boxes 1, 3 (up to the social security wage base), and
close of the calendar year.
5).
only if you file a tax return.
sharing arrangement. Use this amount when determining the
II—Medicaid waiver payments excluded from gross income
report to your employer. Enter this amount on the wages
(cafeteria) plan). Any amount over your employer’s plan
Clergy and religious workers. If you aren’t subject to
SEP. (This includes elective deferrals made to a Roth SEP IRA).
8 Allocated tips
social security and Medicare taxes, see Pub. 517.
D—Elective deferrals to a section 401(k) cash or deferred
limit is also included in box 1. See Form 2441.
G—Elective deferrals and employer contributions (including
qualified tip deduction in Part II of Schedule 1-A (Form 1040).
Employee’s social security number (SSN). For your
12b
b Employer identification number (EIN)
line of your tax return. By filing Form 4137, your social
nonelective deferrals) to a section 457(b) deferred compensation
arrangement. Also includes deferrals under a SIMPLE retirement
under Notice 2014-7.
security tips will be credited to your social security record
TA—Employer contributions under a section 128 Trump
Box 11. This amount is (a) reported in box 1 if it is a
protection, this form may show only the last four digits of
Corrections. If your name, SSN, or address is incorrect,
TT—Total amount of qualified overtime compensation. Use this
plan.
C
account that is part of a section 401(k) arrangement.
distribution made to you from a nonqualified deferred
F—Elective deferrals under a section 408(k)(6) salary reduction Social security tips
o
11 Nonqualified plans
o
(used to figure your benefits).
amount when determining the qualified overtime compensation
account contribution program paid to a Trump account of an
C
compensation or nongovernmental section 457(b) plan, or
correct Copies B, C, and 2 and ask your employer to
E—Elective deferrals under a section 403(b) salary reduction
Box 10. This amount includes the total dependent care
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
your SSN. However, your employer has reported your
d
d
e
deduction in Part III of Schedule 1-A (Form 1040).
employee or a dependent of an employee.
agreement.
12d
correct your employment record. Be sure to ask the
Box 13. If the “Retirement plan” box is checked, special limits
e
9139100
organization plan. See the Form 1040 instructions for how to
complete SSN to the IRS and the Social Security
deduct.
employer to file Form W-2c, Corrected Wage and Tax
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 Box 10. This amount includes the total dependent care E—Elective deferrals under a section 403(b) salary reduction employee or a dependent of an employee. FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION institution. For 2026 income limits and more information, of tips you received, report that amount even if it is more 1040 or 1040-SR. See the Form 1040 instructions. c 7 GG—Income from qualified equity grants under section 83(i). FOLD, CREASE AND TEAR ALONG PERFORATION 9 12a See instructions for box 12 10 Dependent care benefits Third-party 12c C o d e 14a Other a Employee’s social security number
TP—Total amount of cash tips reported to the employer. “Cash
(b) included in box 3 and/or box 5 if it is a prior year
Administration (SSA).
benefits that your employer paid to you or incurred on
amount when determining the qualified overtime compensation a Employee’s social security number
tips” includes tips received in cash, charged, or under a tip-
Retirement
sick pay
(cafeteria) plan). Any amount over your employer’s plan
sharing arrangement. Use this amount when determining the
SEP. (This includes elective deferrals made to a Roth SEP IRA).
may deduct. See Pub. 590-A.
became taxable for social security and Medicare taxes this
G—Elective deferrals and employer contributions (including
year because there is no longer a substantial risk of
limit is also included in box 1. See Form 2441.
employee
3, or 5).
social security and Medicare taxes, see Pub. 517.
Box 14a. Employers may use this box to report information
qualified tip deduction in Part II of Schedule 1-A (Form 1040).
plan
money amount error reported to the SSA on Form W-2.
TT—Total amount of qualified overtime compensation. Use this
such as state disability insurance taxes withheld, union dues,
Be sure to get your copies of Form W-2c from your
10
K—20% excise tax on excess golden parachute payments. See
Corrections. If your name, SSN, or address is incorrect,
the Form 1040 instructions.
