b"W-2 PRE-PRINTED FORMS1-Wide ContinuousW-2 COPY A W-2 COPY B W-3aEmployees social security number For Ofcial Use OnlyaEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website at33333 a Control number DO NOT STAPLE22222 VOID OMB No. 1545-0008FAST! Use www.irs.gov/eleFor Ofcial Use Only:OMB No. 1545-0008b 1 Wages, tips, other compensation 2 Federal income tax withheld b 1 Wages, tips, other compensation 2 Federal income tax withheld b 941 Military 943 944 None apply 501c non-govt. Third-party cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Kind of PayerCT-1 Hshld.govt. emp. Kind of EmployerState/localState/local 501cFederal govt. sick pay (Check if (Check one) emp. Medicare(Check one) non-501c applicable) 5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld c Total number of Forms W-2 d Establishment number 1 Wages, tips, other compensation 2 Federal income tax withheld7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips e 3 Social security wages 4 Social security tax withhelddControl number 910dControl number 9 10fEmployers name 5 Medicare wages and tips 6 Medicare tax withhelde Last name Suff.11StatutoryRetirementThird-party12aSee instructions for box 12 C C dooe e eEmployees name, address, and ZIP code Suff.11StatutoryRetirementThird-party12aSee instructions for box 12 C C ddooe e 7 Social security tips 9 8 Allocated tips13 employee plan sick pay 12b d13 employee plan sick pay 12b 10 FORM 9811-4 4PT/X-17 FORM 7933-22PT FORM 7640-3 3PT/X-13A FORM 7640-3 3PT/X-13A14Other 12c C doe 14Other 12c C doe g Employers address and ZIP code 1112a Deferred compensation12d C doe 12d C doe h Other EIN used this year 13 For third-party sick pay use only 12bfEmployees address and ZIP code15StateEmployers state ID number 16State wages, tips, etc.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 pay15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income taxForm W-2 Wage and Tax Statement 2024 Department of the TreasuryInternal Revenue ServiceForm Wage and Tax Statement Department of the TreasuryInternal Revenue Service Employers contact person Employers telephone numberCopy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 For Privacy Act and Paperwork ReductionW-2 2024 Employers fax number Employers email address Act Notice, see the separate instructions. Form W-3 to the Social Security Administration; photocopies areCopy BTo Be Filed With Employees FEDERAL Tax Return. Do Not Cut, Fold, or Staple Forms on This Page This information is being furnished to the Internal Revenue Service. 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, and complete.Signature: Title: Date:22222 VOID aEmployees social security number For Ofcial Use OnlyForm W-3 Transmittal of Wage and Tax Statements 2024 Department of the Treasury OMB No. 1545-0008aEmployees social security number Safe, accurate,Visit the IRS website atSend this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA). Internal Revenue Serviceb 1 Wages, tips, other compensation 2 Federal income tax withheld OMB No. 1545-0008 FAST! Use www.irs.gov/elePhotocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld b 1 Wages, tips, other compensation 2 Federal income tax withheld Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.Reminder5 Medicare wages and tips 6 Medicare tax withheld cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Separate instructions. See the 2024 General Instructions for Forms APEX7 Social security tips TFP 5 Medicare wages and tips 6 Medicare tax withheld W-3 for Form(s) W-2 that were submitted electronically to the SSA.W-28 Allocated tipsPurpose of FormdControl number 9107 Social security tips 8 Allocated tipse Last name Suff.11StatutoryRetirementThird-party12aSee instructions for box 12 C C ddooe e FORM DESCRIPTION dControl number Suff. 9 10C C dooe e paper forms must notcomply with IRS standards and be machine readable.When To File Paper Forms13 employee plan sick pay 12b eEmployees name, address, and ZIP code 1112aSee instructions for box 12 Photocopies are acceptable. Use a Form W-3 even if only one FORM 9811-4 4PT/X-17number (EIN). Make a copy of this form and keep it with Copy D (For Employer) of Form(s) W-2 for your records. The IRS recommends X1714Other 98114C C ddooe e 4-Part W-2 Carbonless Copy A, B, C, 1/D 13StatutoryRetirementThird-party12b C ddoe retaining copies of these forms for 4 years. Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2025.12c employee plan sick pay12d 14Other 12c E-Filing Where To File Paper FormsThe SSA strongly suggests employers report Form W-3 and Forms W-2 12d C oe Copy A electronically instead of on paper. The SSA provides two free Send this entire page with the entire Copy A page of Form(s) W-2 to:fEmployees address and ZIP code15State X1816State wages, tips, etc.17State income tax 9811620Locality name 6-Part W-2 Carbonless Copy A, 1/D, B, C, 2, 1/D 19Local income tax d20Locality name 50 Forms W-2 at a time to the SSA. toNote:Social Security AdministrationEmployers state ID number 18Local wages, tips, etc.19Local income tax W-2 Online.Direct Operations CenterFile Upload. Wilkes-Barre, PA 18769-000115StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc. Specications for Filing Forms W-2 Electronically (EFW2). the SSAsusing18769-0002. If you use an IRS-approved private delivery service, add Form W-2 Wage and Tax Statement 2024 760033-Part Twin Set W-2 Employers Carbonless Copy A, 1/D, 1/D January 31, 2025. For more information, go to www.SSA.gov/bso. First- ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change X1341-0852411 Department of the TreasuryInternal Revenue ServiceForm Wage and Tax Statement 2024 Department of the TreasuryInternal Revenue Service Register Log In. Guide, for a list of IRS-approved private delivery services.For Privacy Act and Paperwork Reductionthe ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax Copy AFor Social Security Administration. Send this entire page with not acceptable.Act Notice, see the separate instructions.For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.Form W-3 to the Social Security Administration; photocopies areW-2 41-0852411X13A764033-Part Twin Set W- 2 Employees Carbonless Copy B, C, 2Copy BTo Be Filed With Employees FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service.W3793322-Part W-3 Transmittal Of Income and Tax Statements(5) W-3 Transmittal forms are included with each Federal Copy A (Red) form order2-Wide ContinuousaEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website at FAST! Use www.irs.gov/ele b 1 Wages, tips, other compensation 2 Federal income tax withheldcEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld5 Medicare wages and tips 6 Medicare tax withheld7 Social security tips 8 Allocated tipsdControl number 9 10 eEmployees name, address, and ZIP code Suff.11Statutory12a C C ddooe e See instructions for box 1213 employee Retirement Third-party 12bFORM 7640-3 3PT/X-13A FORM 7640-3 3PT/X-13Aplan sick pay14Other 12c C doe12d22222 Void a Employee's soc. sec. no 1 Wages, tips, other comp. 2 Feder C doe al income tax withheld 22222 VOID aEmployees social security number For Ofcial Use Only OMB No. 1545-0008 b Employer ID number (EIN) 17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name15StateEmployers state ID number 16State wages, tips, etc.3 Social security wages 4 Social security tax withheld b 1 Wages, tips, other compensation 2 Federal income tax withheldStatutory13 Employee 9 5 Medicare wages and tips 6 Medicare tax withheld cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheldForm W-2 Wage and Tax Statement 2024 Department of the TreasuryInternal Revenue Service 5 Medicare wages and tips 6 Medicare tax withheldRet. plan 3rd-par 11 plans 7 Social security tips 8 Allocated tipssick paytyCopy BTo Be Filed With Employees FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. c OMB No. 1545-0008 Safe, accurate,O C D E 10 Dependent care for box 12 dControl number 7 Social security tips 8 Allocated tips All non-mailers Employers name, address, and ZIP codeb aEmployees social security number FAST! Use O C D E 12a See instructions e Last name Suff. 9StatutoryRetirementThird-party10C