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Employee Reference
W 2 Wage and Tax
= Statement
d Control number Dept
376688 _LOS2/RCA 129900 Lt 8687
© Employer's name, address, and ZIP code
AMAZON COM SERVICES LLC
PO BOX 80726
SEATTLE WA 98108
Copy
2024
‘Oma No. 1245-0008
Comp. ] Employer use only
Batch #03231
‘eft Employee's name, address, and ZIP code
WANDA D CRAWFORD
201 IVANHILL
TOLEDO OH 43615
Le
1b Employer's FED 1D number
82-0544687
Wages, tips, other comp.
33731.01
Social security wages
34419.03
wages and tips
34419.03
Social security tips:
Employee's SSA numi
XXX-XX-2169
Federal income tax withheld
2713.01
Social security tax withheld
2133.98
Medicare tax withheld
499.08
Medica
3 Allocated tips
(0 Dependent care benefit
Nonqualified plans 2a SesinstucionsTorbex 2
r5— Br ohb:f3
ize
rd party ck pa
Other
hag
13 Stat ome]
rang
6 State wages, tips, ete.
33731.01
18 Local wages, tips, etc.
34419.03
i20 Locality name
\OSSFORD
18 State] Employer's state ID no]
OH _54-0854783
17 State income tax
797.93
79 Local income tax
774.43
Plus GTL (C-Box 12)
Reported W-2 Wages
2024 W-2 and EARNINGS SUMMARY 42>
This blue section is your Earnings Summary which provides more detailed
information on the generation of your W-2 statement. The reverse side
includes instructions and other general information.
1. Your Gross Pay was adjusted as follows to produce your
r W-2 Statement.
Social Securit
Wages
Box 3 of W-2
Wages, Tips, other
‘Compensation
Box 1 of W-2
Gross Pay 34,400 . 28
18.75
688 .02
33,731.01
SS 401 (k) (D-Box 12)
34,419.0:
2. Employee Name and Address.
34,400 .28
18.75
NA
Medicare
Wages
Box 5 of W-2
ity OH. State Wages, ROSSFORD
Tips, Etc.
Box 16 of W-2 .
Box 18 of W-2
34,400 .28
18.75
NA
34,419.03
34 400 .28
18.75
NA
34,419.03
34,400 .28
18.75
688 .02
3 33,731.01
WANDA D CRAWFORD
201 IVANHILL
TOLEDO OH 43615
© 2024 ADP. ne
T Wages, tips, other comp.
33731.01
2 Federal income tax withheld
2713.01
Wages, tips, other comp.
33731.01
Federal income tax withheld
2713.01
Wages, tips, other comp.
33731.01
}4 Social security tax withheld
2133.98
Medicare tax withheld
499.08
3 Social security wages
'34419.03
5 wages and
Medi
Social security wages
'34419.03
[4 Social security tax withheld
2133.98
3
Social security tax withheld
‘Social security wa:
3 2133.98
19.03
© Medicare tax withheld
Medicare wages and tips 35 08
34419.03
5
Medicare wages and t
Medicare tax withheld
3419.03
499.08
a
3
d Controlnumber Dept
376688 _LOS2/RCA 129900
Corp. Employer use only
T 8687
Control number Dept. Corp. a
76688_LOS2/RCA 129900
Employer use only
T 8687
376688
Control number Dept
LOS2/RCA [129900
Corp. _ Employer use only
8687
T
© Employer's name, address, and ZIP code e
AMAZON COM SERVICES LLC
PO BOX 80726
SEATTLE WA 98108
Employer's name, address, and ZIP code fe
AMAZON COM SERVICES LLC
PO BOX 80726
SEATTLE WA 98108
Employer's name, address, and ZIP code
AMAZON COM SERVICES LLC
PO BOX 80726
SEATTLE WA 98108
'b Employer's FED 1D number
'82-0544687
iB
Employer's FED ID number B
}2-0544687
Employee's SSA number
2 EPPO KK-2169.
Employer's FED ID number
82-0544687
‘a Employee's SSA number
(X-XX-2169
7 Social security tips Allocated tips 7
‘Social security tips @ Allocated tips 7
‘Social security tips Allocated tips
7 [10 Dependent care benefits a
[10 Dependent care benefits a
[10 Dependent care benefits
11 Nonqualified plans [12a Seg instructions for box 12
cal
11 Nonqualified plans
liza
c) 1
18.75
Hiaa
‘Nonqualified plans c
1
18.75
14 Other 2D)
fie
a
[19 Stat om
688.02
[Ret gan ire party sick pay
14 Other
2 Dy 14
fre
fea
[13 Stat mp
688.02
at. pan Sr pary sick pay
Other 2 Dy
Hae
Tad
HS Stat ome}
688.02
JRet pan
x
Para party sick pa
‘eff Employee's name, address and ZIP code
WANDA D CRAWFORD
201 IVANHILL
TOLEDO OH 43615
‘eff Employee's name, address and ZIP code
WANDA D CRAWFORD
201 IVANHILL
TOLEDO OH 43615
‘ef Employ
WANDA D CRAWFORD
201 IVANHILL
TOLEDO OH 43615
name, address and ZIP code
Employer's state ID no,
6 State wages, tips, ete.
[54-0854783
15 State]
OH 33731.01
15 State Employer's state ID no]
[6 State wages, tips, otc. 5
OH 54-0854783 33731.01
OH __54-0854783
‘State [Employer's state ID no]ié State wages, tips, ete.
33731.01
17 State income tax [8 Local wages, tips, ete.
34419.03
77 State income tax
1 Local wages, tips, ete. 7
797.93 34419.03
‘State income tax
797.93
{8 Local wages, tips, etc.
