b"W-2 PRE-PRINTED FORMSCombined 4-Up Lasera Copy BTo Be Filed With Employee's 1 241-0852411 a Copy 2To Be Filed With Employee's State, 1 241-0852411 APEX L4UP Form c W-2 Wage and Tax Statement 2024 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld APEX L87FEDERAL Tax Return. OMB No. 1545-0008 City, or Local Income Tax Return. Federal income tax withheld Employers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheldEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employee's soc. sec. no. Wages, tips, other comp. OMB No. 1545-0008bEmployer ID number (EIN) 5 3Social security wages 6 4Social security tax withheld bEmployer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld TFP 5205 10 9 5Medicare wages and tipsC ed o 6Medicare tax withheld TFP 5206Medicare wages and tips Medicare tax withheld Medicare wages and tips Medicare tax withheld 11 plans 12a See instructions for box 12 cEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP codeSuff.13emtaptulotoy S eye r RetirementThird-party 14Other C e d o 12bplansickpayb Employer number (EIN)C e e d d o o 12caEmployees social security no.C 12d dControl number dControl numbereEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff.15StateEmployers state ID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameCopy B To Be Filed With Employees FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRSOMB No.1545-008Visit the IRS Web Site atwww.irs.gov/eleThis information is being furnished to the Internal Revenue Service. negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.10 7Social security tips 11 8Allocated tipsplans 12a 9 CodeSee inst. for box 12 10 7Social security tips 11 8Allocated tipsplans 12a 9 Code Form c W-2 Wage and Tax Statement 2024 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheldEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheld13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode 9 5Medicare wages and tips 6Medicare tax withheld Retirement plan 12cCode Retirement plan 12cCode 10pay 11 plansCC e e d d o o 12a See instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP codeSuff.13emtaptulotyoreye S Retirement Third-party 14Other 12bplansickb Employer number (EIN)C ed o 12c1 158 State Employer's state ID number 19 16State wages, tips, etc. 7State income tax 158 1State Employer's state ID number 19 16State wages, tips, etc. 7State income tax aEmployees social security no.C e d o 12d Local wages, tips, etc. Local income tax 20 1Locality name Local wages, tips, etc. Local income tax 20 1Locality name15StateEmployers state ID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameForm W-2 Wage and Tax Statement 2024 Dept. of the Treasury IRS Form W-2 Wage and Tax Statement 2024 Dept. of the Treasury IRSThis information is being furnished to the Internal Revenue Service. www.irs.gov/ele Copy C For EMPLOYEE'S RECORDS (See Notice to Employee on back of Copy B.)OMB No.1545-008 Dept. of the Treasury - IRSa Notice to Employee on the back of Copy B.)(See 1 2Federal income tax withheld City, or Local Income Tax Return. Federal income tax withheld Employers name, address, and ZIP code 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheldCopy CFor EMPLOYEE'S RECORDS 41-0852411 a Copy 2To Be Filed With Employee's State, 1 241-0852411 Form c W-2 Wage and Tax Statement 2024 8Allocated tips 3Social security wages 4Social security tax withheldEmployee's soc. sec. no. Wages, tips, other comp. OMB No. 1545-0008 Employee's soc. sec. no. Wages, tips, other comp. OMB No. 1545-00083Social security wages 4Social security tax withheld 9 5Medicare wages and tips 6Medicare tax withheldbEmployer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld bEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld 10 11 plansC ed o 12aMedicare wages and tips Medicare tax withheldcEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP codeSuff.13emtaptulotoy S eye r Retirement Third-party 14OtherC e d o 12bplansick payb Employer number (EIN)C ed o 12caEmployees social security no.C e d o 12d dControl number dControl number15StateEmployers state ID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameeEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff. Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return OMB No.1545-008 Dept. of the Treasury - IRS7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 c Form W-2 Wage and Tax Statement 2024 8Allocated tips 3Social security wages 4Social security tax withheld10 11plans 12aCodeSee inst. for box 12 10 11plans 12aCode Employers name, address, and ZIP code13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode 9 5Medicare wages and tips 6Medicare tax withheldRetirement plan 12cCode Retirement plan 12cCode 10 Retirement Third-party 11 plansCC e e d d o o 12aThird-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP codeSuff.13e Smtaptulotoyerye plansick pay 14Other 12b1 158 State Employer's state ID number 19 16State wages, tips, etc. 7State income tax 1 158 State Employer's state ID number 19 16State wages, tips, etc. 7State income tax OMB No. APEX L4UPR15StateEmployers state ID no. 16State wages, tips, etc. c bEmployer number (EIN) Statement22222CC e e d d o o 12c 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld APEX L87RaEmployees social security no. 12d Local wages, tips, etc. Local income tax 20 1Locality name Local wages, tips, etc. Local income tax 20 1Locality name FormW-2 Wage and TaxVoid Employee's soc. sec. no. Wages, tips, other comp. 2024OMB No. Employee's soc. sec. no. 22222 2024 2024 18Local wages, tips, etc.Form W-2 Wage and Tax Statement 2024 a EmployersState,Local,or File 1 Copy2222220242 1545-0008 EmployersState,Local,or File 1 Copy2 1545-0008 Employers name, address, and ZIP code 19Local income tax8Allocated tips20Locality name 3Social security wages 4Social security tax withheld17State income taxDept. of the Treasury IRS b Form W-2 Wage