b"W-2 PRE-PRINTED FORMSAlternate Laser Combined Format0029 5210 5214 VisittheIRSWebSite 5216at Department of theTreasury - Internal Revenue Service Department of theTreasury - Internal Revenue ServiceOMB No. 1545-0029 1Wages, tips, other compensation 2Federal income tax withheld OMB No. 1545-0029 1Wages, tips, other compensation 2Federal income tax withheld 7 OMBNo.1545-0029 Form 1 W-2Wageand Tax Statement2025 7 OMBNo.1545-0029 Form 1 W-2Wageand Tax Statement 2 20253Socialsecuritywages 4 Social security tax withheld 3Socialsecuritywages 4 Social security tax withheld Socialsecuritytips Wages, tips, other comp. 2 Federal income tax withheld Socialsecuritytips Wages, tips, other comp. Federal income tax withheld5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 8Allocatedtips 3Socialsecuritywages 4 Social security tax withheld 8Allocatedtips 3Socialsecuritywages 4 Social security tax withheldc Employers name, address, and ZIP code c Employers name, address, and ZIP code 9 5 Medicare wages and tips 6 Medicare tax withheld 9 5 Medicare wages and tips 6 Medicare tax withheldSe instructions for box 12 c Employers name, address, and ZIP code c Employers name, address, and ZIP code7Socialsecuritytips 8Allocatedtips 9 7Socialsecuritytips 8Allocatedtips 910Dependentcare 11 plans C e d o 12a 10Dependentcare 11 plans 12a C e d o 10Dependentcare 11 plansC12a o ed Seinstructionsforbox1210Dependentcare 11 plansC12a o ed Seinstructionsforbox12C e d o 12b C d o e 12c C e d o 12d C e 12b d o C e d o 12c 12d C e d o b Employ umber (EIN)C12bo ed b Employ number (EIN)C12bo edb Employers n number (EIN) a Employees social security number b Employers iden ry e p rement n number (EIN)a Employees social security number T shicir a p y arty a Employees social security numberCC12co e e d d o S emaptluotyoeyrt R pl e atnirement T si hcikrdp-ap y arty a Employees social security numberCC12co e e d d o S emaptt l uotyoery e Rleatinrement p T si hci kdp-apy rrty13S em tapt l uotyoery e Rleatni p rement T shicir kdp- a p y arty 14Other 13Smt e apt l uotyo e Rleatni kdp- 14Other 14Other12d14Other12d 2025 13 13e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.002915State Employers state ID number 16 State wages, tips, etc. 15State Employers state ID number 16 State wages, tips, etc.W-2 17 State income tax 18Localwages,tips,etc. W-2 Tax 17 State income tax 18Localwages,tips,etc. 15State EmployersstateID no. 16 State wages, tips, etc. Locality 17 State income tax 15State EmployersstateID no. 16 State wages, tips, etc. 17 State income taxW Tax Staagteem aenndt 18Localwages,tips,etc. 19 Local income tax 20 name 18Localwages,tips,etc. 19 Local income tax 20LocalitynameStaagteemaenndt W2025 C 19 Local income tax 20Localityname 2025 C 19 Local income tax 20Localityname COPY Cr T For EMPLOYEE'S en i ,a RECORDS t n t eaDept. of theTreasury - IRS COPYBTo Beled withemployeesFEDERALTaxReturnDept. of theTreasury - IRSCoitpyy, o2r TLoo cBael FInicleodm wei tTha ExmRpeltouyrne.e's State, Ciotypy, o 2rTLoocBael FInilceodm wei tTha ExmRpeltouyren.e's State, oehnqiyus ioireunfdiofrttmohaist iionanc otisam xbeer istgutarnfxurnab linseehagenldidgteyonoctuhee fpaIenilor nlrtyaelpooRr reotvtithe.neur esaSnecrtviiocnem. Iaf yyobue aimreposed (See on back of Copy B.) This information is being furnished to the Internal Revenue ServiceNotice to Employeewww.irs.gov/ele Department of theTreasury - Internal Revenue Service This the Department of theTreasury - Internal Revenue ServiceSocialsecuritytips Wages, tips, other comp. Federal