Security Tax
Resume:
Copy B -- To Be Filed With Employee's
FEDERAL Tax Return.
OMB No.1545-0008
a Employee's soc. sec number
***-**-****
b Employer ID number (EIN)
* *****, ****, *** ***** comp.
8977.67
2 Federal income tax withheld
351.94
3 Social security wages
8977.67
4 Social Security Tax Withheld
556.62
5 Medicare wages and tips
8977.67
6 Medicare tax withheld
130.18
c Employer's name, address, and ZIP code Suff.
ONIN STAFFING, LLC
1 PERIMETER PARK SOUTH
SUITE 450N
BIRMINGHAM, AL 35243
d Control Number
e Employee's name, address, and ZIP code
NAFISEH AFSHARI
1833 WAST TRACE
GRAND PRAIRIE, TX 75050
7 Social security tips
0.00
8 Allocated tips
9 Advance EIC payment
10 Dependent care benefits
11 Nonqualified plans
12a Code
DD 549.20
13 Statutory Employee
14 Other
REISSUED STATEMENT
12b Code
Retirement plan
12c Code
Third-party sick pay 12d Code
TX 11-999706-2
15 Employer's State ID number
9526.87
16 State wages, tips, etc.
0.00
17 State income tax
18 Local, wages, tips, etc.
19 Local income tax
20 Locality name
Form W-2 Wage and Tax Statement 2016 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.
41-1628061
OMB No.1545-0008
a Employee's soc. sec number
***-**-****
b Employer ID number (EIN)
63-1180986
1 Wages, tips, and other comp.
8977.67
2 Federal income tax withheld
351.94
3 Social security wages
8977.67
4 Social Security Tax Withheld
556.62
5 Medicare wages and tips
8977.67
6 Medicare tax withheld
130.18
c Employer's name, address, and ZIP code Suff.
ONIN STAFFING, LLC
1 PERIMETER PARK SOUTH
SUITE 450N
BIRMINGHAM, AL 35243
d Control Number
e Employee's name, address, and ZIP code
NAFISEH AFSHARI
1833 WAST TRACE
GRAND PRAIRIE, TX 75050
7 Social security tips
0.00
8 Allocated tips
9 Advance EIC payment
10 Dependent care benefits
11 Nonqualified plans
12a Code
DD 549.20
13 Statutory Employee
14 Other
REISSUED STATEMENT
12b Code
Retirement plan
12c Code
Third-party sick pay 12d Code
TX 11-999706-2
15 Employer's State ID number
9526.87
16 State wages, tips, etc.
0.00
17 State income tax
18 Local, wages, tips, etc.
19 Local income tax
20 Locality name
Form W-2 Wage and Tax Statement 2016 Dept. of the Treasury -- IRS Copy C -- For EMPLOYEE'S RECORDS
(See Notice to Employee on back on Copy B.)
41-1628061
OMB No.1545-0008
a Employee's soc. sec number
***-**-****
b Employer ID number (EIN)
63-1180986
1 Wages, tips, and other comp.
8977.67
2 Federal income tax withheld
351.94
3 Social security wages
8977.67
4 Social Security Tax Withheld
556.62
5 Medicare wages and tips
8977.67
6 Medicare tax withheld
130.18
c Employer's name, address, and ZIP code Suff.
ONIN STAFFING, LLC
1 PERIMETER PARK SOUTH
SUITE 450N
BIRMINGHAM, AL 35243
d Control Number
e Employee's name, address, and ZIP code
NAFISEH AFSHARI
1833 WAST TRACE
GRAND PRAIRIE, TX 75050
7 Social security tips
0.00
8 Allocated tips
9 Advance EIC payment
10 Dependent care benefits
11 Nonqualified plans
12a Code
DD 549.20
13 Statutory Employee
14 Other
REISSUED STATEMENT
12b Code
Retirement plan
12c Code
Third-party sick pay 12d Code
TX 11-999706-2
15 Employer's State ID number
9526.87
16 State wages, tips, etc.
0.00
17 State income tax
18 Local, wages, tips, etc.
19 Local income tax
20 Locality name
Form W-2 Wage and Tax Statement 2016 Dept. of the Treasury -- IRS This information is being furnished to the IRS. If you are required to file a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
Copy 2 -- To Be Filed With Employee's State, City, or Local Income Tax Return.
