b'W-2 PRE-PRINTED & BLANK FORMS W-2 PRE-PRINTED FORMSTFP Packaged Laser Sets Apex Packaged Laser SetsTFP W-2 PACKAGED LASER SET aEmployees social security number For Ofcial Use Only APEX LW2A TFP 5201 TFP 5202 TFP 5203 TFP 5204 TFP 5200 b 22222 VOID OMB No. 1545-00082 Federal income tax withheld1 Wages, tips, other compensationcEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheldb 22222 VOID aEmployees social security number For Ofcial Use Only b aEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website atOMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If youOMB No. 1545-0008b 33333 a Control number 943 944 DO NOT STAPLE None apply501c non-govt. Third-party5 Medicare wages and tips 6 Medicare tax withheld APEX DWCLaEmployees social security number aEmployees social security number OMB No. 1545-0008OMB No. 1545-0008FAST! Use www.irs.gov/ele b 22222 VOID 1 Wages, tips, other compensation Federal income tax withheld For Ofcial Use Only:b may be imposed on you if this income is taxable and you fail to report it. 3 Social security wages 4941 Military Medicare(Check one) non-501c applicable) cEmployers name, address, and ZIP code 1 Wages, tips, other compensation 2 Federal income tax withheld 1 Wages, tips, other compensation 2 Federal income tax withheld 1 Wages, tips, other compensation 2 Federal income tax withheld Kind of Payer2 Social security tax withheld govt. emp. Kind of EmployerState/localState/local 501cFederal govt. sick pay7 Social security tips 8 Allocated tipsdControl number 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld C dddoe e e 13 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld C C C dddoe e e e 13 3 Social security wages cEmployers name, address, and ZIP code C C C ddddooooe e e e 16State wages, tips, etc. Suff.11e g (Check one) C C C C ddddooooe e e e 6 Allocated tips Hshld.119 1 Wages, tips, other compensation 102 Federal income tax withheld (Check ifdControl number Last name Suff. 13 9Statutoryb Third-party10C C C C ddddooooe e e e aEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website atAPEX LW2B 4 Social security tax withheld 5 Medicare wages and tips Medicare tax withheldCT-1 emp.5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8d Establishment numberc Total number of Forms W-27 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips 7 Social security tips Control number 8 Allocated tips 9 fEmployers name 103 Social security wages 4 Social security tax withheld e 1112aSee instructions for box 12 FAST! Use www.irs.gov/ele 9dControl number 109 dControl number 109 dEmployees name, address, and ZIP code 12aSee instructions for box 12 5 Medicare wages and tips 6 Medicare tax withheld 1 Wages, tips, other compensation 2 Federal income tax withhelde 10 eEmployees name, address, and ZIP code employee plan sick pay Retirementsick pay 12be Last name Suff.11StatutoryRetirement Third-party12aSee instructions for box 12 C oSuff.11StatutoryeEmployees name, address, and ZIP code12aSee instructions for box 12 C oSuff.11StatutoryRetirement Third-party12aSee instructions for box 12 C 13StatutoryRetirement Third-party 12b 7 Social security tips 8 Allocated tips employee cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheldplan13 employee plan sick pay 12b employee Retirement Third-party 12b employee plan sick pay 12b 14Other 12c 14Other 12c 5 Medicare wages and tips 6 Medicare tax withheldplan sick pay14Other 12c C C ooe 14Other 12c doo14Other 15State 12c 17State income tax 18Local wages, tips, etc. 12d 20Locality name 13 For third-party sick pay use only 12a Deferred compensation 12d 7 Social security tips 8 Allocated tips12d d12d Employers state ID number h Employers address and ZIP code 12b12dOther EIN used this year19Local income taxfEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 2016State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 15 State Employers state ID number 14 