b'W-2 PRE-PRINTED & BLANK FORMS W-2 PRE-PRINTED & BLANK FORMSPressure Seal W-2 Forms Pressure Seal W-2 Forms1A OMB No. 1545-0008 1Wages, tips, other compensation Department of the TreasuryInternal 2 Revenue ServiceOMB No. 1545-0008 1Wages, tips, other compensation Department of the TreasuryInternal 2 S2001 85102743 APEX PS285Department of the TreasuryInternal d 5 1 3 Revenue Service 6 4 2Federal income tax withheld dControl number 5 1 3 Wages, tips, other compensation 6 4 2Federal income tax withheld 851020607 APEX PS1287 Form W-2Wage and Tax 2023 7 OMB No. 1545-0008 3 1 Social security wages Department of the Treasury 2 4 8063104/109567 InternalRevenue Service APEX PS1286 1A APEX LW287PS5224/PS1287Control number Wages, tips, other compensationRevenue Service Social security wages Social security tax withheld Social security wages Social security tax withheld Wages, tips, other compensation Federal income tax withheld3 5 Social security wages 6 4 Federal income tax withheld 3 5 Social security wages 6 4 Federal income tax withheld TFP 5220 OMB NO. 1545-0008 c Medicare wages and tips Medicare tax withheld OMB NO. 1545-0008 c Medicare wages and tips Medicare tax withheld TFP 5224 c Copy BTo Statement 8 9 Social security tips 10 5Medicare wages and tips 11 6 Social security tax withheld TFP 5228A Social security tax withheld Social security tax withheld Employers name, address and ZIP code This information is being Be is Filed Allocated tips Medicare tax withheldfurnishedRevenue Service. 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To or Be Local Filed Income With Employees Tax Return. 3 Department of the TreasuryInternal 4 2 Revenue Service Copy2City, - To or Be Local Filed Income With Employees Tax Return.a 1 3 Department of the TreasuryInternal 4 2 Revenue Service cEmployers name, address and ZIP code c Medicare wages and tips Medicare tax withheld c Form Tax Wage and Tax 7 8 Social security tips 3 5 Social security wages 6 4withheld FormW-2 Wage and Tax Statement 2023 OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheldState, State, OMB No. 1545-0008OMB No. 1545-0008 1Wages, tips, other compensation Federal income tax withheld OMB No. 1545-0008 Wages, tips, other compensation Federal income tax withheld Employers name, address and ZIP code Copy 2 W-2 Statement 2023 Medicare wages and tips Social security tax withheld 7 Social security tipsInternal Revenue to is theThis information Be Filed With Employees State, City, or Localbeing furnished Income To Return.being furnished required file are taxthe Internal return, a IftonegligenceThis information Social security wages Social security tax withheld Service. you Social security wages Social security tax withheld Employers name, address, and ZIP code Allocated tips Medicare tax withheld c Employers name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheldRevenue Service.tois 5Medicare wages and tips 6Medicare tax withheld penalty or mayyou ifandthis5Medicare wages and tips 6Medicare tax withheld 7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 9 10Dependent care benefits 11Nonqualified plans 9 5 Medicare wages and tips 6 Medicare tax withheldsanction onother beincome istaxableimposedcEmployers name, address, and ZIP code you fail to report it. c C o d b 10Dependent care benefits C d e o 11Nonqualifieda plans C C 12a e d o e d o C d o e b 10Dependent care benefits C e o d 11Nonqualifieda plans C C 12a d o e e o d eEmployees name, address, and ZIP code 1 C e d o C o e d b 2a Employer identification number (EIN) 1 13 C d o e 2b a em RetirementThird-party 12c C o d e Other e Employees name, address, and ZIP code 10 Dependent care benefits 11 Nonqualified plans C C o e d e o d 12aEmployers name, address, and ZIP code12b 12c 12d 12b 12c 12d 12d Staptutory plan sick pay 14 b Employer identification number (EIN) 14 Other 12be Employer identification number (EIN) Employees social security number Employer identification number (EIN) Employees social security number Employees social security number7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 13Sme taptulotoyeryepleantirementR Third-party 14Other 13 em Rlaetnirement p Third-party 14Other a Employees social security number C e d o 12csick pay Staptulotoyreye sick payd e b 10Dependent care benefits d e 11Nonqualified plans a C d e d o e 12aSee instructions for box 12 d e b 10Dependent care benefits e d 11Nonqualified plans a C e o e d d 12aSee instructions for box 12 eEmployees name, address and ZIP code eEmployees name, address and ZIP code 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 1 19 Department 2 20Locality name 15 State Employers state ID number 16 State wages, tips, etc. 13Sme taptulotoreyey p Rleantirement Third-party 18 Local wages, tips, etc. 19C d o e 12d 20 Locality namesick payC o 12b C o 12c C o 12d C o 12b C o 12c C o 12d Revenue Service 17 State income tax Local income taxEmployer identification number (EIN) Employees social security number Employer identification number (EIN) Employees social security number Local income of the tax TreasuryInternalwithheldWages, tips, other compensation Federal income tax13Sme taptulotoyeryepleantirementR Third-party14Other 13 em Rlaetnirement p Third-party14Other 15StateEmployers state ID No. 16State wages, tips, etc. 15StateEmployers state ID No. 16State wages, tips, etc. Copy 2 W-2Wage and Tax 2023 7 OMB No. 1545-0008 3Social security wages 4Social security tax withheld Copy2To Be Filed with Employees State, City, or Local Income Tax Return Dept. of the Treasury - 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OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheldBe Filed With Employees State, City, or Local negligence penaltyor other sanction be imposed Revenue on you Service. if thisincomeIf is taxable and2023 17State income tax 18Local wages, tips, etc. 2023 17State income tax 18Local wages, tips, etc. Income Tax Return. 