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
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) S—Employee salary reduction contributions under a REMOVE SIDE EDGES FIRST
Notice to Employee Box 2. Enter this amount on the federal income tax However, if you were at least age 50 in 2025, your section 408(p) SIMPLE plan (this includes salary
Do you have to file? Refer to the Form 1040 instructions withheld line of your tax return. employer may have allowed an additional elective deferral reduction contributions made to a Roth SIMPLE IRA) SLIDE FINGER BETWEEN FRONT & MIDDLE PANEL TO OPEN 1 Wages, tips, other compensation 4 Social security tax withheld
T—Adoption benefits (not included in box 1). Complete
Box 5. You may be required to report this amount on Form
REMOVE SIDE EDGES FIRST to determine if you are required to file a tax return. Even if or designated Roth contribution (catch-up contribution) to Form 8839 to figure any taxable and nontaxable 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 your plan. For information about the limits on these catch- amounts. developments related to Form W-2, such as legislation Employee on the back of Copy B.) Instructions for Employee S—Employee salary reduction contributions under a d Control number 3 Social security wages 6 Medicare tax withheld
are required to complete Form 8959.
up contributions, including the higher limit if you were age
(continued from back of Copy B)
60 through 63 as of December 31, 2025, see Pub. 525.
enacted after it was published, go to
Box 6. This amount includes the 1.45% Medicare tax
Box 1. Enter this amount on the wages line of your tax
a refund if box 2 shows an amount or if you are eligible for
V—Income from exercise of nonstatutory stock option(s)
Box 12 (continued)
withheld on all Medicare wages and tips shown in box 5,
www.irs.gov/FormW2.
any credit.
(included in boxes 1, 3 (up to the social security wage
Contact your plan administrator for more information.
return.
base), and 5). See Pub. 525 for reporting requirements.
section 408(p) SIMPLE plan (this includes salary
However, if you were at least age 50 in 2025, your
This information is being
withheld line of your tax return.
must be included in income. See the Form 1040
take the EITC for 2025 if your adjusted gross income (AGI)
REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST 8693041 children must have valid social security numbers (SSNs). report at least the allocated tip amount unless you can whether you made excess deferrals, consider these compensation plan any credit. withheld on all Medicare wages and tips shown in box 5, must be included in income. See the Form 1040 Control number (included in boxes 1, 3 (up to the social security wage 6 Medicare tax withheld c Employer’s name, address and ZIP code 11 Nonqualified plans 9 12a See instructions for box 12
those Medicare wages and tips above $200,000.
employee elected to contribute using a section 125
instructions.
Do you have to file? Refer to the Form 1040 instructions
V—Income from exercise of nonstatutory stock option(s) 4 Social security tax withheld
Department of the Treasury—Internal Revenue Service
T—Adoption benefits (not included in box 1). Complete
Box 8. This amount is not included in box 1, 3, 5, or 7. For
1 Wages, tips, other compensation
Box 5. You may be required to report this amount on Form
(cafeteria) plan) to your health savings account. Report
or designated Roth contribution (catch-up contribution) to
to determine if you are required to file a tax return. Even if
is less than a certain amount. The amount of the credit is
Internal Revenue Service.
Form 8839 to figure any taxable and nontaxable
Note: If a year follows code D through H, S, Y, AA, BB, or
your plan. For information about the limits on these catch-
based on income and family size. Workers without children
on Form 8889.
8959. See the Form 1040 instructions to determine if you
information on how to report tips on your tax return, see
Earned income tax credit (EITC). You may be able to as well as the 0.9% Additional Medicare Tax on any of Amounts in excess of the overall elective deferral limit W—Employer contributions (including amounts the Notice to Employee Box 2. Enter this amount on the federal income tax employer may have allowed an additional elective deferral reduction contributions made to a Roth SIMPLE IRA) 2 Federal income tax withheld OMB No. 1545-0029 5 Medicare wages and tips
furnished to the
are required to complete Form 8959.
EE, you made a make-up pension contribution for a prior
you don’t have to file a tax return, you may be eligible for
the Form 1040 instructions.
could qualify for a smaller credit. You and any qualifying
up contributions, including the higher limit if you were age
amounts.
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
year(s) when you were in military service. To figure
Y—Deferrals under a section 409A nonqualified deferred
Box 6. This amount includes the 1.45% Medicare tax
60 through 63 as of December 31, 2025, see Pub. 525.
Contact your plan administrator for more information.