Box 11. This amount is (a) reported in box 1 if it is a
plan.
forfeiture of your right to the deferred amount. This box
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
uniform payments, health insurance premiums deducted, non-
distribution made to you from a nonqualified deferred
employer for all corrections made so you may file them
shouldn’t be used if you had a deferral and a distribution in
L—Substantiated employee business expense reimbursements
deduction in Part III of Schedule 1-A (Form 1040).
with your tax return. If your name and SSN are correct but
correct Copies B, C, and 2 and ask your employer to
compensation or nongovernmental section 457(b) plan, or
taxable income, educational assistance payments, or a member
K—20% excise tax on excess golden parachute payments. See b Employer identification number (EIN)
the same calendar year. If you made a deferral and
Box 13. If the “Retirement plan” box is checked, special limits
organization plan. See the Form 1040 instructions for how to 12b
aren’t the same as shown on your social security card,
correct your employment record. Be sure to ask the
of the clergy’s parsonage allowance and utilities. Railroad
(b) included in box 3 and/or box 5 if it is a prior year
(nontaxable).
received a distribution in the same calendar year, and you
C

REMOVE THESE EDGES FIRST
employers use this box to report railroad retirement (RRTA)
deduct.
may apply to the amount of traditional IRA contributions you
M—Uncollected social security or RRTA tax on taxable cost of
employer to file Form W-2c, Corrected Wage and Tax
14b Treasury Tipped Occupation Code(s)
d
you should ask for a new card that displays your correct
J—Nontaxable sick pay (information only, not included in box 1, o
are or will be age 62 by the end of the calendar year, your
group-term life insurance over $50,000 (former employees only).
deferral under a nonqualified or section 457(b) plan that
may deduct. See Pub. 590-A.
may also visit the SSA website at www.SSA.gov.
money amount error reported to the SSA on Form W-2.
Special Wage Payments, with the Social Security
year because there is no longer a substantial risk of
Additional Medicare Tax. Include tips reported by the employee
Box 14a. Employers may use this box to report information
N—Uncollected Medicare tax on taxable cost of group-term life
such as state disability insurance taxes withheld, union dues,
Be sure to get your copies of Form W-2c from your
to the employer in railroad retirement (RRTA) compensation.
Box 14b. Employers use this box to report up to two Treasury
insurance over $50,000 (former employees only). See the Form
forfeiture of your right to the deferred amount. This box
uniform payments, health insurance premiums deducted, non-
Administration and give you a copy.
Cost of employer-sponsored health coverage (if such
shouldn’t be used if you had a deferral and a distribution in
furnished to the Internal
cost is provided by the employer). The reporting in box
L—Substantiated employee business expense reimbursements
employer for all corrections made so you may file them
Box 12. The following list explains the codes shown in box
1040 instructions.
P—Excludable moving expense reimbursements paid directly to
the same calendar year. If you made a deferral and
taxable income, educational assistance payments, or a member
Tipped Occupation Code(s) for your tipped occupation(s). Use
Revenue Service. If you
12. You may need this information to complete your tax
55447 name at any SSA office or by calling 800-772-1213. You employer should file Form SSA-131, Employer Report of See the Form 1040 instructions. compensation, Tier 1 tax, Tier 2 tax, Medicare tax, and Statement, with the SSA to correct any name, SSN, or became taxable for social security and Medicare taxes this 3, or 5). the Form 1040 instructions. e 13 Statutory employee Retirement plan Third-party sick pay 14a Other This information is being 15 State Employer’s state ID number 16 State wages, tips, etc.
with your tax return. If your name and SSN are correct but
(nontaxable).
aren’t the same as shown on your social security card,
return. Elective deferrals (codes D, E, F, and S) and
this code(s) and the amount of tips reported in box 12 (code
12, using code DD, of the cost of employer-sponsored
received a distribution in the same calendar year, and you
are required to file a tax
of the clergy’s parsonage allowance and utilities. Railroad
you should ask for a new card that displays your correct
a member of the U.S. Armed Forces or intelligence community
health coverage is for your information only. The amount
TP) when determining the qualified tip deduction in Part II of
M—Uncollected social security or RRTA tax on taxable cost of
employers use this box to report railroad retirement (RRTA)
penalty or other sanction
(not included in box 1, 3, or 5).
designated Roth contributions (codes AA, BB, and EE)
Schedule 1-A (Form 1040). If the occupation code 000 is used,
reported with code DD is not taxable.
are or will be age 62 by the end of the calendar year, your
compensation, Tier 1 tax, Tier 2 tax, Medicare tax, and
Local wages, tips, etc.
return, a negligence
e Employee’s name, address and ZIP code
group-term life insurance over $50,000 (former employees only).
