Ryan Archer

Less Dependent Care

1 1 - 01.2000

Less Sec 125 -, .00
Less Excess Wages - 0.00
Taxable Wages (Reported on Form W2)99
Box 1 of W-299
Box 3 of W-299
Box 5 of W-2 Employee W-4 profile to change your Employee W-4 profile information, file a new W-4 with the payroll department
FIT: T 0 SIT Res: FLSIT S 0 SIT Work: FLSIT S 0
Notice to Employee
Do you have to file
Refer to the Form 1040 instructions to determine if you are required to file a tax return
Even if you don’t have to file a tax return, you may be eligible for a refund if box 2 shows an amount or if you are eligible for any credit
Earned income credit (EIC)
You may be able to take the EIC for 2022 if your adjusted gross income (AGI) is less than a certain amount
The amount of the credit is based on income and family size
Workers without children could qualify for a smaller credit
You and any qualifying children must have valid social security numbers (SSNs)
You can't take the EIC if your investment income is more than the specified amount for 2022 or if income is earned for services provided while you were an inmate at a penal institution
For 2022 income limits and more information, visit www.irs.gov/EITC
See also Pub
596, Earned
Income Credit
Any EIC that is more than your tax liability is refunded to you, but only if you file a tax return
Employee’s social security number (SSN)
For your protection, this form may show only the last four digits of your
SSN
However, your employer has reported your complete SSN to the IRS and the Social Security Administration (SSA)
Clergy and religious workers
If you aren't subject to social security and Medicare taxes, see Pub
517, Social Security and
Other Information for Members of the Clergy 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 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 aren't 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 800-772-1213
You may also visit the SSA website at www.SSA.gov
Cost of employer-sponsored health coverage (if such cost is provided by the employer)
The reporting in box 12, 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 2022 and more than $9,114 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
See the Forminstructions
If you had more than one railroad employer and more than $5,350.80 in Tier 2 RRTA tax was withheld, you may be able to claim a refund on Form 843
See the Instructions for Form 843
Instructions for Employee
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 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 the9% Additional Medicare Tax on any of those Medicare wages and tips above $200,000
Box 8
This amount is not included in box 1, 3, 5, or 7
For information on how to report tips on your tax return, see the
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 with adequate records 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
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 filing Form 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 your employer’s plan limit is also included in box 1
See Form 2441
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 section 457(b) plan, or (b) included in box 3 and/or box 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 shouldn't 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.13/23, 2:23 PM Print Preview about:blank 4/4
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 $20,500 ($14,000 if you only have
SIMPLE plans; $23,500 for section 403(b) plans if you qualify for the 15-year rule explained in Pub
571)
Deferrals under code G are limited to $20,500
Deferrals under code H are limited to $7,000
However, if you were at least age 50 in 2022, your employer may have allowed an additional deferral of up to $6,500 ($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 Form 1040 instructions
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 1040 or 1040-SR
See the Form 1040 instructions
B—Uncollected Medicare tax on tips
Include this tax on Formor 1040-SR
See the Form 1040 instructions
C—Taxable cost of group-term life insurance over $50,000 (included in boxes 1, 3 (up to the 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
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 the Form 1040 instructions for how to deduct
J—Nontaxable sick pay (information only, not included in box 1, or 5)
K—20% excise tax on excess golden parachute payments
See the Form 1040 instructions
L—Substantiated employee business expense reimbursements (nontaxable)
M—Uncollected social security or RRTA tax on taxable cost of groupterm life insurance over $50,000 (former employees only)
See the Form 1040 instructions
N—Uncollected Medicare tax on taxable cost of group-term life insurance over $50,000 (former employees only)
See the Forminstructions
P—Excludable moving expense reimbursements paid directly to a member of the U.S
Armed Forces (not included in box 1, 3, or 5)
Q—Nontaxable combat pay
See the Form 1040 instructions 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 figure any taxable and nontaxable amounts
V—Income from exercise of nonstatutory stock option(s) (included in boxes 1, 3 (up to the social security wage base), and 5)
See Pub
525
Taxable and Nontaxable Income, 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 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 section 457(b) plan
This amount does not apply to contributions under a taxexempt organization section 457(b) plan
FF—Permitted benefits under a qualified small employer health reimbursement arrangement
GG—Income from qualified equity grants under section 83(i)
HH—Aggregate deferrals under section 83(i) elections as of the close of the calendar year
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-A, Contributions to 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.

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