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 5205 Form c W-2 Wage and Tax Statement 2025 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld 5206FEDERAL Tax Return. Wages, tips, other comp. Federal income tax withheld City, or Local Income Tax Return. Federal income tax withheld Employers name, address, and ZIP code 8Allocated tips 3Social security wages 4 Social security tax withheldEmployee's soc. sec. no. OMB No. 1545-0029 Employee's soc. sec. no. Wages, tips, other comp. OMB No. 1545-0029Employer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld bEmployer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld 10 9 5Medicare wages and tipsC ed o 6Medicare tax withheldb Medicare 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 ed o 12caEmployees social security no.C e d o 12ddControl 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. 17 State 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.Visit the IRS Web Site atwww.irs.gov/eleOMB No.1545-0029 Dept. of the Treasury - IRSThis 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.7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCodeSee inst. for box 12 10 11plans 12aCode Form c W-2 Wage and Tax Statement 2025 8Allocated tips 3Social security wages 4 Social security tax withheldEmployers 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 pay11 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.13e Smtaptulotoyeye r Retirement Third-party 14Other 12bplansick1 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 b Employer number (EIN)CC e e d d o o 12c158Local wages, tips, etc. Local income tax 20 1Locality name Local wages, tips, etc. Local income tax 20 1Locality name aEmployees social security no. 12d15StateEmployers state ID no. 16State wages, tips, etc. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameThis information is being furnished to the Internal Revenu 2025 Dept. of the Treasury IRS Form W-2 Wage and Tax Statement 2025 Dept. of the Treasury IRSForm W-2 Wage and Tax Statement e Service. www.irs.gov/eleCopy C For EMPLOYEE'S RECORDSOMB No.1545-029 Dept. of the Treasury - IRSa Copy CFor EMPLOYEE'S RECORDS1 241-0852411 a Copy 2To Be Filed With Employee's State, 1 241-0852411 Form c Tax Statement 2025 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheldEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld City, or Local Income Tax Return. Federal income tax withheld W-2 Wage and8Allocated tips 3Social security wages 4 Social security tax withheldOMB No. 1545-0029 Employee's soc. sec. no. Wages, tips, other comp. OMB No. 1545-0029 Employers name, address, and ZIP codeEmployer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld bEmployer ID number (EIN) 3 5 Social security wages 4 6 Social security tax withheld 10 9 5Medicare wages and tipsC ed o 6Medicare tax withheldb Medicare wages and tips Medicare tax withheld Medicare wages and tips Medicare tax withheld 11 plans 12acEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP codeSuff.13emtaptluotoy S eye r Retirement sickTpay14OtherC e d o 12bplan hird-partyb Employer number (EIN)C ed o 12caEmployees social security no.C e d o 12ddControl 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. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality name Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return OMB No.1545-0029 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 Form 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCodeSee inst. for box 12 10 11plans 12aCode c W-2 Wage and Tax Statement 2025 8Allocated tips 3Social security wages 4 Social security tax withheldEmployers 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 S eye r Retirement sickTpay11 plansCC e e d d o o 12aThird-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP codeSuff.13emtaptulotoy plan hird-party 14Other 12b185 1 State Employer's state ID number 19 16State wages, tips, etc. 20 1Locality name 7 a EmployersState, 1851State Employer's state ID number 1 19 16State wages, tips, etc. 2 4 OMB No. 7State income tax b a 5205 State,Local,or File 3 1 5 Copy22222 2 4 6 2025 1545-0029 540515StateEmployers state ID no. 16State wages, tips, etc. c b Employer number (EIN) 1545-029 22222Void9CC e e d d o o 12c Dept.ofthe 20Locality name - 1 Wages, tips, other comp. 2Federal income tax withheld 5406Local wages, tips, etc. Local income tax State income tax Local,or FileCopy22222 2025 1545-0029 Employers Wages, tips, other comp. OMB No. 2025 aEmployees social security no. Statement 12dLocal wages, tips, etc. Local income tax 20 1Locality name 7Social security tipsEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employee's soc. sec. no. Federal income tax withheld FormW-2 Wage and Tax19Local income tax 3Social security wages 4 Social security tax withheld17 State income tax 18Local wages, tips, etc.Form W-2 Wage and Tax Statement 2025 Dept. of the Treasury IRS Social security wages 2025 Dept. of the Treasury IRS Social security wages Social security tax withheld Employers name, address, and ZIP code 8Allocated tipspenalty or other sanction may be imposed on you if this income is taxable and you fail to report it. bEmployer ID number (EIN)Form W-2 Wage and Tax Statement3 5Medicare wages and tips 6 Social security tax withheld Employer ID number (EIN) Medicare wages and tips Medicare tax withheldCopy 2 To Be Filed With Employee's State, City, or Local Income Tax Return OMB No. 5206 TreasuryIRS 5Medicare wages and tips 6 Medicare tax withheldMedicare tax withheldcEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code 10Relatnirement Third-party 11 plansCC e e d d o o 12aSee instructions for box 12 eEmployees name, address, and ZIP code Suff.13e SmtaptluotoyeryeP Sick pay 14Other 12bbC ed o 12cdControl number dControl number aEmployees social security no.C e d o 12deEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff.15State EmployersstateID no. 16State wages, tips, etc. