Very Interested Candidate
Resume:
Retirement plan
Third-party sick pay
Dept. of the Treasury - IRS
4927
Steven Graham
Hendersonville TN 37075
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. a Employee's soc. sec. no. 1 Wages, tips, other compensation 2 Federal income tax withheld 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
3 Social security wages
c Employer's name, address, and ZIP code
e Employee's name, address, and ZIP code
7 Social security tips
10 Dependent care benefits
12b Code
8 Allocated tips
11 Nonqualified plans
12c Code
9
12a Code See inst. for box 12
12d Code
b Employer ID number (EIN)
d Control number
13 Statutory employee 14 Other
Retirement plan
Third-party sick pay
Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 38-2099803
Form W-2 Wage and Tax Statement
Copy B - To Be Filed With Employee's
FEDERAL Tax Return.
286.86
10044.51 622.76
10044.51 145.65
TCAT Hartsville
716 McMurray Blvd
Hartsville TN 37074
D 162.52
62-1186170
36
X
15 State
2024
4927
Steven Graham
169 Hickory Heights Dr
Hendersonville TN 37075
a Employee's soc. sec. no. 1 Wages, tips, other compensation 2 Federal income tax withheld 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
3 Social security wages
c Employer's name, address, and ZIP code
e Employee's name, address, and ZIP code
7 Social security tips
10 Dependent care benefits
12b Code
8 Allocated tips
11 Nonqualified plans
12c Code
12a Code See inst. for box 12
12d Code
b Employer ID number (EIN)
d Control number
13 Statutory employee 14 Other
Employer's 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 Statement
Copy C - For EMPLOYEE'S RECORDS. (See
9405.23 286.86
10044.51 622.76
10044.51 145.65
TCAT Hartsville
716 McMurray Blvd
Hartsville TN 37074
D 162.52
62-1186170
36
X
15 State
2024 Dept. of the Treasury - IRS
4927
Steven Graham
169 Hickory Heights Dr
Hendersonville TN 37075
a Employee's soc. sec. no. 1 Wages, tips, other compensation 2 Federal income tax withheld 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
3 Social security wages
c Employer's name, address, and ZIP code
e Employee's name, address, and ZIP code
7 Social security tips
10 Dependent care benefits
12b Code
8 Allocated tips
11 Nonqualified plans
12c Code
12a Code See inst. for box 12
12d Code
b Employer ID number (EIN)
d Control number
13 Statutory employee 14 Other
Retirement plan
Third-party sick pay
Employer's 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 Statement
Copy 2 - To Be Filed With Employee's State,
City or Local Income Tax Return
9405.23 286.86
10044.51 622.76
10044.51 145.65
TCAT Hartsville
716 McMurray Blvd
Hartsville TN 37074
D 162.52
62-1186170
36
X
15 State
2024 Dept. of the Treasury - IRS
4927
Steven Graham
169 Hickory Heights Dr
Hendersonville TN 37075
a Employee's soc. sec. no. 1 Wages, tips, other compensation 2 Federal income tax withheld 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
3 Social security wages
c Employer's name, address, and ZIP code
e Employee's name, address, and ZIP code
7 Social security tips
10 Dependent care benefits
12b Code
8 Allocated tips
11 Nonqualified plans
12c Code
12a Code See inst. for box 12
12d Code
b Employer ID number (EIN)
d Control number
13 Statutory employee 14 Other
Retirement plan
Third-party sick pay
Employer's 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 Statement
Copy 2 - To Be Filed With Employee's State,
City, or Local Income Tax Return
286.86
10044.51 622.76
10044.51 145.65
TCAT Hartsville
716 McMurray Blvd
Hartsville TN 37074
D 162.52
62-1186170
36
X
15 State
2024 Dept. of the Treasury - IRS
OMB No. 1545-0008
38-2099803
OMB No. 1545-0008
Notice to Employee on the back of Copy B.)
38-2099803
OMB No. 1545-0008
38-2099803
OMB No. 1545-0008
This information is being furnished to the Internal Revenue Service. 9405.23
9
9
9
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