income tax withheld Socialsecuritytips Wages, tips, other comp. Federal income tax withheldT OMB No. 1545-0029 1 3 Wages, tips, other compensation 2Federal income tax withheld OMB No. 1545-0029 SnI a ntosi x 1 3 Wages, tips, other compensation 2Federal income tax withheld 7 OMBNo.1545-0029 Form 1 W-2Wageand Tax Statement 2 2025 7 OMBNo.1545-0029 Form 1 W-2Wageand Tax Statement 2 2025bheiinsIginntfefuorrnrnmaislahteiodntios Socialsecuritywages 4 Social security tax withheld i i rm y s being informfeiysvahoeeungeer re beifthis Socialsecuritywages 4 Social security tax withheld 9 8Allocatedtips 3Socialsecuritywages 4 Social security tax withheld 8 9 Allocatedtips 3Socialsecuritywages 4 Social security tax withheldthe Service. 5 Medicare wages and tips 6 Medicare tax withheld peetnuran, furntIo tioduaaneretcae 5 Medicare wages and tips 6 Medicare tax withheldreetqeruvrniircedoRevenue ap ncotisltoyed ela.Rnomrengaoyytlihounou cofamielntiostapxaobrtleiat.nd 5 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 codec Employers name, address, and ZIP code c Employers name, address, and ZIP code20257Socialsecuritytips 8Allocatedtips 9 7Socialsecuritytips 8Allocatedtips 90029 10Dependentcare 11 plans C e d o 12a Se instructions for box 1210Dependentcare 11 plans C e d o 12aSeinstructionsforbox 1210Dependentcare 11 plansC12a o ed 10Dependentcare 11 plansC12a o edC e d o 12b iden C e d o 12c C e d o 12d C e d o 12b iden C e d o 12c C e d o 12d b Employ number (EIN)CC12bo o e e d d b Employ number (EIN)CC12bo o e e d db Employers n number (EIN)a Employees social security number b Employers n number (EIN) a Employees social security number a Employees social security number12ca Employees social security number12c 13Smt e apt l uotyoery e Rleatni p rement T shicir kdp- a p y arty 14Other 13Smt e apt l u ot y o e ry e R pl e atnirement T shicir kdp- a pyarty 14Other 14OtherC12ded o Smt e apt l uot y o e ry e Rleatni p rement T si hci k rdp- a p y rty 14OtherC12ded o Smt e apt l u ot y o e ry e Rleatinrement p T si hci kdp-apyarrty13 13e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.e Employees name, address, and ZIP code Suff. e Employees name, address, and ZIP code Suff.Se instructions for box 1215State Employers state ID number 16 State wages, tips, etc. 15State Employers state ID number 16 State wages, tips, etc.W-2 17 State income tax 18Localwages,tips,etc. W-2 17 State income tax 18Localwages,tips,etc. 15State EmployersstateID no. 16 State wages, tips, etc. 17 State income tax 15State EmployersstateID no. 16 State wages, tips, etc. 17 State income taxW Tax W 18Localwages,tips,etc. 19 Local income tax 20Localityname 18Localwages,tips,etc. 19 Local income tax 20LocalitynameStaagteem aenndt Staagteem aenndt Tax19 Local income tax 20Localityname 19 Local income tax 20Localityname2025 2025 2025 5214 Copy2 ForEmployee's State,CityorLocalIncomeTax Return Dept. of theTreasury - IRS Copy2 ForEmployee's State,CityorLocalIncomeTax Return Dept. of theTreasury - IRS5216Copy B To Be Filed withCopy C For EMPLOYEE'S RECORDS.Employee's FEDERAL Tax Return. (See Notice to Employee on back of Copy B).Required Envelope: Required Envelope: Required Envelope:33331 or 33332 91911 61611 or 61612Sheets per pack 2550500FORM DESCRIPTION 5210255210505210BW-2 W-Style 3-Up Employees Copies B, C & 2 Combined1 Sheet Equals 1 Form N/A5214505214BW-2 M-Style Alternate 4-Up Employees Copies B, C, 2, 21 Sheet Equals 1 Form 5216255216505216BW-2 W-Style Alternate 4-Up Employees Copies B, C, 2, 21 Sheet Equals 1 Form26"