b"W-2 PRE-PRINTED FORMSAlternate Laser Combined FormatEmployers State, Local, or File Copy22222 2024 1545-0008 Employers State, Local, or File Copy22222 2024 1545-0008 APEX L4UPAR APEX L3UPR a Employee's soc. sec. no. 1 Wages, tips, other comp. OMB No. a Employee's soc. sec. no. 1 Wages, tips, other comp. OMB No.2 Federal income tax withheld 2 Federal income tax withheldb Employer ID number (EIN) 3 Social security wages 4 Social security tax withheld b Employer ID number (EIN) 3 Social security wages 4 Social security tax withheld TFP 5405A5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheldc Employers name, address, and ZIP code c Employers name, address, and ZIP codeSe instructions for box 12 d Control numberd Control number e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.7 Social security tips 8 Allocated tips 9 7 Social security tips 8 Allocated tips 910 11 10 11See instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay See instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay12a 12a2024 12b 14 Other 12b 14 Other12c 12c12d 12d15Local wagesr, tip.s state ID #s, etc. 16 Local income tax 17Locality name 15 State Empl 16 State wages, tips, etc. 17 State income tax18 State Empl 19State wages, tips, etc. 20 State income tax 18 Local wagesr, tip.s state ID #s, etc. 19 Local income tax 20 Locality nameFor Privacy Act and Paperwork Reduction Dept. of the Treasury - IRS For Privacy Act and Paperwork Reduction 2024OMBNo. Employee'ssoc.sec.no. 1Wages, tips, other comp. 2 2024 1545-0008 APEX L4UPA Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement Dept. of the Treasury - IRS OMBNo.Act Notice, see separate instructions. Federal income tax withheld1545-0008APEX L3UPAct Notice, see separate instructions. b aEmployee'ssoc.sec.no. 1 3 Wages, tips, other comp. 2 4 Social security tax withheld b a EmployerIDnumber(EIN) 3Socialsecuritywages Federal income tax withheldEmployers State, Local, or File Copy22222 2024 EmployerIDnumber(EIN) Socialsecuritywages 6 Medicare tax withheld2024 1545-0008 5 Medicare wages and tips 4 Social security tax withheld TFP 5205A5 Medicare wages and tips 6 Medicare tax withheldOMB No. Employers State, Local, or File Copy22222 OMB No.1545-0008TFP 5210 a Employee's soc. sec. no.1 Wages, tips, other comp. 2 Federal income tax withheldc Employers name, address, and ZIP codea Employee's soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheldc Employers name, address, and ZIP code3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheldb Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheld b Employer ID number (EIN) 5 Medicare wages and tips 6 Medicare tax withheldc Employers name, address, and ZIP code dControlnumberc Employers name, address, and ZIP code dControlnumberSe instructions for box 12 e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.2024 d Control numberd Control number e Employees name, address, and ZIP code 7Social tips 8Allocatedtips 9 7SocialSuff.securitytips 8Allocatedtips 9Suff.securitye Employees name, address, and ZIP code10Dependentcare 11 plans 10Dependentcare 11 plansSee instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay 12a 13 Stat. Emp. Ret. plan 3rd-party sick pay12a14Other7 Social security tips 8 Allocated tips 9 12b 7 Social security tips 8 Allocated tips 9 12b 14Other2024 1011 12c 1011 12cSee instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay12d See instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay12d12a 12aSe instructions for box 12 12b 14 Other 15 Local 12b etc. 16 Local income tax 17 Localityname 15 Localwages,tips,etc. 16 Local income tax 17 State income tax12c wages,12ctips, 20 State income tax18 State Employers state ID # 19State wages, tips, etc. 14 Other 18 State Employers state ID # 19State wages, tips, etc. 20Localityname12d FormW-2Wage andTax Statement Dept. of theTreasury - IRS FormW-2Wage andTax Statement Dept. of theTreasury - IRS12d15 16 State wages, tips, etc. 17This information is being furnished to the Internal Revenue Service 1715 State Empl 16 State wages, tips, etc.18 State Empl 19 Local income tax 20 State income tax 18 Local wagesr, tip.s state ID #s, etc. 19 Local income tax 20 State income tax Local wagesr, tip.s state ID #s, etc.Locality nameLocality nameForm W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement 1545-0008Act Notice, see separate instructions. aEmployee'ssoc.Act Notice, see separate instructions. 