C ddooe doe e See instructions for box 12 on this page fit:Visit the IRS website at www.irs.gov/ele1 Wages, tips, other compensation 2 Federal income tax withheldd Control number 3 Social security wages 12b 4 Social security tax withheld 1112acEmployers name, address, and ZIP code 12aSee instructions for box 12e Employees name, address, and ZIP code 5 Medicare wages and tips O C D E 12c6 Medicare tax withheld 13 employee plan sick pay 12b d Suff. 13 12bFORM 9811-4 4PT/X-17 FORM 9811-4 4PT/X-17dControl number Suff. 7 Social security tips sick pay O C D E 12d C C ddooe e 8 Allocated tips fEmployees address and ZIP code 14Other 12c C C C ddoe e ddooe APEX: DWCL or DWCLS9 10 eEmployees name, address, and ZIP code 1114Other See instructions for box 12 12d12a 12d15 State Employers state ID number 16 State wages, tips, etc. Retirement Third-party 12b17 State income tax 18 Local wages, tips, etc. 13Statutoryplan 12c C C ddooe e 20 Locality name 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name TFP: 66661 or 66662employee14Other12d19 Local income tax15StateEmployers 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 ServiceDouble Window Form W-2Wage and Tax 2024 Department of the Treasury - Internal Revenue Service Wage and Tax Statement 2024 For Privacy Act and Paperwork Reduction FormW-2 Statement 2023 Department of the TreasuryInternal Revenue Service Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411Act Notice, see the separate instructions. Copy BTo Be Filed With Employees FEDERAL Tax Return.For PrivAct Notice, see separate instructions. Form W-3 to the Social Security Administration; photocopies areEnvelopeCopy Wage and Tax Statement acy Act and PaperwOMBork Reduction No. 1545-0008CopyD1ForForState,Employer City, or Local tax DepartmentThis information is being furnished to the Internal Revenue Service. Do Not Cut, Fold, or Staple Forms on This Page22222 Void a Employee's soc. sec. no 1 Wages, tips, other comp. 2 Federal income tax withheld 22222 VOID aEmployees social security number For Ofcial Use Only OMB No. 1545-0008 b Employer ID number (EIN) 3 Social security wages 4 Social security tax withheld b 1 Wages, tips, other compensation 2 Federal income tax withheldStatutory13 Employee 9 5 Medicare wages and tips 6 Medicare tax withheld cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheldRet. plan sick payty 11 plans 7 Social security tips 8 Allocated tips 5 Medicare wages and tips 6 Medicare tax withheld3rd-parc Employers name, address, and ZIP code 10 Dependent care7 Social security tips 8 Allocated tipsO D C 12a See instructions for box 12 dControl number 910 d Control number e Suff. O O C C D D E E E 12b e Last name Suff.11Statutoryplan W-2 FORM PARTS DESCRIPTION C C ddooe ddoe1112aSee instructions for box 12 Employees name, address, and ZIP code 12c 13 employee RetirementThird-party12bsick payO C D E 12d 14Other 12c CC de doe14Other 12c12d14Other 12d C doe15 State Employers state ID number 16 State wages, tips, etc. d 17 State income tax 18 Local wages, tips, etc. 19 Local income tax EMPLOYERS COPIES 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name EMPLOYEES COPIESfEmployees address and ZIP code15StateEmployers state ID number20 Locality nameacy Act and Paperwork Reduction W-2 2023 Department of the TreasuryInternal Revenue Service 2024Copy Wage and Tax Treasury - Internal Revenue Service Form Wage and Tax StatementAct Notice, see the separate instructions. FormW-2 Statement Copy A2023 For Social Security Administration 41-0852411 For Privacy Act and Paperwork ReductionCopy BTo be filed with Employees Federal Tax ReturnCopyD1ForForState,Employer City, or Local tax Department DepartmentFor Priv of the Act Notice, see separate instructions. Copy AFor Social Security Administration. Send this entire page with not acceptable.OMB No. 1545-0008 Form W-3 to the Social Security Administration; photocopies are Copy 1For State, City, or Local Tax Department Copy CFor Employees Records Copy DFor Employers Records Copy 2 To be filed with Employees State, City or Local Income Tax Return39"