Income tax withheld by payer of third-party sick pay fEmployees address and ZIP code 16State wages, tips, etc.17State income tax dControl number 19Local income tax 20Locality name 9 10 15StateEmployers state ID number 15StateEmployers state ID number Locality name 15StateEmployers state ID number 16State wages, tips, etc. Form 1Forr State, orLocalTaxDepartment OMB No. 1545-0008complete. For Privacy Act and Paperwork ReductionEmployers telephone number Date: 15StateEmployers state ID number 18Local wages, tips, etc. Suff.11StatutoryRetirementThird-party12a C C C dddoooe e e See instructions for box 12 OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If youAPEX LW2CLW22 Copy W-2 Wage and Tax Statement 2023 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax eEmployees name, address, and ZIP codeDepartment of the TreasuryInternal Revenue Service Act Notice, see separate instructions.Department of the TreasuryInternal Revenue ServiceDepartment of the TreasuryInternal Revenue Service Employer.City, Employers contact personForm W-2 Wage and Tax Statement 2023 Form W-2 Wage and Tax Statement 2023 Form W-2 Wage and Tax Statement 2023 CopyDFo Employers fax number Employers email address 13 employee plan sick pay 12b aEmployees social security number may be imposed on you if this income is taxable and you fail to report it.For Privacy Act and Paperwork ReductionDepartment of the TreasuryInternal Revenue Service41-0852411Act Notice, see the separate instructions.Employee on the back of Copy B.)Safe, accurate, Copy AFor Social Security Administration. Send this entire page with not acceptable. Copy BTo Be Filed With Employees FEDERAL Tax Return.Copy CFor EMPLOYEES RECORDS (See Notice toFAST!Use VOID aEmployees social security number Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, andForm Wage and Tax Statement Department of the TreasuryInternal Revenue Service14Other b 1 Wages, tips, other compensation 2 Federal income tax withheldForm W-3 to the Social Security Administration; photocopies areFor Ofcial Use Only This information is being furnished to the Internal Revenue Service. OMB No. 1545-0008 Employees State, City or Local Incomeor Cop Taxy 2tReturno be Filed With OMB No. 1545-0008 c b 22222 VOID aEmployees social security number 1 Wages, tips, other compensation 2 Federal income tax withheld Title: Department of the TreasuryW-2 2023 For Privacy Act and Paperwork ReductioncEmployers name, address, and ZIP code12c C doe 3 Social security wages 4 Social security tax withheldDo Not Cut, Fold, or Staple Forms on This Page Signature: Copy AFor Social Security Administration. Send this entire page with Act Notice, see the separate instructions. 22222 VOID aEmployees social security number OMB No. 1545-0008aEmployees social security number Safe, accurate,Visit the IRS website atbEmployers name, address, and ZIP code 3Form W-3 Transmittal of Wage and Tax Statements 2023 Internal Revenue Service Form W-3 to the Social Security Administration; photocopies are not acceptable. 41-0852411 12d 5 Medicare wages and tips 6 Medicare tax withheldaEmployees social security number 22222 OMB No. 1545-0008 Social security wages 4Federal income tax withheld Do Not Cut, Fold, or Staple Forms on This Pagewww.irs.gov/eleThis information is being furnished to the Internal Revenue Service. If youSend this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).may be imposed on you if this income is taxable and you fail to report it. 5 Medicare wages and tips 2 Social security tax withheldb 1 Wages, tips, other compensation 2 Federal income tax withheld FAST! Useb 2 Federal income tax withheld 1 Wages, tips, other compensation 2 Federal income tax withheld 1 Wages, tips, other compensation 6 Medicare tax withheldb 1 Wages, tips, other compensation cEmployers name, address, and ZIP code Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.3 Social security wages 4 Social