Q—Nontaxable combat pay. See the Form 1040 instructions for
See the Form 1040 instructions.
under all plans are generally limited to a total of $24,500
name at any SSA office or by calling 800-772-1213. You
employer should file Form SSA-131, Employer Report of
(Generally, $17,000 for SIMPLE plans; $27,500 for
Credit for excess taxes. If you had more than one
details on reporting this amount.
Special Wage Payments, with the Social Security
N—Uncollected Medicare tax on taxable cost of group-term life
may also visit the SSA website at www.SSA.gov.
and no other code is included in box 14b, your cash tips are
Additional Medicare Tax. Include tips reported by the employee
(code TP) for the deduction for qualified tips.
Box 14b. Employers use this box to report up to two Treasury
employer in 2026 and more than $11,439.00 in social section 403(b) plans if you qualify for the 15-year rule R—Employer contributions to your Archer MSA. Report on Form not qualified tips; do not use the amount reported in box 12 Cost of employer-sponsored health coverage (if such Administration and give you a copy. insurance over $50,000 (former employees only). See the Form to the employer in railroad retirement (RRTA) compensation. may be imposed on you 18
security and/or Tier 1 railroad retirement (RRTA) taxes explained in Pub. 571). Deferrals under code G are limited 8853. Note: Keep Copy C of Form W-2 for at least 3 years after the cost is provided by the employer). The reporting in box Box 12. The following list explains the codes shown in box 1040 instructions. Tipped Occupation Code(s) for your tipped occupation(s). Use if this income is taxable
were withheld, you may be able to claim a credit for the to $24,500. Deferrals under code H are limited to $7,000. S—Employee salary reduction contributions under a section due date for filing your income tax return. However, to help 12, using code DD, of the cost of employer-sponsored 12. You may need this information to complete your tax P—Excludable moving expense reimbursements paid directly to this code(s) and the amount of tips reported in box 12 (code and you fail to report it. 2026 17 State income tax
a member of the U.S. Armed Forces or intelligence community
return. Elective deferrals (codes D, E, F, and S) and
408(p) SIMPLE plan. (This includes salary reduction contributions
excess against your federal income tax. See the Form made to a Roth SIMPLE IRA). protect your social security benefits, keep Copy C until you health coverage is for your information only. The amount designated Roth contributions (codes AA, BB, and EE) (not included in box 1, 3, or 5). TP) when determining the qualified tip deduction in Part II of 16 State wages, tips, etc. 20 Locality name
Schedule 1-A (Form 1040). If the occupation code 000 is used,
reported with code DD is not taxable.
1040 instructions. If you had more than one railroad
begin receiving social security benefits, just in case there is a
15 State Employer’s state ID number
employer and more than $6,717.90 in Tier 2 RRTA tax was T—Adoption benefits (not included in box 1). Complete Form question about your work record and/or earnings in a particular Credit for excess taxes. If you had more than one under all plans are generally limited to a total of $24,500 Q—Nontaxable combat pay. See the Form 1040 instructions for and no other code is included in box 14b, your cash tips are Wage and Tax
(Generally, $17,000 for SIMPLE plans; $27,500 for
8839 to figure any taxable and nontaxable amounts.
details on reporting this amount.