Z—Income under a nonqualified deferred compensation
You can’t take the EITC if your investment income is more
3 Social security wages
base), and 5). See Pub. 525 for reporting requirements.
plan that fails to satisfy section 409A. This amount is
prove with adequate records that you received a smaller
amounts for the year shown, not the current year. If no
d
Earned income tax credit (EITC). You may be able to
Amounts in excess of the overall elective deferral limit
as well as the 0.9% Additional Medicare Tax on any of
than the specified amount for 2025 or if income is earned
amount. If you have records that show the actual amount
year is shown, the contributions are for the current year.
W—Employer contributions (including amounts the
those Medicare wages and tips above $200,000.
for services provided while you were an inmate at a penal
employee elected to contribute using a section 125
Box 8. This amount is not included in box 1, 3, 5, or 7. For
also included in box 1. It is subject to an additional 20%
5 Medicare wages and tips
instructions.
take the EITC for 2025 if your adjusted gross income (AGI)
A—Uncollected social security or RRTA tax on tips.
of tips you received, report that amount even if it is more
or less than the allocated tips. Use Form 4137 to figure the
Note: If a year follows code D through H, S, Y, AA, BB, or 1545-0029
Include this tax on Form 1040 or 1040-SR. See the Form
tax plus interest. See the Form 1040 instructions.
is less than a certain amount. The amount of the credit is
institution. For 2025 income limits and more information,
(cafeteria) plan) to your health savings account. Report
on Form 8889.
OMB No.
visit www.irs.gov/EITC. See also Pub. 596. Any EITC that
AA—Designated Roth contributions under a section
8 Allocated tips
information on how to report tips on your tax return, see
based on income and family size. Workers without children
1040 instructions.
social security and Medicare tax owed on tips you didn’t
EE, you made a make-up pension contribution for a prior
the Form 1040 instructions.
401(k) plan
report to your employer. Enter this amount on the wages
B—Uncollected Medicare tax on tips. Include this tax on
You must file Form 4137 with your income tax return to
is more than your tax liability is refunded to you, but
could qualify for a smaller credit. You and any qualifying
year(s) when you were in military service. To figure
Y—Deferrals under a section 409A nonqualified deferred
compensation plan
C
line of your tax return. By filing Form 4137, your social
only if you file a tax return.
Form 1040 or 1040-SR. See the Form 1040 instructions.
whether you made excess deferrals, consider these
BB—Designated Roth contributions under a section
report at least the allocated tip amount unless you can
children must have valid social security numbers (SSNs).
c Employer’s name, address and ZIP code
You can’t take the EITC if your investment income is more
403(b) plan
Z—Income under a nonqualified deferred compensation
d
o
7 Social security tips
C—Taxable cost of group-term life insurance over $50,000
amounts for the year shown, not the current year. If no
A
DD—Cost of employer-sponsored health coverage. The
security tips will be credited to your social security record
e
prove with adequate records that you received a smaller
plan that fails to satisfy section 409A. This amount is
Employee’s social security number (SSN). For your
amount reported with code DD is not taxable.
12d
year is shown, the contributions are for the current year.
amount. If you have records that show the actual amount
protection, this form may show only the last four digits of
(included in boxes 1, 3 (up to the social security wage
(used to figure your benefits).
than the specified amount for 2025 or if income is earned
Box 10. This amount includes the total dependent care
of tips you received, report that amount even if it is more
C
for services provided while you were an inmate at a penal
base), and 5)
also included in box 1. It is subject to an additional 20%
A—Uncollected social security or RRTA tax on tips.
o
e
AA—Designated Roth contributions under a section
d
tal section 457(b) plan. This amount does not apply to
visit www.irs.gov/EITC. See also Pub. 596. Any EITC that
arrangement. Also includes deferrals under a SIMPLE
complete SSN to the IRS and the Social Security
401(k) plan
1040 instructions.
social security and Medicare tax owed on tips you didn’t
your behalf (including amounts from a section 125
contributions under a tax-exempt organization section
Administration (SSA).
REMOVE SIDE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION Statement, with the SSA to correct any name, SSN, or became taxable for social security and Medicare taxes this (including nonelective deferrals) to a section 457(b) II—Medicaid waiver payments excluded from gross Clergy and religious workers. If you aren’t subject to (cafeteria) plan). Any amount over your employer’s plan retirement account that is part of a section 401(k) 8693036 10 Dependent care benefits C o d e C d o e 13 Statutory e Employee’s name, address and ZIP code
B—Uncollected Medicare tax on tips. Include this tax on
is more than your tax liability is refunded to you, but
457(b) plan.
report to your employer. Enter this amount on the wages
(cafeteria) plan). Any amount over your employer’s plan
retirement account that is part of a section 401(k)
Form 1040 or 1040-SR. See the Form 1040 instructions.
limit is also included in box 1. See Form 2441.