security tax withheldcEmployers name, address, and ZIP code 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld 3 Social security wages 4 Social security tax withheld 7Reminder 8Medicare tax withheld 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tips 8 Allocated tips5 Social security tips 6 Allocated tipsdControl number 13 7 Social security tips Third-partyC C C ddooe e e 8 Allocated tips 13 7 Social security tips Third-partyC C C dddoooe e e 8 Allocated tips 13 7 Social security tips dControl number C C C dddoooe e e 6 Medicare tax withheld 16State wages, tips, etc. Suff. 13 9 7Medicare wages and tips sick pay 10C C C ddddoooe e e e C C C C ddddooooe e e e See the 2023 General Instructions for FormsWhen To File Paper Forms b 22222 VOID aEmployees social security number For Ofcial Use Only Form 2 Federal income tax withheld dControl number Suff. 13 9 Statutoryb 22222Third-party10C C C dddoooe e e aEmployees social security number OMB No. 1545-00082 Federal income tax withheldSeparate instructions. W-2 e Last name Suff. 5 Medicare wages and tips 6 Medicare tax withheld Suff. 5 Medicare wages and tips 6 Medicare tax withheld Suff. 5 Medicare wages and tips Employees name, address, and ZIP code 11Social security tips Third-partyC o8 Allocated tips TFP: 66661 or 66662cEmployers name, address, and ZIP code OMB No. 1545-0008W-2 Wage and Tax Statement 2023 eEmployees name, address, and ZIP code 11employee Retirementsick payVOID 12aSee instructions for box 12 APEX LW2D1 e dControl number8 Allocated tips Suff. 9 StatutoryW-3 for Form(s) W-2 that were submitted electronically to the SSA. 1 Wages, tips, other compensationPurpose of Form12aSee instructions for box 12eEmployees name, address, and ZIP code 11employee Retirementsick pay 10See instructions for box 12 Department of the TreasuryInternal Revenue Service9dControl number 109 dControl number 109 1014Other plan Third-party12bacceptable. Use a Form W-3 even if only one3 Social security wages 4 Social security tax withheldemployee Photocopies are12a11eEmployees name, address, and ZIP code12aSee instructions for box 12 11eEmployees name, address, and ZIP code12aSee instructions for box 12 1112aSee instructions for box 12 13Statutorypaper forms must notcomply with IRS standards and be machine readable.12bStatutoryRetirementsick pay 12b oStatutoryRetirementsick pay 12b StatutoryRetirement Third-party 12b 14Other Retirement12c 20Locality name Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2024. Suggested envelopesCopy BTo Be Filed With Employees FEDERAL Tax Return.14Other plan 12c 1 Wages, tips, other compensationplan 12b12dnumber (EIN). Make a copy of this form and keep it with Copy D (For 12cemployee plan employee plan employee plan sick pay Employer) of Form(s) W-2 for your records. The IRS recommendsThis information is being furnished to the Internal Revenue Service.14Other 12c dde 14Other 12c de 14Other 15StateEmployers state ID number de Tax 16State wages, tips, etc. 17State income tax retaining copies of these forms for 4 years. .using toWhere To File Paper FormsdControl number Last name Suff. 5 Medicare wages and tips C doe 6 Medicare tax withheld OMB No. 1545-0008 Safe, accurate,Visit the IRS website at17State income tax cEmployers name, address, and ZIP code12d C doe 20Locality name 3 Social security wages 4 Social security tax withheld12c 18Local wages, tips, etc.1912dE-Filing Local income taxfEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d C o2016State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d C o20Locality name 17State income tax 15State W-2 r C oWage and Tax Statement 17State income tax The SSA strongly suggests employers report Form W-3 and Forms W-2Send this entire page with the entire Copy A page of Form(s) W-2 to: for use with LaserLink or7 Social security tips 8 Allocated tips FAST! Use www.irs.gov/ele 18Local wages, tips, etc.19Local income tax 5 Medicare wages and tips 6 Medicare tax withheldEmployers state ID number Copy A electronically instead of on paper. The SSA provides two free 19Local income tax 20Locality nameForm 1For 12d or or LocalTaxDepartment 18Local wages, tips, etc.Department of the TreasuryInternal Revenue Service the SSAsNote:Social Security Administration 9b 10aEmployees social security number 15State 16State wages, tips, etc. 7 Social security tips 8 Allocated tips W-2 Online. 