b"W-2 PRE-PRINTED & BLANK FORMSPackaged Laser SetsW-2 PACKAGED LASER SET W-2 PACKAGED BLANK LASER SET5201 520122222 VOID aEmployees social security number For Ofcial Use Only 22222 VOID aEmployees social security number For Ofcial Use OnlyOMB No. 1545-0029OMB No. 1545-0029 b 1 Wages, tips, other compensation 2 Federal income tax withheld b 1 Wages, tips, other compensation 2 Federal income tax withheldcEmployers 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 withheld5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withhelddControl number Last name Suff. 7 Social security tips Third-partyC C dooe e 8 Allocated tips 5202 dControl number Last name Suff. 13 7 Social security tips Third-partyC C ddooe e 8 Allocated tips910910 e 1112aSee instructions for box 12 e 1112aSee instructions for box 1213StatutoryRetirementsick pay 12b C ddoe aEmployees social security number OMB No. 1545-0029 Safe, accurate,Visit the IRS website atStatutoryRetirementsick pay 12b C doe 5205employee plan employee plan14Other 12c FAST! Use www.irs.gov/ele14Other 12cfEmployees address and ZIP code 16State wages, tips, etc.17State income tax b 18Local wages, tips, etc. 12d C doe 20Locality name 1 Wages, tips, other compensation 2 Federal income tax withheld fEmployees address and ZIP code 16State wages, tips, etc. b a Copy BTo Be Filed With Employee's 1 3 5 12d C doe 2 4 641-0852411 b a Copy 2To Be Filed With Employee's State, 3 5 1 4 6 241-0852411FEDERAL Tax Return. OMB No. 1545-0029 City, or Local Income Tax Return. OMB No. 1545-002915StateEmployers state ID number cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld 15StateEmployers state ID number 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 withheld19Local income tax 17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Employer ID number (EIN) Social security wages Social security tax withheld5 Medicare wages and tips 6 Medicare tax withheld Employer ID number (EIN) Social security wages Social security tax withheld Medicare wages and tips Medicare tax withheldMedicare wages and tips Medicare tax withheldForm W-2 Wage and Tax Statement 2025Act Notice, see the separate instructions.Suff. 9 StatutoryRetirement Third-party10C C C dddoooe e e Employees social security number OMB No. 1545-0029 5203 Form W-2 Wage and Tax Statement d c e Employer's name, address, and ZIP codeAct Notice, see the separate instructions.Suff. d c e Employer's name, address, and ZIP code Suff.7 Social security tips 8 Allocated tipsdControl numberDepartment of the TreasuryInternal Revenue ServiceFor Privacy Act and Paperwork Reduction Copy AFor Social Security Administration. Send this entire page with not acceptable. eEmployees name, address, and ZIP code 1112aSee instructions for box 12 Copy AFor Social Security Administration.2025 Department of the TreasuryInternal Revenue ServiceControl numberFor Privacy Act and Paperwork Reduction Form W-3 to the Social Security Administration; photocopies are41-0852411 Form W-3 to the Social Security Administration; photocopies are not acceptable.Send this entire page withControl numberDo Not Cut, Fold, or Staple Forms on This Page 13 employee plan sick pay 12b 41-0852411 Employee's name, address, and ZIP codeDo Not Cut, Fold, or Staple Forms on This PageEmployee's name, address, and ZIP codeb 22222 VOID aEmployees social security number For Ofcial Use Only State 2 Federal income tax withheld 14Other 18Local wages, tips, etc. 12c C doe 20Locality name This information is being furnished to the Internal Revenue Service. If youb 22222 VOID aEmployees social security number For Ofcial Use Only 1 7 14Other 1 8 1 Allocated tips plans 2 Federal income tax withheld 170 Social security tips 14Other 181 Allocated tips plans 192aCode DO NOT STAPLE 5200aOMB No. 1545-0008b 12d may be imposed on you if this income is taxable and you fail to report it. OMB No. 1545-0008 1 Wages, tips, other compensation 1 Wages, tips, other compensation 2 Federal income tax withheld Social security tips1 Wages, tips, other compensation 192aCodeSee inst. for box 12cEmployers name, address, and ZIP code 3 15 Employers state ID number4 Social security tax withheld16State wages, tips, etc.17State income taxcEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld cEmployers name, address, and ZIP code 103Statutory employee 4 Social security tax withheld 13Statutory employee CodeSocial security wages 19Local income tax 3 Social security wages 12bCode5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld Retirement plan 6 Medicare tax withheld Retirement plan a Control number 12bcCodedControl number 9Social security tips sick pay C C C C ddooe e e e 8 Allocated tips OMB No. 1545-0008FAST! Use Department of the TreasuryInternal Revenue Service Suff. b 13 9 StatutoryRetirement Third-party10C C C C ddddooooe e e e