Bold Page Profile
Work History
Job overview
- And Religious Workers
- Corrections
- If your name, SSN, or address is incorrect,
correct Copies B, C, and 2 and ask your employer to
correct your employment record
- Be sure to ask the
employer to file Form W-2c, Corrected Wage and Tax
- Statement, with the Social Security Administration (SSA)
to correct any name, SSN, or money amount error
reported to the SSA on Form W-2
- Be sure to get your
copies of Form W-2c from your employer for all
corrections made so you may file them with your tax
return
- If your name and SSN are correct but are not the
same as shown on your social security card, you should
ask for a new card that displays your correct name at any
- SSA office or by calling 1-800-772-1213
- You also may
visit the SSA at www.socialsecurity.gov
- Cost of employer-sponsored health coverage (if such
cost is provided by the employer)
- The reporting in box using code DD, of the cost of employer-sponsored
health coverage is for your information only
- The amount
reported with code DD is not taxable
- Credit for excess taxes
- If you had more than one
employer in 2015 and more than $7,347 in social security
and/or Tier 1 railroad retirement (RRTA) taxes were
withheld, you may be able to claim a credit for the excess
against your federal income tax
- If you had more than one
railroad employer and more than $4,321.80 in Tier 2
- RRTA tax was withheld, you also may be able to claim a
credit
- See your Form 1040 or Form 1040A instructions
and Pub
- 505, Tax Withholding and Estimated Tax
- (Also see Instructions for Employee on the back of Copy C.)
- Instructions for Employee (Also see Notice to Employee,
on the back of Copy B.)
- Box 1
- Enter this amount on the wages line of your tax return
- Box 2
- Enter this amount on the federal income tax withheld line of your tax
return
- Box 5
- You may be required to report this amount on Form 8959, Additional
- Medicare Tax
- 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 all
- Medicare wages and tips shown in Box 5, as well as the 0.9% Additional
- Medicare Tax on any of those Medicare wages and tips above $200,000
- Box 8
- This amount is not included in boxes 1, 3, 5, or 7
- For information on
how to report tips on your tax return, see your Form 1040 instructions
- You must file Form 4137, Social Security and Medicare Tax on Unreported
- Tip Income, with your income tax return to report at least the allocated tip
amount unless you can prove that you received a smaller amount
- If you have
records that show the actual amount of tips you received, report that amount
even if it is more or less than the allocated tips
- On Form 4137 you will
calculate the social security and Medicare tax owed on the allocated tips
shown on your Form(s) W-2 that you must report as income and on other tips
you did not report to your employer
- By filing Form 4137, your social security
tips will be credited to your social security record (used to figure your
benefits)
- Box 10
- This amount includes the total dependent care benefits that your
employer paid to you or incurred on your behalf (including amounts from a
section 125 (cafeteria) plan)
- Any amount over $5,000 is also included in box Complete Form 2441, Child and Dependent Care Expenses, to compute
any taxable and nontaxable amounts
- Box 11
- This amount is (a) reported in box 1 if it is a distribution made to you
from a nonqualified deferred compensation or nongovernmental sectionb) plan or (b) included in box 3 and/or 5 if it is a prior year deferral under
a nonqualified or section 457(b) plan that became taxable for social security
and Medicare taxes this year because there is no longer a substantial risk of
forfeiture of your right to the deferred amount
- This box should not be used if
you had a deferral and a distribution in the same calendar year
- If you made a
deferral and received a distribution in the same calendar year, and you are or
will be age 62 by the end of the calendar year, your employer should file
- Form SSA-131, Employer Report of Special Wage Payments, with the Social
- Security Administration and give you a copy
- Box 12
- The following list explains the codes shown in box 12
- You may
need this information to complete your tax return
- Elective deferrals (codes
- D, E, F, and S) and designated Roth contributions (codes AA, BB, and EE)
under all plans are generally limited to a total of $18,000 ($12,500 if you only
have SIMPLE plans; $21,000 for section 403(b) plans if you qualify for theyear rule explained in Pub
- 571)
- Deferrals under code G are limited to
$18,000
- Deferrals under code H are limited to $7,000