15StateEmployers state ID number 15StateEmployers state ID number Locality name 15StateEmployers state ID number 16State wages, tips, etc. 18Local wages, tips, etc.Copy DFo 19Local income tax 20Locality name 2023 50 Forms W-2 at a time to the SSA. Direct Operations CenterForm Wage and Tax Statement Form 19Local income tax Form 19Local income tax Notice toCopy 1Fo State, Wage and Tax Statement 2023File Upload.For Privacy Act and Paperwork Reductionwww.SSA.gov/bso. First- Wilkes-Barre, PA 18769-0001 TaxRight 20.23 software.e 11StatutoryRetirementThird-party12aSee instructions for box 12 C doe Employers state ID number2 Federal income tax withheld dControl number 9 10 Employer.City, LW2D1Act Notice, see separate instructions.Form W-2 Local Department Specications for Filing Forms W-2 Electronically (EFW2) 18769-0002. If you use an IRS-approved private delivery service, add 1 Wages, tips, other compensation41-0852411 Department of the TreasuryInternal Revenue ServiceDepartment of the TreasuryInternal Revenue Service Copy DForr State, aEmployees social security number OMB No. 1545-0008For Privacy Act and Paperwork Reduction 5204 Log In. ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change fEmployees address and ZIP code 13 employee c sick pay 12b C C ddooe e 3 Social security wages 4 Social security tax withheld eEmployees name, address, and ZIP code Suff.11Statutory33333 Third-party12aSee instructions for box 12 C C ddooe e DO NOT STAPLEDepartment of the TreasuryInternal Revenue Service Act Notice, see separate instructions.Copy Employer.City, January 31, 2024. For more information, go tothe ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax Register Guide, for a list of IRS-approved private delivery services.W-2 2023 W-2 Wage and Tax Statement 2023 W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service 1 Wages, tips, other compensation For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Envelopes ordered 14Other plan Employers name, address, and ZIP code Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service APEX LW3 For Privacy Act and Paperwork ReductionSafe, accurate, Form W-3 to the Social Security Administration; photocopies areLW2AAct Notice, see the separate instructions. 5201 Employee on the back of Copy B.) Copy AFor Social Security Administration. Send this entire page with not acceptable. This information is being furnished to the Internal Revenue Service. Copy CFor EMPLOYEES RECORDS (See5202 LW2C/LW22 FAST!Use VOID 5203 2 Federal income tax withheld LW3 41-0852411 5200 12c 5 Medicare wages and tips 6 Medicare tax withheld Safe, accurate, Copy BTo Be Filed With Employees FEDERAL Tax Return.LW2BEmployees State, City or Local Incomeor Cop Taxy 2tReturno be Filed With b 22222 3 Social security wages 4 Social security tax withheld separately. 12d Copy CFor EMPLOYEES RECORDS (See Notice toFAST!Use 13 employee Retirementsick pay For Ofcial Use Only:cEmployers name, address, and ZIP code 7 Social security tips 8 Allocated tips plan a Control number12bEmployee on the back of Copy B.) or Copy 2 to be Filed WithTFP W-2 PACKAGED BLANK LASER SET dControl number Suff. 5 Medicare wages and tips C C C C ddddooooe e e e 6 Medicare tax withheld 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Suff. 13 9 Employees State, City or Local Income Tax Return C C C dddoooe e e OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you14Otherb e Kind of Payer94112c C C ddooe e Military 943 OMB