Clergy and religious workers. If you aren’t subject to
only if you file a tax return.
BB—Designated Roth contributions under a section
line of your tax return. By filing Form 4137, your social
arrangement.
Box 11. This amount is (a) reported in box 1 if it is a
social security and Medicare taxes, see Pub. 517.
8 Allocated tips
C—Taxable cost of group-term life insurance over $50,000
403(b) plan
E—Elective deferrals under a section 403(b) salary
FF—Permitted benefits under a qualified small employer
b Employer identification number (EIN)
reduction agreement
security tips will be credited to your social security record
12b
Employee’s social security number (SSN). For your
DD—Cost of employer-sponsored health coverage. The
health reimbursement arrangement
C
GG—Income from qualified equity grants under section
(included in boxes 1, 3 (up to the social security wage
Corrections. If your name, SSN, or address is incorrect,
protection, this form may show only the last four digits of
amount reported with code DD is not taxable.
(used to figure your benefits).
distribution made to you from a nonqualified deferred
o
C
compensation or nongovernmental section 457(b) plan, or
11 Nonqualified plans
o
83(i)
Box 10. This amount includes the total dependent care
base), and 5)
F—Elective deferrals under a section 408(k)(6) salary
arrangement. Also includes deferrals under a SIMPLE 7 Social security tips
your SSN. However, your employer has reported your
EE—Designated Roth contributions under a governmen-
correct Copies B, C, and 2 and ask your employer to
d
(b) included in box 3 and/or box 5 if it is a prior year
d
benefits that your employer paid to you or incurred on
reduction SEP (this includes elective deferrals made to a
D—Elective deferrals to a section 401(k) cash or deferred
e
Roth SEP IRA)
12d
HH—Aggregate deferrals under section 83(i) elections as
correct your employment record. Be sure to ask the
e
tal section 457(b) plan. This amount does not apply to
complete SSN to the IRS and the Social Security
your behalf (including amounts from a section 125
G—Elective deferrals and employer contributions
contributions under a tax-exempt organization section
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 EE—Designated Roth contributions under a governmen- FOLD, CREASE AND TEAR ALONG PERFORATION REMOVE THESE EDGES FIRST REMOVE THESE EDGES FIRST FOLD, CREASE AND TEAR ALONG PERFORATION institution. For 2025 income limits and more information, or less than the allocated tips. Use Form 4137 to figure the Include this tax on Form 1040 or 1040-SR. See the Form tax plus interest. See the Form 1040 instructions. 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
deferral under a nonqualified or section 457(b) plan that
employer to file Form W-2c, Corrected Wage and Tax
of the close of the calendar year
Administration (SSA).
457(b) plan.
sick pay
GG—Income from qualified equity grants under section a Employee’s social security number
Retirement
income under Notice 2014-7.
year because there is no longer a substantial risk of
limit is also included in box 1. See Form 2441.
arrangement.
employee
Box 11. This amount is (a) reported in box 1 if it is a
plan
money amount error reported to the SSA on Form W-2.
forfeiture of your right to the deferred amount. This box
E—Elective deferrals under a section 403(b) salary
social security and Medicare taxes, see Pub. 517.
FF—Permitted benefits under a qualified small employer
deferred compensation plan
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
Box 13. If the “Retirement plan” box is checked, special
reduction agreement
Be sure to get your copies of Form W-2c from your
health reimbursement arrangement 12c
distribution made to you from a nonqualified deferred
shouldn’t be used if you had a deferral and a distribution in
organization plan. See the Form 1040 instructions for how
limits may apply to the amount of traditional IRA contri-
Corrections. If your name, SSN, or address is incorrect,
employer for all corrections made so you may file them
F—Elective deferrals under a section 408(k)(6) salary
butions you may deduct. See Pub. 590-A.
compensation or nongovernmental section 457(b) plan, or
83(i)
the same calendar year. If you made a deferral and
(b) included in box 3 and/or box 5 if it is a prior year
Box 14. Employers may use this box to report informa-
to deduct.