- However, if you were at least age 50 in 2015, your employer may have
allowed an additional deferral of up to $6,000 ($3,000 for section 401(k)(11)
and 408(p) SIMPLE plans)
- This additional deferral amount is not subject to
the overall limit on elective deferrals
- For code G, the limit on elective
deferrals may be higher for the last 3 years before you reach retirement age
- Contact your plan administrator for more information
- Amounts in excess of
the overall elective deferral limit must be included in income
- See the
“Wages, Salaries, Tips, etc.” line instructions for Form 1040
- Note
- If a year follows code D through H, S, Y, AA, BB, or EE, you made a
make-up pension contribution for a prior year(s) when you were in military
service
- To figure whether you made excess deferrals, consider these
amounts for the year shown, not the current year
- If no year is shown, the
contributions are for the current year
- A—Uncollected social security or RRTA tax on tips
- Include this tax on Form See “Other Taxes” in the Form 1040 instructions
- B—Uncollected Medicare tax on tips
- Include this tax on Form 1040
- See
“Other Taxes” in the Form 1040 instructions
- C—Taxable cost of group-term life insurance over $50,000 (included in boxes 3 (up to social security wage base), and 5)
- D—Elective deferrals to a section 401(k) cash or deferred arrangement
- Also
includes deferrals under a SIMPLE retirement account that is part of a
section 401(k) arrangement
- E—Elective deferrals under a section 403(b) salary reduction agreement
(continued on back of Copy 2)
- Instructions for Employee (continued from back of
- Copy C)
- F—Elective deferrals under a section 408(k)(6) salary reduction SEP
- G—Elective deferrals and employer contributions (including nonelective
deferrals) to a section 457(b) deferred compensation plan
- H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization
plan
- See “Adjusted Gross Income” in the Form 1040 instructions for
how to deduct
- J—Nontaxable sick pay (information only, not included in boxes 1, 3, or
- K—20% excise tax on excess golden parachute payments
- See “Other
- Taxes” in the Form 1040 instructions
- L—Substantiated employee business expense reimbursements
(nontaxable)
- M—Uncollected social security or RRTA tax on taxable cost of group-
term life insurance over $50,000 (former employees only)
- See “Other
- Taxes” in the Form 1040 instructions
- N—Uncollected Medicare tax on taxable cost of group-term life
insurance over $50,000 (former employees only)
- See “Other Taxes” in
the Form 1040 instructions
- P—Excludable moving expense reimbursements paid directly to
employee (not included in boxes 1, 3, or 5)
- Q—Nontaxable combat pay
- See the instructions for Form 1040 or Form for details on reporting this amount
- R—Employer contributions to your Archer MSA
- Report on Form 8853
- Archer MSAs and Long-Term Care Insurance Contracts
- S—Employee salary reduction contributions under a section 408(p)
- SIMPLE plan (not included in box 1)
- T—Adoption benefits (not included in box 1)
- Complete Form 8839
- Qualified Adoption Expenses, to compute any taxable and nontaxable
amounts
- V—Income from exercise of nonstatutory stock option(s) (included in
boxes 1, 3 (up to social security wage base), and 5)
- See Pub
- 525 and
instructions for Schedule D (Form 1040) 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, Health Savings Accounts (HSAs)
- Y—Deferrals under a section 409A nonqualified deferred compensation
plan
- Z—Income under a nonqualified deferred compensation plan that fails
to satisfy section 409A
- This amount is also included in box 1
- It is
subject to an additional 20% tax plus interest
- See “Other Taxes” in the
- Form 1040 instructions
- 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 sectionb) plan
- This amount does not apply to contributions under a tax-
exempt organization section 457(b) plan
- Box 13
- If the “Retirement plan” box is checked, special limits may
apply to the amount of traditional IRA contributions you may deduct
- See Pub
- 590, Individual Retirement Arrangements (IRAs)
- Box 14
- Employers may use this box to report information such as state
disability insurance taxes withheld, union dues, uniform payments,
health insurance premiums deducted, nontaxable income, educational
assistance payments, or a member of the clergy's parsonage allowance
and utilities
- Railroad employers use this box to report railroad
retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax and
- Additional Medicare Tax
- Include tips reported by the employee to the
employer in railroad retirement (RRTA) compensation
- Note
- Keep Copy C of Form W-2 for at least 3 years after the due date