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameCOPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork ReductionActNotice,seeseparateinstructions. OMB No. 1545-0029 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 910 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 c 2025 FormW-2 Wage and Tax Statement22222Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode Employers name, address, and ZIP code 8Allocated tips 3Social security wages 4 Social security tax withheldRetirement plan 12cCode Retirement plan 12cCode 9 5Medicare wages and tips 6 Medicare tax withheldThird-party sick pay 12dCode Third-party sick pay 12dCode Employees name, address, and ZIP code Suff. 10 emtaptluotyoerye SR PleatnirementSickpay 11 plansCC e e d d o o 12aSee instructions for box 12 e 13 Third-party 14Other 12bLocal wages, tips, etc. Local income tax State income tax 1 Local wages, tips, etc. 16State wage s, tips, etc. State income tax bC 12c1581 State Employer's state ID number19 16State wages, tips, etc.20 1Locality name 7 158 State Employer's state ID number 19Local income tax20 1Locality name 7 aEmployees social security no.C e e d d o o 12dForm 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 Dept. of the Treasury IRS15State EmployersstateID no. 16State wages, tips, etc. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameAct Notice, see separate instructions. Act Notice, see separate instructions.COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork ReductionActNotice,seeseparateinstructions.OMB No. 1545-029 Dept. of the Treasury - IRSa EmployersState,Local,or File 1 Copy22222 2 2025 1545-0029 a EmployersState,Local,or File 1 Copy22222 2 2025 1545-0029 2025 FormW-2 Wage and Tax Statement22222Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheldOMB No. OMB No.Employee'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 cEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4 Social security tax withheldbEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld bEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld 9 5Medicare wages and tips 6 Medicare tax withheld10RPlatnirement eThird-party 11 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 Employees name, address, and ZIP code Suff.13e SmtaptulotoyeryeSickpay 14Other 12bebC ed o 12cdControl number dControl number aEmployees social security no.C e d o 12deEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff.15State EmployersstateID no. 16State wages, tips, etc. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameCOPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork Reduction ActNotice,seeseparateinstructions.OMB No. 1545-029 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 910 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 c 2025 FormW-2 Wage and Tax Statement22222Void 7Social security tips 1 Wages, tips, other comp. 2Federal income tax withheld13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode Employers name, address, and ZIP code 8Allocated tips 3Social security wages 4 Social security tax withheldRetirement plan 12cCode Retirement plan 12cCode 9 5Medicare wages and tips 6 Medicare tax withheld12aSee instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP code Suff. 10 e SmtaptluotyoeryeRleatnirement PThird-party 11 plansCC e e d d o o 12b13Sick pay 14OtherbC ed o 12c1 185State Employer's state ID number 19 16State wages, tips, etc.20 1Locality name 7 1 158 State Employer's state ID number19Local income tax20 1Locality name 7 aEmployees social security no.C e d o 12dLocal wages, tips, etc. Local income tax State income tax Local wages, tips, etc. 16State wage s, tips, etc. State income taxForm 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 Dept. of the Treasury I54R0S515State EmployersstateID no. 16State wages, tips, etc. 17 State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameAct Notice, see separate instructions. Act Notice, see separate instructions.COPY 1/D EMPLOYER'S - STATE, LOCAL OR FILE COPYFor Privacy Act and Paperwork Reduction ActNotice,seseparateinstructions. 5406 OMB No. 1545-029 Dept. of the Treasury - IRSRequired Envelope: Required Envelope:99991 or 99992 44441 or 44442A full PDF image library is available at complyrightdealer.com. Sheets per pack2550500FORM DESCRIPTION520525520550 5205B W-2 4-Up Box Employees Copies B, C, 2 & 2 Combined1 Sheet Equals 1 Form5405255405505405B W-2 4-Up Box Employers Copies 1/D, 1/D, 1/D, 1/D1 Sheet Equals 1 FormN/AN/A 5917B W-2 4-Up Box Employees Copies B, C, 2 & 2 Combined (24#paper version of 5205B)1 Sheet Equals 1 Form5206255206505206B W-2 4-Up Horizontal Employees Copies B, C, 2 & 2 Combined1 Sheet Equals 1 Form5406255406505406B W-2 4-Up Horizontal Employers Copies 1/D, 1/D, 1/D, 1/D Combined1 Sheet Equals 1 FormN/AN/A 5916B W-2 4-Up Box Employees Copies B, C, 2 & 2 Combined (24#paper version of 5206B)1 Sheet Equals 1 Form25"