received a distribution in the same calendar year, and you
correct Copies B, C, and 2 and ask your employer to
reduction SEP (this includes elective deferrals made to a
with your tax return. If your name and SSN are correct but
aren’t the same as shown on your social security card,
J—Nontaxable sick pay (information only, not included in
HH—Aggregate deferrals under section 83(i) elections as
Roth SEP IRA)
are or will be age 62 by the end of the calendar year, your
correct your employment record. Be sure to ask the
deferral under a nonqualified or section 457(b) plan that
12b
C
G—Elective deferrals and employer contributions
of the close of the calendar year
tion such as state disability insurance taxes withheld,
box 1, 3, or 5)
REMOVE THESE EDGES FIRST
employer to file Form W-2c, Corrected Wage and Tax
o
union dues, uniform payments, health insurance premi-
you should ask for a new card that displays your correct
II—Medicaid waiver payments excluded from gross
employer should file Form SSA-131, Employer Report of
d
K—20% excise tax on excess golden parachute
became taxable for social security and Medicare taxes this
(including nonelective deferrals) to a section 457(b)
income under Notice 2014-7.
e
deferred compensation plan
tance payments, or a member of the clergy’s parsonage
forfeiture of your right to the deferred amount. This box
money amount error reported to the SSA on Form W-2.
Box 13. If the “Retirement plan” box is checked, special
Third-party
may also visit the SSA website at www.SSA.gov.
Administration and give you a copy.
L—Substantiated employee business expense
sick pay
Be sure to get your copies of Form W-2c from your
Cost of employer-sponsored health coverage (if such
limits may apply to the amount of traditional IRA contri-
allowance and utilities. Railroad employers use this box
organization plan. See the Form 1040 instructions for how
Box 12. The following list explains the codes shown in box
Retirement
shouldn’t be used if you had a deferral and a distribution in
reimbursements (nontaxable)
the same calendar year. If you made a deferral and
cost is provided by the employer). The reporting in box
M—Uncollected social security or RRTA tax on taxable
12. You may need this information to complete your tax
13 Statutory
butions you may deduct. See Pub. 590-A.
plan
to report railroad retirement (RRTA) compensation, Tier 1
employer for all corrections made so you may file them
furnished to the Internal
55447 name at any SSA office or by calling 800-772-1213. You Special Wage Payments, with the Social Security payments. See the Form 1040 instructions. ums deducted, nontaxable income, educational assis- Statement, with the SSA to correct any name, SSN, or year because there is no longer a substantial risk of H—Elective deferrals to a section 501(c)(18)(D) tax-exempt b Employer identification number (EIN) 14 Other This information is being 15 State Employer’s state ID number 16 State wages, tips, etc.
received a distribution in the same calendar year, and you
with your tax return. If your name and SSN are correct but
return. Elective deferrals (codes D, E, F, and S) and
Box 14. Employers may use this box to report informa-
employee
tax, Tier 2 tax, Medicare tax, and Additional Medicare
to deduct.
Revenue Service. If you
aren’t the same as shown on your social security card,
Tax. Include tips reported by the employee to the
cost of group-term life insurance over $50,000 (former
designated Roth contributions (codes AA, BB, and EE)
J—Nontaxable sick pay (information only, not included in
tion such as state disability insurance taxes withheld,
are or will be age 62 by the end of the calendar year, your
12, using code DD, of the cost of employer-sponsored
are required to file a tax
employees only). See the Form 1040 instructions.
you should ask for a new card that displays your correct
health coverage is for your information only. The amount
box 1, 3, or 5)
employer in railroad retirement (RRTA) compensation.
reported with code DD is not taxable.
return, a negligence
union dues, uniform payments, health insurance premi-
penalty or other sanction
Local wages, tips, etc.
e Employee’s name, address and ZIP code
employer should file Form SSA-131, Employer Report of
N—Uncollected Medicare tax on taxable cost of group-
under all plans are generally limited to a total of $23,500
K—20% excise tax on excess golden parachute
term life insurance over $50,000 (former employees only).
name at any SSA office or by calling 800-772-1213. You
payments. See the Form 1040 instructions.
Special Wage Payments, with the Social Security
ums deducted, nontaxable income, educational assis-
(Generally, $16,500 for SIMPLE plans; $26,500 for
Note: Keep Copy C of Form W-2 for at least 3 years
tance payments, or a member of the clergy’s parsonage
after the due date for filing your income tax return.
Administration and give you a copy.