for filing your income tax return
- However, to help protect your social
security benefits, keep Copy C until you begin receiving social security
benefits, just in case there is a question about your work record and/or
earnings in a particular year
- A Employee’s social security number
- OMB No
- 1545, This information is being furnished to the
- 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
- B Employer identification number (EIN)
c Employer’s name, address, and ZIP code
d Control number
e Employee’s first name and initial Last name Suff
- F Employee’s address and ZIP codeWages, tips, other compensation 2 Federal income tax withheldSocial security wages 4 Social security tax withheldMedicare wages and tips 6 Medicare tax withheldSocial security tips 8 Allocated tips, DD
a Employee’s social security number
- OMB No
- 1545, This information is being furnished to the
- 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
- B Employer identification number (EIN)
c Employer’s name, address, and ZIP code
d Control number
e Employee’s first name and initial Last name Suff
- F Employee’s address and ZIP codeWages, tips, other compensation 2 Federal income tax withheldSocial security wages 4 Social security tax withheldMedicare wages and tips 6 Medicare tax withheldSocial security tips 8 Allocated tips
Job overview
- MURRAY, a Employee’s social security number
- OMB No
- 1545-0008
b Employer identification number (EIN)
c Employer’s name, address, and ZIP code
d Control number
e Employee’s first name and initial Last name Suff
- F Employee’s address and ZIP codeWages, tips, other compensation 2 Federal income tax withheldSocial security wages 4 Social security tax withheldMedicare wages and tips 6 Medicare tax withheldSocial security tips 8 Allocated tips
Accomplishments
- 10 Dependent care benefitsNonqualified plans 12a See instructions for box 12
- C
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- C
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- C
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- C
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eStatutory
employee
- Retirement
plan
- Third-party
sick payOtherState 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 2015
- Department of the Treasury—Internal Revenue Service
- Safe, accurate
- FAST! Use
- Copy C—For EMPLOYEE’S RECORDS (See Notice to
- Employee on the back of, 9 10 Dependent care benefitsNonqualified plans 12a
- C
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- C
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- C
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- C
o
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eStatutory
employee
- Retirement
plan
- Third-party
sick payOtherState 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 2015
- Department of the Treasury—Internal Revenue Service
- Copy 2—To Be Filed With Employee’s State, City, or Local
- Income Tax Return49
- Clarksville IN, 9 10 Dependent care benefitsNonqualified plans 12a See instructions for box 12
- C
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- C
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- C
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- C
o
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eStatutory
employee
- Retirement
plan
- Third-party
sick payOtherState 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 2015
- Department of the Treasury—Internal Revenue Service
- Safe, accurate
- FAST! Use
- Copy C—For EMPLOYEE’S RECORDS (See Notice to
- Employee on the back of Copy B.)
- Clarksville IN, 9 10 Dependent care benefitsNonqualified plans 12a
- C
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- C
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- C
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- C
o
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eStatutory
employee
- Retirement
plan
- Third-party
sick payOtherState 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 2015
- Department of the Treasury—Internal Revenue Service
- Copy 2—To Be Filed With Employee’s State, City, or Local
- Income Tax Return
- Clarksville IN
Additional Information
- DD
a Employee’s social security number
OMB No. 1545-0008
b Employer identification number (EIN)
c Employer’s name, address, and ZIP code
d Control number
e Employee’s first name and initial Last name Suff.
f Employee’s address and ZIP code
1 Wages, tips, other compensation 2 Federal income tax withheld
3 Social security wages 4 Social security tax withheld
5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips
Timeline
GUARD, FIELDS
GUARD DRIVE
01.2000 - 01.2000
Internal Revenue Service
01.2008
