In addition to wage and withholding information, employee/employer names, addresses, and identification numbers are required

 a Employee’s social security numberSafe, accurate,IRSVisit the IRS website

OMB No. 1545-0008FAST!  Usee-fileat www.irs.gov/efile.

bEmployer identification number(EIN)1Wages, tips, other compensation2Federal income tax withheld

cEmployer’s name, address, and ZIP code3Social security wages4Social security tax withheld

Name

Name5Medicare wages and tips6Medicare tax withheld

Street

City7Social security tips8Allocated tips

StateZIP Code

Foreign Country

dControl number910Dependent care benefits

eEmployee’s first name and initialLast nameSuff.11Nonqualified plans12acodeSee instructions for box 12

FirstM.I.13Statutory employeeRetirement planThird-party sick pay12bcode

LastSuff.12ccode

fEmployee’s address and ZIP code14Other12dcode

DescriptionAmount

Street

City

StateZIP Code

Foreign Country

15StateEmployer’s state I.D. no.16 State wages, tips, etc.17 State income tax18 Local wages, tips, etc.19 Local income tax20 Locality name

Form W-2 Wage and Tax StatementDepartment 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----------------