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”
                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.
   1   2   3   4   5   6