No. 1545-0008 None apply 501c non-govt. Federal govt. Third-party 7 Social security tips 8 Allocated tips dControl number 10944 sick pay 1112a StatutoryRetirementThird-party12b aEmployees social security number may be imposed on you if this income is taxable and you fail to report it. 17State income tax 18Local wages, tips, etc. MedicareKind of Employernon-501c 2 Federal income tax withheld (Check if eEmployees name, address, and ZIP code 9 10See instructions for box 12 eEmployees name, address, and ZIP code 1112aSee instructions for box 12 (Check one) CT-1 12dHshld.govt. emp. (Check one) State/localState/local 501c applicable) emp.TFP 5201 TFP 5207 TFP 5209 TFP 5200 13StatutoryRetirement Third-party 12b Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Serviceemployee b plan sick pay 12c 1 Wages, tips, other compensation c Total number of Forms W-219Local income taxd Establishment number 1 Wages, tips, other compensation 4 Social security tax withheldemployee plan sick pay 12c For Privacy Act and Paperwork Reduction14Other 15StateEmployers state ID number2 Federal income tax withheld16State wages, tips, etc. 20Locality name 3 Social security wages14Othera Control number DO NOT STAPLE 16State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d 20Locality name Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 LW2AAct Notice, see the separate instructions. 5201 cEmployers name, address, and ZIP code12d C doe 3 Social security wages 4 Social security tax withheld fEmployers name 5 Medicare wages and tips 6 Medicare tax withheldForm W-3 to the Social Security Administration; photocopies are b 22222 VOID aEmployees social security number For Ofcial Use Only 2 Federal income tax withheld b 33333 941 Military 943 For Ofcial Use Only: 15StateEmployers state ID number Third-party19Local income tax 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service7 Social security tips 8 Allocated tipsOMB No. 1545-0008CT-1 emp. govt. emp. OMB No. 1545-0008 Form 1Fo None apply501c non-govt. sick payLW2D1For Privacy Act and Paperwork ReductiondControl number 5 Medicare wages and tips City,or 6 Medicare tax withheld For Privacy Act and Paperwork Reduction9 10 cEmployers name, address, and ZIP code 1 Wages, tips, other compensation 4 Social security tax withheld Kind of PayerHshld. Medicare944 Kind of EmployerState/local(Check ifDepartment of the TreasuryInternal Revenue Service7 Social security tipsState, LocalTaxDepartment Act Notice, see separate instructions.3 Social security wages 6 Medicare tax withheld (Check one) d Establishment number (Check one) Copy W-2 Wage and Tax Statement 2023 Act Notice, see separate instructions.5204 TFP W-2 Packaged Blank Laser Sets 9 Copy1Fo Employer. 8 Allocated tips 1112a Deferred compensationCopy DForr non-501c orState/local 501c applicable)CopyDForr 10 State, DepartmentFederal govt.5 Medicare wages and tips c Total number of Forms W-2 1 Wages, tips, other compensation LocalTax2 Federal income tax withheldEmployer.City,dControl number 7 Social security tips Front Blank dddoe e e e Front Blank 113 Social security wages 9 104 Social security tax withheld Form Wage and Tax Statement eEmployees name, address, and ZIP code 5202 Suff.11Statutoryb RetirementThird-party12aSee instructions for box 12 C C C C dddoooe e e OMB No. 1545-0008g Employers address and ZIP code 17 State income tax 13 For third-party sick pay use only 12b8 Allocated tips1112aSee instructions for box 12 7 Social security tips 8 Allocated tips W-2 2023 LW2B plan 15 State Employers state ID numbere Last name Suff. 13 9StatutoryRetirement Third-party10C C ofEmployers name 5 Medicare wages and tips 6 Medicare tax withheld FOR 50 EMPLOYEES Copy BTo Be Filed With Employees FEDERAL Tax Return.Department of the TreasuryInternal Revenue Service 13 employee 22222 sick payVOID 12b aEmployees social security number h Other EIN used this year 2 Federal income tax withheld 14 Income tax withheld by payer of third-party sick payemployee with W-2 Instructionswith W-2 Instructions12a Deferred compensation This information is being furnished to the Internal Revenue Service. 