201912_Wage and Income_JR_104854345759

This Product Contains Sensitive Taxpayer Data
Request Date: 08-01-2023

Response Date: 08-01-2023
Tracking Number: 104854345759
Customer File Number: 0192837465
Wage and Income Transcript
SSN Provided: XXX-XX-1901

Tax Period Requested: December, 2019
Form W-2 Wage and Tax Statement
Employer:
Employer Identification Number (EIN):XXXXX6622
PROS
118 AC
Employee:
Employee's Social Security Number:XXX-XX-1901
THOM K HAR
10414
Submission Type:.............................................Original document

Wages, Tips and Other Compensation:.................................$32,351.00
Federal Income Tax Withheld:.........................................$2,099.00
Social Security Wages:..............................................$32,351.00
Social Security Tax Withheld:........................................$2,005.00
Medicare Wages and Tips:............................................$32,351.00
Medicare Tax Withheld:.................................................$469.00
Social Security Tips:....................................................$0.00
Allocated Tips:..........................................................$0.00
Dependent Care Benefits:.................................................$0.00
Deferred Compensation:...................................................$0.00
Code "Q" Nontaxable Combat Pay:..........................................$0.00
Code "W" Employer Contributions to a Health Savings Account:.............$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation
plan:....................................................................$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation
plan:....................................................................$0.00
Code "R" Employer's Contribution to MSA:.................................$0.00
Code "S" Employer's Contribution to Simple Account:......................$0.00
Code "T" Expenses Incurred for Qualified Adoptions:......................$0.00
Code "V" Income from exercise of non-statutory stock options:............$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:.....$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:.....$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:....................$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b)
Plan:....................................................................$0.00
Code "FF" Permitted benefits under a qualified small employer health
reimbursement arrangement:...............................................$0.00
Code "GG" Income from Qualified Equity Grants Under Section 83(i):.......$0.00
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close
of the Calendar Year:....................................................$0.00
Third Party Sick Pay Indicator:.....................................Unanswered
Retirement Plan Indicator:...............................Yes - retirement plan
Statutory Employee:.....................................Not Statutory Employee
W2 Submission Type:...................................................Original
W2 WHC SSN Validation Code:........................................Correct SSN
Form 1099-G
Payer:
Payer's Federal Identification Number (FIN):XXXXX1734
STAT
600 E.
Recipient:
Recipient's Identification Number:XXX-XX-1901
HAR THOM K
10414
Account Number (Optional):....................................................
RTAA Payments:...........................................................$0.00
Tax Withheld:............................................................$0.00
Taxable Grants:..........................................................$0.00
Unemployment Compensation:...............................................$0.00
Agricultural Subsidies:..................................................$0.00
Prior Year Refund:.....................................................$411.00
Market gain on Commodity Credit Corporation loans repaid:................$0.00
Year of Refund:...........................................................2018
1099G Offset:..............Not Refund, Credit, or Offset for Trade or Business
Second TIN Notice:............................................................
Form 1099-G
Payer:
Payer's Federal Identification Number (FIN):XXXXX1795
VIRG
6606 W
Recipient:
Recipient's Identification Number:XXX-XX-1901
HAR THOM K
PO BOX
Account Number (Optional):....................................................
RTAA Payments:...........................................................$0.00
Tax Withheld:............................................................$0.00
Taxable Grants:..........................................................$0.00
Unemployment Compensation:...............................................$0.00
Agricultural Subsidies:..................................................$0.00
Prior Year Refund:.......................................................$0.00
Market gain on Commodity Credit Corporation loans repaid:................$0.00
Year of Refund:........................................................Not Set
1099G Offset:..............Not Refund, Credit, or Offset for Trade or Business
Second TIN Notice:............................................................
This Product Contains Sensitive Taxpayer Data

201912_Wage and Income_JR_104854345759

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201912_Wage and Income_JR_104854345759

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This Product Contains Sensitive Taxpayer Data

Request Date: 08-01-2023

Wage and Income Transcript

SSN Provided: XXX-XX-1901

Form W-2 Wage and Tax Statement

Submission Type:.............................................Original document

This Product Contains Sensitive Taxpayer Data

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