Credit for excess taxes. If you had more than one
may also visit the SSA website at www.SSA.gov.
section 403(b) plans if you qualify for the 15-year rule
reimbursements (nontaxable)
employer in 2025 and more than $10,918.20 in social explained in Pub. 571). Deferrals under code G are limited See the Form 1040 instructions. However, to help protect your social security benefits, Cost of employer-sponsored health coverage (if such Box 12. The following list explains the codes shown in box L—Substantiated employee business expense allowance and utilities. Railroad employers use this box may be imposed on you 18
P—Excludable moving expense reimbursements paid
security and/or Tier 1 railroad retirement (RRTA) taxes to $23,500. Deferrals under code H are limited to $7,000. directly to a member of the U.S. Armed Forces (not keep Copy C until you begin receiving social security cost is provided by the employer). The reporting in box 12. You may need this information to complete your tax M—Uncollected social security or RRTA tax on taxable to report railroad retirement (RRTA) compensation, Tier 1 if this income is taxable
were withheld, you may be able to claim a credit for the included in box 1, 3, or 5) benefits, just in case there is a question about your work 12, using code DD, of the cost of employer-sponsored return. Elective deferrals (codes D, E, F, and S) and cost of group-term life insurance over $50,000 (former tax, Tier 2 tax, Medicare tax, and Additional Medicare and you fail to report it. 2025 17 State income tax
Tax. Include tips reported by the employee to the
designated Roth contributions (codes AA, BB, and EE)
record and/or earnings in a particular year.
excess against your federal income tax. See the Form Q—Nontaxable combat pay. See the Form 1040 health coverage is for your information only. The amount under all plans are generally limited to a total of $23,500 employees only). See the Form 1040 instructions. employer in railroad retirement (RRTA) compensation. 16 State wages, tips, etc. 20 Locality name
N—Uncollected Medicare tax on taxable cost of group-
1040 instructions. If you had more than one railroad
reported with code DD is not taxable.
instructions for details on reporting this amount.
15 State Employer’s state ID number
employer and more than $6,409.20 in Tier 2 RRTA tax was (See also Instructions for Employee R—Employer contributions to your Archer MSA. Report on Credit for excess taxes. If you had more than one (Generally, $16,500 for SIMPLE plans; $26,500 for term life insurance over $50,000 (former employees only). Note: Keep Copy C of Form W-2 for at least 3 years Wage and Tax
Form 8853.

after the due date for filing your income tax return.
section 403(b) plans if you qualify for the 15-year rule
See the Form 1040 instructions.
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 2025 and more than $10,918.20 in social explained in Pub. 571). Deferrals under code G are limited However, to help protect your social security benefits, W-2 Statement
See the Instructions for Form 843. to $23,500. Deferrals under code H are limited to $7,000. P—Excludable moving expense reimbursements paid keep Copy C until you begin receiving social security Form 19 Local income tax
security and/or Tier 1 railroad retirement (RRTA) taxes directly to a member of the U.S. Armed Forces (not Copy B-To Be Filed
were withheld, you may be able to claim a credit for the included in box 1, 3, or 5) benefits, just in case there is a question about your work Local wages, tips, etc. Department of the Treasury—InternalRevenue Service
excess against your federal income tax. See the Form Q—Nontaxable combat pay. See the Form 1040 record and/or earnings in a particular year. 18 With Employee’s
1040 instructions. If you had more than one railroad instructions for details on reporting this amount. FEDERAL Tax Return
employer and more than $6,409.20 in Tier 2 RRTA tax was R—Employer contributions to your Archer MSA. Report on 2025 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 Form 8853. (See also Notice to Employee on back of Copy B) 17 Locality name
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
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
11 Nonqualified plans
C
o
d
12d
e
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
10 Dependent care benefits
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 B 7 Social security tips 11 Nonqualified plans a Employee’s social security number e 13 Statutory employee Retirement Third-party 14 Other
e
d
12d
10 Dependent care benefits
sick pay
C
o
plan
d
e
12c
C
o
d
12b
e
TXF W2-CNB b Employer identification number (EIN) 14 Other e Employee’s name, address and ZIP code 16 State wages, tips, etc.
C
o
d
e
B 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. 2025 Wage and Tax 17 19 State income tax Department of the Treasury—InternalRevenue Service
Locality name
20
Statement
W-2
15 State Employer’s state ID number
Copy 2-To Be Filed With
Local income tax
Form
Employee’s State, City, or
Local wages, tips, etc.
Local Income Tax Return .
W-2 Statement
Local income tax
Form 2025 Wage and Tax 17 State income tax 20 Locality name
Employee’s State, City, or Department of the Treasury—Internal Revenue 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 FROM: First-Class Mail
SEE REVERSE SIDE FOR OPENING INSTRUCTIONS Important Tax Document Enclosed
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