and Tax Statement 3 5 4 6 Federal income tax withheldDept. of the Treasury IRSa b 5205 3 5 Wages, tips, other comp. 4 6 Federal income tax withheld TFP 5405Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return L87 OMB No.1545-008 5206 10 9Dept.oftheTreasury-IRS pay5Medicare wages and tipsCC e e d d o o 6 Medicare tax withheld TFP 5406penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. L4UP Social security wages Social security tax withheld Social security wages Social security tax withheldEmployer ID number (EIN) Medicare wages and tips Medicare tax withheld Employer ID number (EIN) Medicare wages and tips Medicare tax withheld 11 plans 12aSe e instructions for box 12 cEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP code Suff.13 e Smtaptluotoyerye P R l e atnirement Third-party 14Other 12b SickbC ed o 12caEmployees social security no.C e d o 12d dControl number dControl number15State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameeEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff.COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork ReductionActNotice,seeseparateinstructions. OMB No. 1545-008 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 2024 FormW-2 Wage and Tax Statement22222Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 cEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheld13Statutory employe 14Other 12bCode 13Statutory employe 14Other 12bCode 9 5Medicare wages and tips 6 Medicare tax withheldRetirement plan 12cCode Retirement plan 12cCode 10R Pleatnirement Sick pay 11 plansCC e e d d o o 12aSee instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP code Suff.13 S emtaptulotyoerye Third-party 14Other 12bState Employer's state ID number 19Local income tax , tips ,etc .20 1Locality name 7 185 1 State Employer's state ID number 19Local income tax ,etc. 20 1Locality name 7 bCC e e d d o o 12c185 1Local wages, tips, etc. 16State wagesState income tax Local wages, tips, etc. 16State wage s ,tipsState income tax aEmployees social security no. 12d15State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameFor Privacy Act and Paperwork Reduction Dept. of the Treasury IRS Form W-2 Wage and Tax Statement Dept. of the Treasury IRSFor Privacy Act and Paperwork ReductionActNotice,seeseparateinstructions. OMB No. 1545-008 Form W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction Dept. of the Treasury - IRSAct Notice, see separate instructions. Act Notice, see separate instructions. COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYOMB No. Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withhelda EmployersState,Local,or File 1 Copy22222 2 2024OMB No. a EmployersState,Local,or File 1 Copy22222 2 2024 1545-0008 c 2024 FormW-2 Wage and Tax Statement22222 8Allocated tips 3Social security wages 4Social security tax withheld1545-0008 Employers name, address, and ZIP codeEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld3Social security wages 4Social security tax withheld 3Social security wages 4Social security tax withheld 9 5Medicare wages and tips 6 Medicare tax withheldbEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld bEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld 10RThird-party11 plansCC e e d d o o 12aSee instructions for box 12 cEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP code Suff.13 e Smtaptulotoyerye Pelatnirement Sick pay 14Other 12bbC e e d d o 12caEmployees social security no.Co 12d dControl number dControl number15State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameeEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff.COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork Reduction ActNotice,seeseparateinstructions. OMB No. 1545-008 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 2024 FormW-2 Wage and Tax Statement22222Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 cEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheld13Statutory employe 14Other 12bCode 13Statutory employe 14Other 12bCode 9 5Medicare wages and tips 6 Medicare tax withheldRetirement plan 12cCode Retirement plan 12cCode 10 11 plansC ed o 12aSee instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP code Suff.13 e Smtaptluotyoerye PRelatnirement Third-party 14OtherC e d o 12b Sick pay16State wage s ,tips, etc. 20 1Locality name 7 bCC e e d d o o 12cLocal wages, tips, etc. Local income tax State income tax Local wages, tips, etc. aEmployees social security no. 12d 1851State Employer's state ID number19 16State wages, tips ,etc. 20 1Locality name 7 158 1State Employer's state ID number 19Local income tax State income tax 15State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameForm W-2 Wage and Tax Statement Form W-2 Wage and Tax StatementFor Privacy Act and Paperwork Reduction Dept. of the Treasury IRS For Privacy Act and Paperwork Reduction L4UPR Dept. of the Treasury IR540S5 COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork Reduction ActNotice,seseparateinstructions.L87R 5406 OMB No. 1545-0Dept. of the Treasury - IRS08Act Notice, see separate instructions. Act Notice, see separate instructions.Required Envelope: Required Envelope:APEX: DW4S or DW4SS APEX: DW387 or DW387STFP: 99991 or 99992 TFP: 44441 or 44442A full PDF image library is available at complyrightdealer.comAPEX - Sheets per packTFP - Forms per pack50s500s100s500sFORM DESCRIPTIONL4UP L4UP500 5205 5205B W-2 4-Up Box Employees Copies B, C, 2 & 2 Combined1 Page Equals 1 FormL4UPR L4UPR500 5405 5405B W-2 4-Up Box Employers Copies 1/D, 1/D, 1/D, 1/D1 Page Equals 1 FormN/A L4UP24500 N/A N/AAvailable On 24# Paper Stock1 Page Equals 1 FormL87 L87500 5206 5206B W-2 4-Up Horizontal Employees Copies B, C, 2 & 2 Combined1 Page Equals 1 FormL87R L87R500 5406 5406B W-2 4-Up Horizontal Employers Copies 1/D, 1/D, 1/D, 1/D Combined1 Page Equals 1 FormN/A L8724500 N/A N/AAvailable On 24# Paper Stock1 Page Equals 1 Form30"