withheld, you may be able to claim a refund on Form 843. (See also Instructions for Employee V—Income from exercise of nonstatutory stock option(s) year. employer in 2026 and more than $11,439.00 in social section 403(b) plans if you qualify for the 15-year rule R—Employer contributions to your Archer MSA. Report on Form not qualified tips; do not use the amount reported in box 12 W-2 Statement
See the Instructions for Form 843. on the back of Copy C.) (See also Notice to Employee on back of Copy B) explained in Pub. 571). Deferrals under code G are limited (code TP) for the deduction for qualified tips. Form 19 Local income tax
(included in boxes 1, 3 (up to the social security wage base), and
security and/or Tier 1 railroad retirement (RRTA) taxes 8853. Note: Keep Copy C of Form W-2 for at least 3 years after the Copy B-To Be Filed
were withheld, you may be able to claim a credit for the to $24,500. Deferrals under code H are limited to $7,000. S—Employee salary reduction contributions under a section due date for filing your income tax return. However, to help Local wages, tips, etc. Department of the Treasury—InternalRevenue Service
excess against your federal income tax. See the Form 408(p) SIMPLE plan. (This includes salary reduction contributions protect your social security benefits, keep Copy C until you 18 With Employee’s
made to a Roth SIMPLE IRA).
begin receiving social security benefits, just in case there is a
1040 instructions. If you had more than one railroad year. 2026 FEDERAL Tax Return
employer and more than $6,717.90 in Tier 2 RRTA tax was T—Adoption benefits (not included in box 1). Complete Form question about your work record and/or earnings in a particular 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 8839 to figure any taxable and nontaxable amounts. 17 Locality name
Wage and Tax
V—Income from exercise of nonstatutory stock option(s)
See the Instructions for Form 843. on the back of Copy C.) (included in boxes 1, 3 (up to the social security wage base), and (See also Notice to Employee on back of Copy B) 20 1 Wages, tips, other compensation 4 Social security tax withheld
W-2 Statement
Form EMPLOYEE’S RECORDS 19 Local income tax 2 Federal income tax withheld d Control number 3 Social security wages 6 Medicare tax withheld
Copy C-For
(See Notice to Employee on
ALSO AVAILABLE IN the back of Copy B.) 1 Wages, tips, other compensation 4 Social security tax withheld OMB No. 1545-0029 5 Medicare wages and tips 9
c Employer’s name, address and ZIP code
d Control number
6 Medicare tax withheld
3 Social security wages
5 Medicare wages and tips
OMB No. 1545-0029
12a
o
C
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 P 7 Social security tips 11 Nonqualified plans a Employee’s social security number e 13 Statutory employee Retirement Third-party 14a Other
14b Treasury Tipped Occupation Code(s)
e
d
12d
10 Dependent care benefits
sick pay
o
C
plan
d
e
12c
C
o
TXF W2-CNB 12b b Employer identification number (EIN) e 14a Other e Employee’s name, address and ZIP code 16 State wages, tips, etc.
d
C
o
d
14b Treasury Tipped Occupation Code(s)
e
P Third-party
Retirement
sick pay
13 Statutory
plan
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. 2026 Wage and Tax 17 19 State income tax Department of the Treasury—InternalRevenue Service
Locality name
20
W-2
Statement
15 State Employer’s state ID number
Copy 2-To Be Filed With
Local income tax
Form
Local wages, tips, etc.
Employee’s State, City, or
2026
Local Income Tax Return .
Wage and Tax
W-2 Statement
Form
Local income tax
Copy 2-To Be Filed With 17 19 State income tax 20 Locality name
FROM: Employee’s State, City, or Department of the Treasury—InternalRevenue Service
Local Income Tax Return .
SEE REVERSE SIDE FOR OPENING INSTRUCTIONS SEE REVERSE SIDE FOR OPENING INSTRUCTIONS Important Tax Document Enclosed 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”
Can’t find the Tax Form you Need?
PS17 Small Volume Machine
• LOW QUANTITY/QUICK TURN Approved for all our stock pressure seal formats
We can imprint ANY tax form
on one of our multi-purpose
blank stock tax forms. • Our Lowest Priced Machine
• Up to 2,500 Forms Per Hour
SHORT RUN IMPRINT
PRESSURE SEAL PROGRAM • Monthly Duty Cycle 10,000
• 120 Sheet Feeder Capacity
• Max. Form Size 9-1/4”x14”
• LARGE CUSTOM QUANTITY • V, C, Z, EZ, 1Prt-2Way & Dbl. Parallel Folds
We can custom make tax forms to meet • Compact Tabletop Machine
your printing and equipment requirements. • Operator Friendly Design
Sheets, continuous or rolls.