Security Service

Location:

Posted:

February 13, 2015

Resume:

a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld

***-**-**** 8,053.75 NONE ***-**-**** 8,053.75 NONE

3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld

PR PR

320 - 50 8,053.75 499.32 320 - 50 8,053.75 499.32

b Employer's identification number b Employer's identification number

5 Medicare wages and tips 5 Medicare wages and tips

6 Medicare tax withheld 6 Medicare tax withheld

E.I. #21-6000928 E.I. #21-6000928

8,053.75 116.77 8,053.75 116.77

c Employer's name, address, and ZIP 12 See instructions for box 12 10 Dependent Care Benefits c Employer's name, address, and ZIP 12 See instructions for box 12 10 Dependent Care Benefits

0.00 0.00

State of New Jersey State of New Jersey

C. C.

14 Other 14 Other

Centralized Payroll Centralized Payroll

E. E.

Fringe Benefits: Fringe Benefits:

PO BOX 207 PO BOX 207

G. G.

Veh. Veh.

Trenton, N.J. 08625 Trenton, N.J. 08625

DD. DD.

Health Health

d Control number d Control number

Ins Ins

EE. EE.

Wellness Wellness

e Employee's name, address, and ZIP code e Employee's name, address, and ZIP code

Pre-Tax Contributions: Pre-Tax Contributions:

THORPE,THURMAN L THORPE,THURMAN L

Pens Pens

35 KENSINGTON AV B5 35 KENSINGTON AV B5

414(h) 414(h)

JERSEY CITY NJ 07306 JERSEY CITY NJ 07306

Section Section

0.00 0.00

125

13 Statutory 13 Statutory

Pension Deferred Pension Deferred

employee plan comp. employee plan comp.

Section Section

132(f)

15 State Employer's state I.D. No. 15 State Employer's state I.D. No.

2014 2014

21-6000928 21-6000928

Other Taxes: Other Taxes:

NJ NJ

UI/HC/WD UI/HC/WD

16 State wages, tips, etc. 16 State wages, tips, etc.

34.23 34.23

Wage and Tax Wage and Tax

W-2 W-2

8,053.75 8,053.75

TDI TDI

30.59 30.59

Form

Statement Statement

17 State income tax 17 State income tax

8.06 8.06

FLI FLI

108.15 108.15

THIS COPY TO BE FILED WITH

Department of the Treasury--Internal Revenue Service Department of the Treasury--Internal Revenue Service

Copy B To Be Filed With Employee's

EMPLOYEE'S STATE OR LOCAL

FEDERAL Tax Return

TAX RETURN WHEN REQUIRED

This information is being furnished to the Internal Revenue Service

Notice to Employee

O MB No. 1545-0008

Refund. Even if you do not have to file a tax return, $3,828.00 in tier 2 RRTA tax was withheld, you also

you should file to get a refund if box 2 shows Federal may be able to claim a credit. See your Form 1040 or a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld

income tax withheld, or if you can take the earned 1040A instructions and Pub. 505, Tax Withholding ***-**-**** 8,053.75 NONE

income credit. and Estimated tax.

3 Social security wages 4 Social security tax withheld

INSTRUCTIONS:

Earned Income Credit (EIC). You may be able to 320 - 50 8,053.75 499.32

take the EIC for 2014 if your adjusted gross income b Employer's identification number

Box 1. Enter this amount on the wages line of your 5 Medicare wages and tips 6 Medicare tax withheld

(AGI) is less than a certain amount. The amount of E.I. #21-6000928

tax return. 8,053.75 116.77

the credit is based on income and family size.

Box 2. Enter this amount on the Federal income tax c Employer's name, address, and ZIP 12 See instructions for box 12 10 Dependent Care Benefits

Workers without children could qualify for a smaller 0.00

withheld line of your tax return. State of New Jersey C.

credit. You and any qualifying children must have

14 Other

Centralized Payroll

valid social security numbers (SSNs). You cannot Box 10. This amount is the total contribution made E.

Fringe Benefits:

take the EIC if your investment income is more than PO BOX 207

to a dependent care flexible spending account.

