In addition to wage and withholding information, employee/employer names, addresses, and identification numbers are required a Employee’s social security number Safe, accurate, IRS Visit the IRS website OMB No. 1545-0008 FAST! Use e-file at www.irs.gov/efile . b Employer identification number(EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Name Name 5 Medicare wages and tips 6 Medicare tax withheld Street City 7 Social security tips 8 Allocated tips State ZIP Code Foreign Country d Control number 9 10 Dependent care benefits e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12 a code See instructions for box 12 First M.I. 13 Statutory employee Retirement plan Third-party sick pay 12 b code Last Suff. 12 c code f Employee’s address and ZIP code 14 Other 12 d code Description Amount Street City State ZIP Code Foreign Country 15 State Employer’s state I.D. no. 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 Department of the Treasury - Internal Revenue Service Copy B - To Be Filed With Employee’s FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. 2013 ----------------Page (0) Break----------------