14Other 12c 1 Wages, tips, other compensation 4 Social security tax withheld 18 Local wages, tips, etc. 19 Local income taxplan sick pay 12bfEmployees address and ZIP code 16State wages, tips, etc. 14Other on back side. C C dooe 20Locality name g Employers address and ZIP code 17 State income tax 13 For third-party sick pay use only 12b 57466-Part SET includes: 5201 (50), 5207 (100), 5209 (50), 15StateEmployers state ID number 16State wages, tips, etc.17State income tax cEmployers name, address, and ZIP code12d doe 20Locality name 16 State wages, tips, etc. 6 Medicare tax withheld Employers telephone number12c on back side. 3 Social security wages12d h Other EIN used this yearEmployers contact person15StateEmployers state ID number 17State income tax 18Local wages, tips, etc.19Local income tax 15 State Employers state ID number 14 Income tax withheld by payer of third-party sick pay 5200 W-3 (3) 18Local wages, tips, etc.19Local income tax 5 Medicare wages and tips 8 Allocated tips Employers email address16 State wages, tips, etc. 18 Local wages, tips, etc. 19 Local income tax Employers fax numberEmployers contact person Employers telephone number 7 Social security tipsForm W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue ServiceEmployers fax number Employers email address dControl number 9 Under penalties of perjury, I declare 10that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411Act Notice, see the separate instructions.Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, andFOR 25 EMPLOYEES Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service Suff.11complete. Third-party12aSee instructions for box 12 C C ddooe e Title: 2023 Date: Department of the Treasury For Privacy Act and Paperwork Reduction Form W-3 to the Social Security Administration; photocopies arecomplete. eEmployees name, address, and ZIP code Signature:Do Not Cut, Fold, or Staple Forms on This Page Signature: Title: Date: Department of the TreasuryCopy CFor EMPLOYEES RECORDS (See Notice toSafe, accurate,13 Form W-3 Transmittal of Wage and Tax Statements Internal Revenue ServiceFAST!Useb 22222 VOID aEmployees social security number For Ofcial Use Only 2 Federal income tax withheld Form W-3 Transmittal of Wage and Tax Statements 2023 Internal Revenue Service 5746256-Part SET includes: 5201 (25), 5207 (50), 5209 (25), Employee on the back of Copy B.)LW2C/LW22 5203 StatutoryRetirementsick pay 12b C doeOMB No. 1545-0008Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA). Employees State, City or Local Incomeor Cop Taxy 2tReturno be Filed With employee plan 12cSend this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA.14Other Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. 1 Wages, tips, other compensation Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3. Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Reminder Reminder 12d C doe5 Medicare wages and tips 6 Medicare tax withheld Separate instructions. See the 2023 General Instructions for Forms5200 W-3 (3) 15StateEmployers state ID number 16State wages, tips, etc.17State income tax Separate instructions. See the 2023 General Instructions for Forms dControl number Last name Suff. 13 7 Social security tips Third-partyC C C ddddooooe e e e 8 Allocated tips W-3 for Form(s) W-2 that were submitted electronically to the SSA.toWhen To File Paper Forms (3) Transmittal W-3 forms included with each set Copy1ForState, Wage and Tax Statement W-3 for Form(s) W-2 that were submitted electronically to the SSA. When To File Paper FormsW-2 Purpose of Form W-2 9Front Blank Front Blank Purpose of Form 20Locality name18Local wages, tips, etc.19Local income taxpaper forms must comply with IRS standards and be machine readable. 