G. Veh.

the specified amount for 2014. For 2014 income (Excluded from Box 1 - included in Box 16 if NJ in

Trenton, N.J. 08625

limits and more information, visit www.irs.gov/eitc. Box 15.) DD. Health

d Control number

Also see Pub 596, Earned Income Credit. Any EIC Ins

Box 12. The following list explains the codes shown EE.

that is more than your tax liability is refunded to Wellness

in box 12.

you, but only if you file a tax return. e Employee's name, address, and ZIP code

C. Taxable cost of group-term life insurance Pre-Tax Contributions:

coverage over $50,000 (included in Box 1 and THORPE,THURMAN L

Clergy and Religious Workers. If you are not Pens

Box 16 if NJ in Box 15.)

subject to social security and Medicare taxes, see 35 KENSINGTON AV B5 414(h)

E. Elective deferrals to a section 403(b) salary

Pub. 517, Social security and Other information for JERSEY CITY NJ 07306

reduction agreement, (Excluded from Box 1 - Section

Members of the Clergy and Religious Workers. 125 0.00

included in Box 16), generally limited to $17,500 for 13 Statutory Pension Deferred

employee plan comp.

2014. See IRS Pub. 571.

Corrections. If your name, social security number, Section

G. Elective deferrals to a section 457(b) deferred 132(f)

or address is incorrect, correct Copies B, C, and 2

compensation plan, (Excluded from Box 1 - 15 State Employer's state I.D. No.

and ask your employer to correct your employment

2014

included in Box 16), generally limited to $17,500-**-******* Other Taxes:

record. Be sure to ask the employer to file Form

for 2014. See instructions for Form 1040. UI/HC/WD 34.23

16 State wages, tips, etc.

W-2c, Corrected Wage and Tax Statements, with the

DD. Cost of employer-sponsored health coverage. Wage and Tax

Social Security Administration(SSA) to correct any

W-2 8,053.75 30.59

TDI

Form

The amount reported with Code DD is not Statement

name, address, amount, or SSN error reported to the 17 State income tax

taxable. 8.06

FLI

SSA on Form W-2. If your name and SSN are 108.15

EE. Designated Roth contribution under a govern-

correct but are not the same as shown on your social Department of the Treasury--Internal Revenue Service

Copy C for EMPLOYEE'S

mental 457(b) plan.

security card, you should ask for a new card at any RECORDS This information is being furnished to the Internal Revenue Service.

Box 13. If the "Pension plan" box is checked,special

Social Security office or call 1-800-***-****. You

If you are required to file a tax return, a negligence penalty or other

limits may apply to the amount of IRA contributions

may also visit the SSA at www.socialsecurity.gov . sanction may be imposed on you if this income is taxable and you

you may deduct. See instructions for Form 1040. (See Notice To Left) fail to report it.

Credit for Excess Taxes. If you had more than one Box 14. For a detailed explanation of the items

Note: Keep Copy C of Form W-2 for at least 3 years after the due date for filing your income tax

employer in 2014 and more than $7,254.00 in social displayed in this Box, please see your Human

return. However, to help protect your social security benefits, keep Copy C until you begin

security and/or tier 1 railroad retirement (RRTA) taxes Resource representative for a copy of this year's

receiving social security benefits, just in case there is a question about your work record and/or

were withheld, you may be able to claim a credit for Informational Statement, or visit

earnings in a particular year. SSA suggests you confirm your work record with them from time to

the excess against your Federal income tax. If you www.state.nj.us/treasury/omb/payroll/pdf/w2info.pdf to

time.

had more than one railroad employer and more than obtain a printable PDF version of this document.

OMB02W (Rev. 11/13/2014)

Department of the Treasury

STATE OF NEW JERSEY

PO BOX 207

Trenton, NJ 08625-0207

IMPORTANT TAX-DOCUMENT ENCLOSED

FOR FURTHER INFORMATION PLEASE VISIT

www.state.nj.us/treasury/omb/payroll/pdf/w2info.pdf

Contact this candidate