41-1628061
OMB No.1545-0008
a Employee's soc. sec number
***-**-****
b Employer ID number (EIN)
63-1180986
1 Wages, tips, and other comp.
8977.67
2 Federal income tax withheld
351.94
3 Social security wages
8977.67
4 Social Security Tax Withheld
556.62
5 Medicare wages and tips
8977.67
6 Medicare tax withheld
130.18
c Employer's name, address, and ZIP code Suff.
ONIN STAFFING, LLC
1 PERIMETER PARK SOUTH
SUITE 450N
BIRMINGHAM, AL 35243
d Control Number
e Employee's name, address, and ZIP code
NAFISEH AFSHARI
1833 WAST TRACE
GRAND PRAIRIE, TX 75050
7 Social security tips
0.00
8 Allocated tips
9 Advance EIC payment
10 Dependent care benefits
11 Nonqualified plans
12a Code
DD 549.20
13 Statutory Employee
14 Other
REISSUED STATEMENT
12b Code
Retirement plan
12c Code
Third-party sick pay 12d Code
TX 11-999706-2
15 Employer's State ID number
9526.87
16 State wages, tips, etc.
0.00
17 State income tax
18 Local, wages, tips, etc.
19 Local income tax
20 Locality name
Form W-2 Wage and Tax Statement 2016 Dept. of the Treasury -- IRS FORM L4 UP
Notice to Employee
Do you have to file? Refer to the Form 1040
instructions to determine if you are required to file a tax return. Even if you do not have to file a tax return, you may be eligible for a refund if box 2 shows an amount or if you are eligible for any credit.
Earned income credit (EIC). You may be able to take the EIC for 2016 if your adjusted gross income (AGI) is less than a certain amount. The amount of the credit is based on income and family size. Workers without
children could qualify for a smaller credit. You and any qualifying children must have valid social security numbers (SSNs). You cannot take the EIC if your
investment income is more than the specified amount for 2016 or if income is earned for services provided while you were an inmate at a penal institution. For 2016 income limits and more information, visit
www.irs.gov/eitc. Also see Pub. 596, Earned Income Credit. Any EIC that is more than your tax liability is refunded to you, but only if you file a tax return. Clergy and religious workers. If you are not subject to social security and Medicare taxes, see Pub. 517, Social Security and Other Information for Members of the Clergy and Religious Workers.
Corrections. If your name, SSN, or address is
incorrect, correct Copies B, C, and 2 and ask your employer to correct your employment record. Be sure to ask the employer to file Form W-2c, Corrected Wage and Tax Statement, with the Social Security
Administration (SSA)
to correct any name, SSN, or money amount error
reported to the SSA on Form W-2. Be sure to get your copies of Form W-2c from your employer for all
corrections made so you may file them with your tax return. If your name and SSN are correct but are not the same as shown on your social security card, you should ask for a new card that displays your correct name at any SSA office or by calling 1-800-***-****. You also may visit the SSA at www.socialsecurity.gov. Cost of employer-sponsored health coverage (if
such cost is provided by the employer). The
reporting in box 12, using code DD, of the cost of employer-sponsored health coverage is for your
information only. The amount reported with code DD is not taxable.
Credit for excess taxes. If you had more than one
employer in 2016 and more than $7,347 in social
security and/or Tier 1 railroad retirement (RRTA) taxes were withheld, you may be able to claim a credit for the excess against your federal income tax. If you had more than one railroad employer and more than
$4,321.80 in Tier 2 RRTA tax was withheld, you also may be able to claim a credit. See your Form 1040 or Form 1040A instructions and Pub. 505, Tax
Withholding and Estimated Tax.
(Also see Instructions for Employee on the back of Copy C.)
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