10Photocopies are not acceptable. Use a Form W-3 even if only one e 11Statutoryplan with W-2 Instructionswith W-2 InstructionsMail Form W-3 with Copy A of Form(s) W-2 by January 31, 2024. TFP W-2 4-Up Packaged Laser Sets Form City,orLocalTaxDepartment 2023 paper forms must comply with IRS standards and be machine readable. Retirementsick pay 12aSee instructions for box 12 number (EIN). Make a copy of this form and keep it with Copy D (ForPhotocopies are not acceptable. Use a Form W-3 even if only one employee 12b Employer) of Form(s) W-2 for your records. The IRS recommendsDepartment of the TreasuryInternal Revenue Service 14Other 12c retaining copies of these forms for 4 years. Where To File Paper Forms W-2 number (EIN). Make a copy of this form and keep it with Copy D (For E-Filing For Privacy Act and Paperwork Reduction 15StateEmployers state ID number 16State wages, tips, etc.17State income tax on back side. C 20Locality name on back side.the SSAsSend this entire page with the entire Copy A page of Form(s) W-2 to: FOR 50 EMPLOYEES CopyDForEmployer. E-Filing LW2D1Act Notice, see separate instructions.5204 Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2024.The SSA strongly suggests employers report Form W-3 and Forms W-2 fEmployees address and ZIP code 18Local wages, tips, etc. 12d Copy A electronically instead of on paper. The SSA provides two freeNote:Social Security Administration Employer) of Form(s) W-2 for your records. The IRS recommendsW-2 Online.Direct Operations Center retaining copies of these forms for 4 years.50 Forms W-2 at a time to the SSA.usingWilkes-Barre, PA 18769-000119Local income taxFile Upload. Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue ServiceSpecications for Filing Forms W-2 Electronically (EFW2). . First- 18769-0002. If you use an IRS-approved private delivery service, addAPEX W-2 Packaged Laser Sets Copy A electronically instead of on paper. The SSA provides two freeWhere To File Paper FormsJanuary 31, 2024. For more information, go to www.SSA.gov/bso ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change The SSA strongly suggests employers report Form W-3 and Forms W-2Send this entire page with the entire Copy A page of Form(s) W-2 to:Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 LW2A For Privacy Act and Paperwork ReductionLW2NB 5207 Register Log In. the ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax5844 4-Part SET includes: 5201 (50), 5204 (50), 5205 (50), 5200 (3) 50 Forms W-2 at a time to the SSA.the SSAs toNote:Social Security AdministrationGuide, for a list of IRS-approved private delivery services.Form W-3 to the Social Security Administration; photocopies areFor Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.W-2 Online. usingDirect Operations Center Act Notice, see the separate instructions. 5201 LW3 41-0852411 5200File Upload.Wilkes-Barre, PA 18769-00015846 6-Part SET includes: 5201 (50), 5204 (100), 5205 (50), 5200 (3) STANDARD SETS 50 Sheets (100 Employees) Specications for Filing Forms W-2 Electronically (EFW2). 18769-0002. If you use an IRS-approved private delivery service, addATTN: W-2 Process, 1150 E. Mountain Dr. to the address and changeJanuary 31, 2024. For more information, go to www.SSA.gov/bso. First- the ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax Register Log In. Guide, for a list of IRS-approved private delivery services.