1 2 L4UPAR Dept. of the Treasury - IRS5405A a Federal income tax withheldFor Privacy Act and Paperwork Reduction Dept. of the Treasury - IRS For Privacy Act and Paperwork Reduction 2024 OMBNo. Employee'ssoc.sec.no. 1Wages, tips, other comp. 2 2024 OMBNo.sec.no. Wages, tips, other comp. Federal income tax withheld1545-00082024 3Socialsecuritywages 4 Social security tax withheld 3Socialsecuritywages 4 Social security tax withheldbEmployerIDnumber(EIN) 5 Medicare wages and tips 6 Medicare tax withheld bEmployerIDnumber(EIN) 5 Medicare wages and tips 6 Medicare tax withheldc Employers name, address, and ZIP code c Employers name, address, and ZIP codedControlnumber dControlnumber2024 e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.7Socialsecuritytips 8Allocatedtips 9 7Socialsecuritytips 8Allocatedtips 910Dependentcare 11 plans 10Dependentcare 11 plansSee instructions for box 12 13 Stat. Emp. Ret. plan 3rd-party sick pay 12a 13 Stat. Emp. Ret. plan 3rd-party sick pay12a12b 14Other 12b 14OtherSe instructions for box 12 12c 12c12d 12d15 Localwages,tips,etc. 16 State wages, tips, etc. 17 Localityname 15 Localwages,tips,etc. 16 Local income tax 17 Localityname18 State Employers state ID # 19 Local income tax 20 State income tax 18 State Employers state ID # 19State wages, tips, etc. 20 State income taxFormW-2Wage andTax Statement Dept. of theTreasury - IRS FormW-2Wage andTax Statement Dept. of theTreasury - IRSpenalty/other sanction may be imposed on you if this income is taxable and you fail to report it. L4UPA 5205A2024Required Envelope:Required Envelope: APEX: DW4S or DW4SD or DW4SSAPEX: DW3 or DW3S TFP: 99991 or 99992TFP: 33331 or 33332 FormW-2Wage and Tax Statement2024 OMB No. 1545-0008 Employer identic ation number (EIN) 1DepaT2reasu APEX L4DNControl number Copy B To Be Filed With Employees FEDERALWages, tips, other comprtment of the. Federy - Interal inc romenal R tax withheldevenue ServiceTax Return Employees so c ial sec urity number 3Soc ial sec urity wages 4 Soc ial sec urity tax withheldEmployers name, address, and ZIP code 7 8 Soc ial sec urity tips 5 9 Medic are wages and tips 1 0 6Medic are tax withheld TFP 5218AlocatedtipsDependent cEmployees name, address, and ZIP code Suff.11plansCode See inst. for box 1 2 1 3 employee 1 2a -12dStatutory14Otherplan Retirement Third-party Losic alit 1 5StateEmployers state ID number 1 6State wages, tips, etc. 1 7 State inc ome tax 1 8Loc al wages, tips, etc. 1 9 Loc al inc ometax 20c ky payname This information is being furnished to the Internal Revenue Service www.irs.gov/eleFormW-2Wage and Tax Statement2024 OMB No. 1545-0008 Employ c ation number (EIN) 1Department of the Treasury - Internal Revenue Service 2Control number Copy CFor EMPLOYEE'S RECORDS. (SeeWages, tips, other comp. Federal inc ome tax withheldNotice to Employee on back of Copy B). Employees so c ial sec urity number 3Soc ial sec urity wages 4Soc ial sec urity tax withheldEmployers name, address, and ZIP code7Soc ial sec urity tips 5Medic are wages and tips 6 Medic are tax withheld8Alocatedtips 9 1 0 Dependent cEmployees name, address, and ZIP code Suff.11plansCode See inst. for box 1 2 1 1 3 employee2a -12dStatutory14Otherplan Retirement Third-partysic k pay1 5StateEmployers state ID number 1 6State wages, tips, etc. 1 7 State inc ome tax 1 8Loc al wages, tips, etc. 1 9 Loc al inc ome tax 20Loc ality name This information is being furnished to the IRS.Ifc e penaltyor other sanc tion maybe imposed on y ou if this inc ome is taxable and y ou fail to report it. FormW-2Wage and Tax Statement2024 OMB No. 1545-0008 Employ c ation number (EIN) 1Department of the Treasury - Internal Revenue Service 2Control number Copy 2 Lo To Be Filedc al Inc ome Tax Return With Employees State,Wages, tips, other comp. 4Federal inc ome tax withheldCity, orSoc ial sec urity tax withheldEmployers name, address, and ZIP code Employees so c ial sec urity number 3Soc ial sec urity wages7Soc ial sec urity tips 5Medic are wages and tips 6Medic are tax withheld8Alocatedtips 9 1 0 Dependent cEmployees name, address, and ZIP code Suff.11plansCode1 12d 1 3 employee2a -StatutoryRetirement14OtherplanThird-partysic k pay1 5StateEmployers state ID number 1 6State wages, tips, etc. 1 7 State inc ome tax 1 8Loc al wages, tips, etc. 1 9 Loc al inc ometax 20Loc ality name FormW-2 WageandTaxStatement 2024 OMB No. 1545-0008 Employ c ation number (EIN) 1Department of the Treasury - Internal Revenue Service 2Control number Copy 2 Lo To Be Filedc al Inc ome Tax Return With Employees State,Employees so c ial sec urity number 3 Wages, tips, other comp. 4 Federal inc ome tax withheldCity, orSoc ial sec urity wages Soc ial sec urity tax withheldEmployers name, address, and ZIP code7Soc ial sec urity tips 5Medic are wages and tips 6 Medic are tax withheld8Alocatedtips 9 1 0 Dependent cEmployees name, address, and ZIP code Suff.11plansCode1 12d 1 3 employee2a -Statutory14Otherplan Retirement Third-partysic k pay1 5StateEmployers state ID number 1 6State wages, tips, etc. 1 7 State inc ome tax 1 8Loc al wages, tips, etc. 1 9 Loc al inc ometax 20Loc ality name L4DN 5218Required Envelope:APEX: DW4DN or DW4DNS or DW4DNDTFP: 51511 or 51512APEX - Sheets per packTFP - Forms per pack50s500s100s500sFORM DESCRIPTIONL3UPL3UP50052105210BW-2 W-Style 3-Up Employees Copies B, C & 2 Combined1 Page Equals 1 FormL3UPRL3UPR500N/AN/AW-2 W-Style 3-Up Employers Copies 1/D, 1/D, 1/D1 Page Equals 1 FormL4UPAL4UPA5005205A5205ABW-2 P-Style 4-Up Employees Copies B, C, 2, 2 Combined1 Page Equals 1 FormL4UPARL4UPAR5005405A5405ABW-2 P-Style 4-Up Employers Copies 1/D, 1/D, 1/D, 1/D1 Page Equals 1 FormL4DNL4DN50052185218BW-2 N-Style 4-Up Employees Copies B, C, 2, 2 Combined1 Page Equals 1 Form32"