9 Allocated tips 10Dependent care benefits 11Nonqualified plans FormW-2 Wage and Tax Statement 2023 7 Social security tips 3 Social security wages 4 Social security tax withheldEmployers name, address, and ZIP codeeEmployees name, address, and ZIP code eEmployees name, address, and ZIP code W-2Wage and Tax W-2Wage and Tax c Employers name, address, and ZIP code 8 Allocated tipsForm Statement Form StatementCopy2-ToIncome Be State,TaxFiledReturn.City, With or 19Local income tax 20Locality name Service Copy2-ToIncome Be State,TaxFiledReturn.City, With or 19Local income tax 20Locality name Service eEmployees name, address, and ZIP code 12a 1 C e d o C d e o 12b C o d e a e Sm taptutory RetirementThird-party 1 12c C e d o 4Other e Employees name, address, and ZIP code 9 10 Dependent care benefits 5 Medicare wages and tips C C d o e e d o 6 Medicare tax withheldEmployees EmployeesLocal LocalDepartment of the TreasuryInternalRevenueDepartment of the TreasuryInternalRevenue6 2 5 2 / S P 8 2 1 8 2d 13 plan sick pay 11Nonqualified plans 12a See instructions for box 128510021792 2019 RR Donnelley - 0667Form 15StateEmployers state ID number 16State wages, tips, etc. Form 15StateEmployers state ID number 16State wages, tips, etc. bEmployer identification number (EIN) Employees social security number b Employer identification number (EIN) 14Other 12bW-2 17State income tax 18Local wages, tips, etc. W-2 17State income tax 18Local wages, tips, etc. FROM: a Employees social security number R C C o e d o e 12cWage and Tax 19Local income tax 20Locality name Wage and Tax 19Local income tax 20Locality name APEX15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality name 13 em pleatnirement Third-party d 12dStatement Statement Staptulotoyreye sick pay2023 2023 PS283 FROM: 15 State Employers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality nameEmployees (See C - For to EMPLOYEESCopy B - ToFEDERALBe Filed With Tax Return. CopyNotice Employee on the RECORDS back of Copy B.)Copy CForEMPLOYEES RECORDS (See Notice to Employee on the back of Copy B.) Dept. of the Treasury - IRS5223/PS283 TFP 5223 Important Tax Document Enclosed First-Class Mail FormW-2 Wage and Tax Statement 2023 OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheldSEE REVERSE INSTRUCTIONS SIDE FOR OPENING7 Social security tipsc Employers name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheldSEE REVERSE INSTRUCTIONS SIDE FOR OPENING851020608 APEX PS1289 Important Tax Document Enclosed 806314/1095979 First-Class Mail APEX PS1288 1A 9 10 Dependent care benefits 5 Medicare wages and tips C C o d e e o d 6 Medicare tax withheld APEX LW287PSB11Nonqualified plans 12a See instructions for box 12e Employees name, address, and ZIP code b Employer identification number (EIN) 14Other 12bTFP 5225 TFP 5227 15 State Employers state ID number 16 State wages, tips, etc. a Employees social security number e p 18 Local wages, tips, etc. 19C C d e o d e o 12c 20 Locality name13Sm taptulotoyerye Rleatnirement Third-party 12dsick pay17 State income tax Local income taxCopy BToBe Filed With Employees FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRS5225/PS1289Front Blank Front Blank S14EZ073with W2 Instructionswith W2 Instructions W 2 - COPY CW 2 - COPY Bon back side. on back side. O OG GFront Blank Front Blankwith W2 Instructionswith W2 Instructions This panel This panelcontains W2 Backer contains W2 Backeron back side. on back side.Information InformationFront Blank Front Blankwith W2 Instructionswith W2 Instructions VFold on back side. on back side. 88 2 PS1 7/ 2 2 5 8710039512 2021 RR Donnelley. All rights reserved. - 0221FROM:FROM:Important Tax Document Enclosed First-Class MailSEE REVERSE INSTRUCTIONS SIDE FOR OPENINGSEE REVERSE INSTRUCTIONS SIDE FOR OPENINGImportant Tax Document Enclosed First-Class MailEccentric ZFold EccentricEccentric ZFold ZFoldBlank face with backer instructions Blank face with backer instructionsAPEX - Sheets per packTFP - Forms per pack APEX - Sheets per packTFP- Forms per pack500s500sFORM DESCRIPTION 500s500sFORM DESCRIPTIONPS285522011" W-2 4-Up Box Employees Copy B, C, 2 And 2 or Extra CopyV-Fold Duplex1 Page Equals 1 Form PS1288522714" Blank W-2 Employees 4-Up HorizontalBlank with Backer Instructions B,C,2, 2EZ-Fold Simplex1 Page Equals 1 FormPS283522311" W-2 4-Up Box With Printed Backer Copy BV-Fold Duplex1 Page Equals 1 Form PS1286522814" W-2 Employees 4-Up HorizontalCopy B, C, 2, 2EZ-Fold Simplex1 Page Equals 1 FormPS1287522414" W-2 4-Up Box Employees Copy B, C, 2 Or Extra CopyEZ-Fold Simplex1 Page Equals 1 Form LW287PSN/A14" W-2 Employees 4-Up HorizontalCopy B, C, 2, 2EZ-Fold Simplex1 Page Equals 1 FormPS1289522514" W-2 4-Up Box With Printed Backer Copy B and CEZ-Fold Simplex1 Page Equals 1 Form LW287PSBN/A14" Blank W-2 Employees 4-Up Horizontal With Backer InstructionsEZ-Fold Simplex1 Page Equals 1 Form26 27'