Form W-* Wage and Tax Statement
Employer's name, address, and ZIP code
Employee's name, address, and ZIP code
Social security tips Wages, tips, other compensation Federal income tax withheld Allocated tips
Dependent care benefits
Social security wages
Medicare wages and tips
Nonqualified plans
Social security tax withheld
Medicare tax withheld
See instructions for box 12
Suff. Statutory Other
employee
Retirement
Plan
Third-party
Sick pay
State Employer's state ID no. State wages, tips, etc. State income tax Local wages, tips, etc. Local income tax Locality name Employer identification number (EIN)
Employee's social security number
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
Copy B To Be Filed With Employee's FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Visit the IRS Web Site at www.irs.gov/efile
.
Dept of the Treasury - IRS
2022 7 1 2
8
9
3
5
4
6
10 11
13 14
12a
12b
12c
12d
b
a
c
e
Form W-2 Wage and Tax Statement
Employer's name, address, and ZIP code
Employee's name, address, and ZIP code
Social security tips Wages, tips, other compensation Federal income tax withheld Allocated tips
Dependent care benefits
Social security wages
Medicare wages and tips
Nonqualified plans
Social security tax withheld
Medicare tax withheld
See instructions for box 12
Suff. Statutory Other
employee
Retirement
Plan
Third-party
Sick pay
Employer identification number (EIN)
Employee's social security number
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
2022 7 1 2
8
9
3
5
4
6
10 11
13 14
12a
12b
12c
12d
b
a
c
e
Dept of the Treasury - IRS
State Employer's state ID no. State wages, tips, etc. State income tax Local wages, tips, etc. Local income tax Locality name Copy C For EMPLOYEE'S RECORDS OMB No. 1545-0008
This information is being furnished to the Internal Revenue Service. 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. Form W-2 Wage and Tax Statement
Employer's name, address, and ZIP code
Employee's name, address, and ZIP code
Social security tips Wages, tips, other compensation Federal income tax withheld Allocated tips
Dependent care benefits
Social security wages
Medicare wages and tips
Nonqualified plans
Social security tax withheld
Medicare tax withheld
See instructions for box 12
Suff. Statutory Other
employee
Retirement
Plan
Third-party
Sick pay
Employer identification number (EIN)
Employee's social security number
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
2022 7 1 2
8
9
3
5
4
6
10 11
13 14
12a
12b
12c
12d
b
a
c
e
OMB No. 1545-0008 Dept of the Treasury - IRS
State Employer's state ID no. State wages, tips, etc. State income tax Local wages, tips, etc. Local income tax Locality name Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return **-**-**-**-**-**
Allocated tips
Form W-2 Wage and Tax Statement
Employer's name, address, and ZIP code
Employee's name, address, and ZIP code
Social security tips Wages, tips, other compensation Federal income tax withheld Dependent care benefits
Social security wages
Medicare wages and tips
Nonqualified plans
Social security tax withheld
Medicare tax withheld
See instructions for box 12
Suff. Statutory Other
employee
Retirement
Plan
Third-party
Sick pay
Employer identification number (EIN)
Employee's social security number
C
o
d
e
C
o
d
e
C
o
d
e
C
o
d
e
2022 7 1 2
8
9
3
5
4
6
10 11
13 14
12a
12b
12c
12d
b
a
c
e
15
OMB No. 1545-0008 Dept of the Treasury - IRS
State Employer's state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Advantage Security Inc.
13693 E lliff Ave #200
Aurora CO 80014-1367
Sabrina Barrera
555 S Pecos St
Denver CO 80223-2216
14306
12,156.90
12,156.90
862.52
753.73
12,156.90 176.28
Donation 9.00
841297313
0367689 12,156.90 486.00 11,719.04 23.00 Denver OPT ***-**-****
CO
13693 E lliff Ave #200
Aurora CO 80014-1367
Advantage Security Inc.
Sabrina Barrera
555 S Pecos St
Denver CO 80223-2216
14306
12,156.90
12,156.90
862.52
753.73
12,156.90 176.28
Donation 9.00
841297313
CO 0367689 12,156.90 486.00 11,719.04 23.00 Denver OPT Denver OPT
Advantage Security Inc.
13693 E lliff Ave #200
Aurora CO 80014-1367
Sabrina Barrera
555 S Pecos St
Denver CO 80223-2216
14306
12,156.90
12,156.90
862.52
753.73
12,156.90 176.28
Donation 9.00
841297313
0367689 12,156.90 486.00 11,719.04 23.00
***-**-****
CO
CO
Advantage Security Inc.
13693 E lliff Ave #200
Aurora CO 80014-1367
Sabrina Barrera
555 S Pecos St
Denver CO 80223-2216
14306
12,156.90
12,156.90
862.52
753.73
12,156.90 176.28
Donation 9.00
841297313
0367689 12,156.90 486.00 11,719.04 23.00 Denver OPT ***-**-****
www.irs.gov/efile
.
Visit the IRS Web Site at
Copy 2 To Be Filed With Employee's State, City, or Local Income Tax
3273