Security Service
Resume:
* *****,****,***** ************
5483.55
b Employer ID number (EIN)
***-**-****
a Employee's social security
number
38-2099803
OMB No. 1545-0008
19 Local income tax 20 Locality name
5483.55
16 State wages, tips, etc.
18 Local wages, tips, etc.
MI ME-0168788
15 State Employer's state ID Number
12d Code
12c Code
14 Other 12b Code
Third-party sick pay
Retirement plan
13 Statutory employee
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 7 Social security tips 8 Allocated tips 9
Bradley D Thomas
1316 e pickard street
Mount Pleasant, MI 48858
e Employee's name, address, and ZIP code
1301406
d Control number
Peoplelink Staffing
431 East Colfaxe Ave.
Suite 200
South Bend, IN 46617
c Employer's name, address, and ZIP code
79.51
6 Medicare tax withheld
339.98
4 Social security tax withheld
Copy B -- To Be Filed With Employee's
FEDERAL Tax Return.
491.66
2 Federal income tax withheld
233.06
17 State income tax
This information is being furnished to the Internal Revenue Service Form W-2 Wage and Tax Statement
5483.55
1 Wages,tips,other compensation
5483.55
5 Medicare wages and tips
5483.55
3 Social security wages
35-2154753
b Employer ID number (EIN)
***-**-****
a Employee's social security
number
38-2099803
OMB No. 1545-0008
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 12d Code
12c Code
14 Other 12b Code
Third-party sick pay
Retirement plan
13 Statutory employee
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 7 Social security tips 8 Allocated tips 9
Bradley D Thomas
1316 e pickard street
Mount Pleasant, MI 48858
e Employee's name, address, and ZIP code
1301406
d Control number
Peoplelink Staffing
431 East Colfaxe Ave.
Suite 200
South Bend, IN 46617
c Employer's name, address, and ZIP code
79.51
6 Medicare tax withheld
339.98
4 Social security tax withheld
Copy 2 -- To Be Filed With Employee's State,
City, or Local Income Tax Return.
491.66
2 Federal income tax withheld
MI ME-0168788
15 State Employer's state ID Number
5483.55
16 State wages, tips, etc.
233.06
17 State income tax
5483.55
1 Wages,tips,other compensation
5483.55
5 Medicare wages and tips
5483.55
3 Social security wages
35-2154753
b Employer ID number (EIN)
***-**-****
a Employee's social security
number
38-2099803
OMB No. 1545-0008
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 12d Code
12c Code
14 Other 12b Code
Third-party sick pay
Retirement plan
13 Statutory employee
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 7 Social security tips 8 Allocated tips 9
Bradley D Thomas
1316 e pickard street
Mount Pleasant, MI 48858
e Employee's name, address, and ZIP code
1301406
d Control number
Peoplelink Staffing
431 East Colfaxe Ave.
Suite 200
South Bend, IN 46617
c Employer's name, address, and ZIP code
79.51
6 Medicare tax withheld
339.98
4 Social security tax withheld
Copy C -- For EMPLOYEE'S RECORDS (See Notice
to Employee.)
491.66
2 Federal income tax withheld
MI ME-0168788
15 State Employer's state ID Number
5483.55
16 State wages, tips, etc.
233.06
17 State income tax
5483.55
1 Wages,tips,other compensation
5483.55
5 Medicare wages and tips
5483.55
3 Social security wages
35-2154753
b Employer ID number (EIN)
***-**-****
a Employee's social security
number
38-2099803
OMB No. 1545-0008
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 12d Code
12c Code
14 Other 12b Code
Third-party sick pay
Retirement plan
13 Statutory employee
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 7 Social security tips 8 Allocated tips 9
Bradley D Thomas
1316 e pickard street
Mount Pleasant, MI 48858
e Employee's name, address, and ZIP code
1301406
d Control number
Peoplelink Staffing
431 East Colfaxe Ave.
Suite 200
South Bend, IN 46617
c Employer's name, address, and ZIP code
79.51
6 Medicare tax withheld
339.98
4 Social security tax withheld
Copy 2 -- To Be Filed With Employee's State,
City, or Local Income Tax Return.
491.66
2 Federal income tax withheld
MI ME-0168788
15 State Employer's state ID Number
5483.55
16 State wages, tips, etc.
233.06
17 State income tax
Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury -- IRS 2022 Dept. of the Treasury -- IRS 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 2022 Dept. of the Treasury -- IRS Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury -- IRS
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