(3) Transmittal W-3 forms are included with each set 5848 8-Part SET includes:5201 (50), 5204 (150), 5205 (150), 5200 (3) 952144-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA) For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.LW3 41-0852411 5200TFP W-2 Packaged Laser Sets for Electronic Filing 952166-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA)TFP W-2 Packaged Laser Sets FOR 50 EMPLOYEES 952188-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)FOR 50 EMPLOYEES 5205E 4-Part SET includes: 5205 (50), Envelopes 99992 (50)STANDARD SETS w/ Envelopes 50 Sheets (100 Employees)56454-Part SET includes: 5201 (50), 5202 (50), 5203 (50), 5207E50PRE-PACKAGED CONVENIENCE SET includes: 5207 (100),95214E4-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA) 5204 (50), 5200 W-3 (3) Envelopes 66662 (50) + DWCL (100)5645E4-Part SET includes: 5201 (50), 5202 (50), 5203 (50), 5221EPRE-PACKAGED CONVENIENCE SET includes: 5221 (50),95216E6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA) 5204 (50), 5200 W-3 (3), 6666-2 Envelopes (50) Envelopes 99992 (50) + DWCL (100)56485-Part SET includes: 5202 (50), 5203 (100), 5204 (100) 95218E8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)APEX W-2 Packaged Laser Sets (continued)56506-Part SET includes: 5201 (50), 5202 (50), 5203 (25), + DWCL (100)5204 (50), 5200 W-3 (3)5648E 5-Part SET includes: 5202 (50), 5203 (100), 5204 (100), MINI SETS w/ Self-Seal Envelopes 25 Sheets (50 Employees)5650E6-Part SET includes: 5201 (50), 5202 (50), 5203 (50), Envelopes 66662 (50) STANDARD SETS w/ Self-Seal Envelopes 50 Sheets (100 Employees) 95211ES4-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA) 5204 (50), 5200 W-3 (3), 6666-2 Envelopes (50) FOR 25 EMPLOYEES 95214ES4-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA)+ DWCLS (50)56558-Part SET includes: 5201 (50), 5202 (50), 5203 (150), 5647E253-Part SET includes: 5202 (25), 5203 (25), 5204 (25), + DWCLS (100) 95212ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) 5204 (150), 5200 W-3 (3) Envelopes 66662 (25) 95216ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA)+ DWCLS (50)5655E8-Part SET includes: 5201 (50), 5202 (50), 5203 (150), 5205E25 4-Part SET includes: 5205 (25, Envelopes 99992 (25) + DWCLS (100) 95213ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA) 5204 (150), 5200 W-3 (3), 6666-2 Envelopes (50) 95218ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)+ DWCLS (50)+ DWCLS (100) VALUE SETS w/ Self-Seal Envelopes 10 Sheets (20 Employees)FOR 25 EMPLOYEES TFP W-2C Corrected Income Packaged Laser Sets MINI SETS 25 Sheets (50 Employees) 95204ES4-Part SET includes: W-2 Copy A, B, C, D (10 Sheets EA) 5645254-Part SET includes: 5201 (25), 5202 (25), 5203 (25), FOR 50 EMPLOYEES 952114-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA) + DWCLS (20)5204 (25), 5200 W-3 (3) 53174-Part SET includes: 5313 (50), 5314 (50), 5315 (50), 952126-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) 95206ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (10 Sheets EA) 5645E254-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 5316 (50), 5309 (3) 952138-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA) + DWCLS (20)5204 (25), 5200 W-3 (3), 6666-2 Envelopes (25) 53186-Part SET includes: 5313 (50), 5314 (50), 5315 (100), MINI SETS w/ Envelopes 25 Sheets (50 Employees) 95208ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (10 Sheets EA) 5650256-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 5316 (100), 5309 (3) + DWCLS (20)5204 (25), 5200 W-3 (3) FOR 25 EMPLOYEES 95211E4-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA) 5650E256-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 531725 4-Part SET Includes: 5313 (25), 5314 (25), 5315 (25), + DWCL (50) APEX W-2C Corrected Income Set5204 (25), 5200 W-3 (3), 6666-2 Envelopes (25) 5316 (25), 5309 (3) 95212E6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) 5655258-Part SET includes: 5201 (25), 5202 (25), 5203 (75), 531825 6-Part SET Includes: 5313 (25), 5314 (25), 5315 (50), + DWCL (50) STANDARD SET w/ Envelopes 50 Sheets (50 Employees)5204 (75), 5200 W-3 (3) 5316 (50), 5309 (3) 95213E8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA)95219E6-Part SET Includes: LW2CA (50), LW2CB (50), LW2CC (100),5655E258-Part SET includes: 5201 (25), 5202 (25), 5203 (75), + DWCL (50) LW2D1 (100), LW3C (3) + DWW2C (50)5204 (75), 5200 W-3 (3), 6666-2 Envelopes (25)24 25'