Kelly B. Roach
Single, 1 Allowance $415/week
Deduction for 401(k) plan 50/week
Annual Taxes Withheld
1,337.96 Social Security tax withheld
313.04 Medicare tax withheld
662.48 State Income tax withheld
928.20 Local Income tax withheld
Ralph Volpe
Married, 1 Allowance 485/week
Dependent Care payment $950, 401(k) plan 70/week
Annual Taxes Withheld
1563.64 Social Security tax withheld
365.56 Medicare tax withheld
774.28 State Income tax withheld
1084.72 Local Income tax withheld
Randi Myer
Single, 0 allowances, 365/week
Union Dues withheld $102
Annual Taxes Withheld
1176.76 Social Security tax withheld
275.08 Medicare tax withheld
582.92 State Income tax withheld
816.40 Local Income tax withheld
Kenneth Ford
Married, 7 Allowances, 1350/week
Cost of group term life insurance exeeding $50,000: $262.75
No Income tax withheld on insurance cost, but FICA taxes are withheld
401(k) plan 100/week
Chrissy Carmen
Married, 2 Allowances, 320/week
Advanced EIC payments 16/week
Union dues withheld 102
Annual Taxes Withheld
1031.68 Social Security tax withheld
241.28 Medicare tax withheld
510.64 State Income tax withheld
715.52 Local Income tax withheld
Hal Zuber
Single, 1 Allowance, 390/week
Educational assistance payments(job required) $675
401(k) plan 50/week
Annual Taxes Withheld
1257.36 Social Security tax withheld
294.32 Medicare tax withheld
622.44 State Income tax withheld
872.04 Local Income tax withheld
Employee
Form W-2 Information Roach, Kelly Volpe, Ralph Myer, Randi Ford, Kenneth Carmen, Chrissy Zuber, Hal
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security taxes withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Advance EIC payment
10. Dependent care benefits
11. Nonqualified plans
12a - 12c: See reference guide
13. Indicate correct boxes
14. Other
16. State wages, tips, etc.
17. State income tax
18. Local wages, tips, etc.
19. Local income tax
Form W-3 Information Provide amounts for the following fields:
1. Wages, tips, and other compensation $
2. Federal income tax withheld $
3. Social security wages $
4. Social security wages withheld $
5. Medicare wages and tips $
6. Medicare tax withheld $
7. Social security tips $
8. Allocated tips $
9. Advance EIC payments $
10. Dependent care benefits $
11. Nonqualified plans $
12. Deferred compensation $
16. State wages, tips, etc $
17. State income tax $
18. Local wages, tips, etc. $
19. Local income tax $