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Statutory employee Retirement plan Third-party sick pay
12b
12c
14
Others
12d
15
State
Employers State ID number
16
State, Wages, tips etc
17
State income tax
18
Local wages,tips etc
19
Local income tax
20
Locality name
Form
W-2
Wage and Tax Statements
Copy D — For Employer
2025
Department of the Treasury — Internal Revenue System For Privacy Act and Paperwork Reduction Act Notice, see separate instructions
Copy B–To be Filed With Employee’s FEDERAL Tax Return.
38-2099803 OMB No.1545-0008
a
EMPLOYEES SOCIAL SECURITY NUMBER
b
Employers Identification Number (EIN)
1
Wages,tips, other compensation
2
Federal Income tax withheld
3
Social Security Wages
4
SOCIAL SECURITY TAX WITHHELD
5
Medicare Wages and tips
6
Medicare tax withheld
c
Employers Name, Address and Zip code
d
Control number
c
Employees Name, Address and Zip code
7
SOCIAL SECURITY TIPS
8
Allocated tips
9
10
DEPENDENT CARE BENEFITS
11
Nonqualified Plans
12a
13
Statutory employee Retirement plan Third-party sick pay
14
Others
12b
12c
12d
15
State
Employers State ID number
16
State, Wages, tips etc
17
State income tax
18
Local wages,tips etc
19
Local income tax
20
Locality name
Form W-2 Wage and Tax Statements
2025
Dept. of the Treasury — IRS
This information is being furnished to the Internal Revenue Service.
Copy 2–To be Filed With Employee’s State, City or Local Income Tax Return
38-2099803 OMB No.1545-0008
a
EMPLOYEES SOCIAL SECURITY NUMBER
b
Employers Identification Number (EIN)
1
Wages,tips, other compensation
2
Federal Income tax withheld
3
Social Security Wages
4
SOCIAL SECURITY TAX WITHHELD
5
Medicare Wages and tips
6
Medicare tax withheld
c
Employers Name, Address and Zip code
d
Control number
c
Employees Name, Address and Zip code
7
SOCIAL SECURITY TIPS
8
Allocated tips
9
10
DEPENDENT CARE BENEFITS
11
Nonqualified Plans
12a
13
Statutory employee Retirement plan Third-party sick pay
14
Others
12b
12c
12d
15
State
Employers State ID number
16
State, Wages, tips etc
17
State income tax
18
Local wages,tips etc
19
Local income tax
20
Locality name
Form W-2 Wage and Tax Statements
2025
Dept. of the Treasury — IRS
This information is being furnished to IRS. If you are required to file a tax return, a negligence penalty/other sanction maybe imposed on you if this income is taxable & you fail to report it.
Copy C–EMPLOYEE’S RECORDS (SEE Notice to Employee.)
38-2099803 OMB No.1545-0008
a
EMPLOYEES SOCIAL SECURITY NUMBER
b
Employers Identification Number (EIN)
1
Wages,tips, other compensation
2
Federal Income tax withheld
3
Social Security Wages
4
SOCIAL SECURITY TAX WITHHELD
5
Medicare Wages and tips
6
Medicare tax withheld
c
Employers Name, Address and Zip code
d
Control number
c
Employees Name, Address and Zip code
7
SOCIAL SECURITY TIPS
8
Allocated tips
9
10
DEPENDENT CARE BENEFITS
11
Nonqualified Plans
12a
13
Statutory employee Retirement plan Third-party sick pay
14
Others
12b
12c
12d
15
State
Employers State ID number
16
State, Wages, tips etc
17
State income tax
18
Local wages,tips etc
19
Local income tax
20
Locality name
Form W-2 Wage and Tax Statements
2025
Dept. of the Treasury — IRS
This information is being furnished to the Internal Revenue Service.
This information is being furnished to IRS. If you are required to file a tax return, a negligence penalty/other sanction maybe imposed on you if this income is taxable & you fail to report it.
Copy C–EMPLOYEE’S RECORDS (SEE Notice to Employee.)
38-2099803 OMB No.1545-0008
a
EMPLOYEES SOCIAL SECURITY NUMBER
b
Employers Identification Number (EIN)
1
Wages,tips, other compensation
2
Federal Income tax withheld
3
Social Security Wages
4
SOCIAL SECURITY TAX WITHHELD
5
Medicare Wages and tips
6
Medicare tax withheld
c
Employers Name, Address and Zip code
d
Control number
c
Employees Name, Address and Zip code
7
SOCIAL SECURITY TIPS
8
Allocated tips
9
10
DEPENDENT CARE BENEFITS
11
Nonqualified Plans
12a
13
Statutory employee Retirement plan Third-party sick pay