3419.03
[20 Lees
"ROSSFORD
79 Local income tax
[20 Local 3
774.43 {OSSFORD
Local income tax
774.43
[20 Local
\OSSFORD
797.93
Copy
774.43
W-2 ee" 2024
Federal Filing
copy 8 tobe ed wih employee's _Federalincome TaxRetum
W-2
Copy 210 be ted wth employee's
OHState Filing Copy
Wage and Tax 2024.
Statement
ta Income Tax_Retur
co
W-2
City or Local — Filing
Wage and Tax
Statement
Py 210 be lad with employee's Cy of Local_income Pas
Copy
2024
Instructions for Employee
Box 1. Enter tis amount on the wages line of your tax retum.
Box 2. Enter this amount on the federal income tax wine ine of your
tax return,
Box 5. You may be require to report this amount on Form 8959. See
the Form 1040 instructions to determine if you are required to complete
Form 8959.
Box 6. This amount includes the 1.45% Medicare tax withheld on ll
Medicare wages and tips shown in box 5, as wel asthe 0.9% Additional
Medicare Tx on any of those Medicare wages and tips above $200,000.
Box 8. This amount is not included inbox 1,3, 5, o 7. For information
‘on how to report tps on your tax return, se the Form 1040 instructions.
You must fle Form 4137 with your income tax return to report at least
the allocated tip amount uniess you can prove with adequate records that
you received a smaller amount. f you have records that show the actual
‘amount of tips you received, report that amount even it itis more or less
than the allocated tps. Use Form 4137 to figure the social security and
Medicare tax owed on tips you didn't report to your employer. Enter this
‘amount on the wages line of your tax return. By fling Form 4137, your
social security tips wil be credited to your socal secuty record (used to
figure your benefits)
Box 10. This amount includes the total dependent care benefits that
your employer pad to you or incurred on your behalf (cluding amounts
from a section 125 (cafeteria) par) Any amaunt over your employer's
plan limits also included in box 1. See Form 2441,
Box 11. This amounts (a) reported in box 1 if tis a distribution made
toyou rom a nonqualified deferred compensation or nongovernmental
section 457(b) plan, o (included inbox 3 andlor box 5 if tis. a pror
year deferral under a nonquaifed or section 457(b plan that became
Code G are limited to $23,000. Deterrals under code H are limited to $7,000.
However, i you were at least age $0 in 2024, your employer may have
allowed an additonal deferral of up to $7,500 ($3,500 for section 401(k)
(11) and 408(p) SIMPLE plans) This additional deferral amount is nat subject
to the overalimit on elective deferrals. For code G, the limit on elective
deferrals may be higher forthe last 3 years before you reach retirement age.
Contact your plan administrator for mare information. Amounts in excess of
the overall elective deferral imit must be included in income. See the Form
1040 instructions.
Note: if a year foliows code D through H, SY, AA BB, or EE, you made a
‘make-up pension contribution fora prior years) when you were in military
service. To figure whether you made excess deferrals, consider these
‘amounts forthe year shown, not the current year. no year is shown, the
contributions are forthe current year
‘A—LUncollected social security or RATA taxon tps. Include ths tax on Form
1040 or 1040-SR. See the Form 1040 instructions.
[B—Uncollected Medicare tax on tps. Include this tax on Form 1040 or 1040:
SSR. See the Form 1040 instructions.
(C—Taxable cost of group-term life insurance over $50,000 (included in
boxes 1, 3 (up tothe social security wage base), and 5)
(D—Blective deferrals to a section 401 (k) cash or deferred arrangement. Also
Includes deferrals under a SIMPLE reticement account that is part of a section
401(4) arrangement.
E—Elective deterals under a section 403(b) salary reduction agreement
F—Elective deferrals under a section 408\ky(6) salary reduction SEP
G—Electve deferrals and employer contributions (including nonelectve
deferrals) toa section 457(b) deferred compensation plan
H—Blective deferrals to a section 501 (c\18)(0) tax-exempt organization
plan, See the Form 1040 instructions for how to deduct.
.J— Nontaxable cick pay (Information only. not included in box 1, 3 or 5)
‘S—Employee salary reduction contributions under a section 408(p) SIMPLE
plan
‘T—Adoption benefits (not included in box 1). Complete Form 8839 to figure
‘any taxable and nontaxable amounts.
\V—Income rom exercise of nonstatutory stock options) (included in boxes
1, 3 (up tothe social security wage base), and 5). See Pub, 25 for reporting
requirements.
'W—Employer contributions (including amounts the employee elected
to contribute using a section 125 (cafeteria) plan) to your health savings
‘account. Report on Form 8889.
‘Y—Delerras under a section 409A nonqualified deferred compensation plan
Z—Income under a nonqualfied deterred compensation plan that falls to
satisty section 409A. This amount is also included in box 1. tis subject to an
‘additional 20% tax plus interest, See the Form 1040 instruction.
‘AA—Designated Roth contributions under a section 401(k) plan
BB—Designated Roth contributions under a section 403(b) plan
DD—Cost of employer-sponsored health coverage. The amount
reported with code DD is not taxable.
EE-— Designated Roth contributions under a governmental section 457(0)
plan. This amount does not apply to contributions under a tax-exempt
‘organization section 457(b) plan.
FF—Permitted benefits under a qualified small employer health
reimbursement arrangement
GG—Income trom qualified equity grants under section 83 HH— Aggregate deferrals under section 83 elections a ofthe close ofthe
calendar year
—Medicaid waiver payments excluded from gross income under Notice
2014-7.
Box 13. i the "Retirement plan’ box is checked, special limits may apply to