See instructions for box 12 OMB No. 1545-00292 Federal income tax withheld dControl number Last name 1 1 Suff. a 8 5 13 5 Medicare wages and tips 1 ternal Revenu 10C C C C ddddooooe e e e 12c 2 7 Code www.irs.gov/ele 1 185 a b e 33333 19 1 941 Military 943 12 2 For Ofcial Use Only: 9 None apply501c non-govt. Federal govt. Third-party 7 Social security tips 8 Allocated tips Third-party sick pay 8 Allocated tipsCode Third-party sick pay 12d OMB No. 1545-00087 Form W-2 Wage and Tax Statement 2025 1112a e 7 Social security tips 19Local income tax 12d State income tax Kind of PayerCT-1 Hshld. MedicareCode 944 Kind of EmployerState/localState/local 501c (Check if e Last name Suff.11Copy BTo Be Filed With Employees FEDERAL Tax Return.dodControl number employee plan sick pay 12b 5204 9Statutoryished to the In 16State wages, tips, etc. 20 1Locality name (Check one) 16 emp. 2025 govt. emp. State income tax (Check one) non-501c 2 Federal income tax withheld sick pay 10State Employer's state ID number State Employer's state ID number Local income tax 20 17Locality name 1 Wages, tips, other compensation applicable) This information is being furnished to the Internal Revenue Service. eEmployees name, address, and ZIP code Local wages, tips, etc. 12aSee instructions for box 12 Local wages, tips, etc. State wages, tips, etc.StatutoryRetirement Third-party12aSee instructions for box 12 11employee Retirementsick pay 2025 Dept. of the Treasury IRS c Total number of Forms W-2 d Establishment number 3 Social security wages 4 Social security tax withheld13 employee plan 12b Form W-2 Wage and Tax StatementThird-partye Service. Form W-2 Wage and Tax Statement Dept. of the Treasury IRS12b14Other 12c aEmployees social security number Safe, accurate,Visit the IRS website at14Other 12c This information is being furn plan 12c fEmployers name 5 Medicare wages and tips 6 Medicare tax withheld14OtherfEmployees address and ZIP code 16State wages, tips, etc.17State income tax b 18Local wages, tips, etc. 12d do20Locality name 1 Wages, tips, other compensation www.irs.gov/ele22222 VOID 12d 20Locality name 1 Wages, tips, other compensation 4 Social security tax withheld fEmployees address and ZIP code 16State wages, tips, etc. b Copy CFor EMPLOYEE'S RECORDS 12d 3 5 4 6 OMB No. 1545-0029 b Copy 2To Be Filed With Employee's State, 3 5 4 6 OMB No. 1545-0029 108 Allocated tips15StateEmployers state ID number cEmployers name, address, and ZIP code 3 15State 2 Federal income tax withheld 18Local wages, tips, etc. aEmployees social security number 3 Social security wages 15StateEmployers state ID number Employee's soc. sec. no. Wages, tips, other comp.41-0852411 City, or Local Income Tax Return.41-0852411 117 Social security tips 12a Deferred compensation19Local income tax Social security wages 19Local income tax 17State income tax 18Local wages, tips, etc. Federal income tax withheld Employee's soc. sec. no. Wages, tips, other comp. Federal income tax withheldEmployers state ID number4 Social security tax withheld16State wages, tips, etc. Employer ID number (EIN) 19Local income tax 20Locality name Employer ID number (EIN) Social security wages Social security tax withheld5 Medicare wages and tips 6 Medicare tax withheld 17State income taxcEmployers name, address, and ZIP code Social security wages Social security tax withheld Medicare wages and tips Medicare tax withheldForm W-3 to the Social Security Administration; photocopies aredControl number Department of the TreasuryInternal Revenue ServiceSuff. 7 Social security tips C C C ddddoooe e e e 8 Allocated tips o be Filed With dControl number Department of the TreasuryInternal Revenue Service Suff. 13 5 Medicare wages and tips C C C C dddooooe e e e 6 Medicare tax withheld Kind of EmployerNone apply501c non-govt. Third-partyForm Wage and Tax Statement 2025 d c e 7 14Other1 8 Medicare wages and tips 122ba1 9 Medicare tax withheld 5201 Suff. 1 d c e 7 g Employers address and ZIP code 8 I 17 State income tax 9 Code 13 For third-party sick pay use only 12b Date: Department of the Treasury Form W-2 Wage and Tax Statement 2025 For Privacy Act and Paperwork Reduction9 Form W-2 Wage and Tax Statement 2025 Safe, accurate,7 Social security tips 8 Allocated tips W-2 Employer's name, address, and ZIP codeAct Notice, see the separate instructions.Employer's name, address, and ZIP code 14 Income tax withheld by payer of third-party sick pay10FAST!Use Department of the TreasuryInternal Revenue Serviceh Other EIN used this yearCopy CFor EMPLOYEES RECORDS (See Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411Act Notice, see the separate instructions. 5201 Employee on the back of Copy B.) or Cop Taxy 2Notice totReturn 9 10Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 For Privacy Act and Paperwork Reduction15 State Employers state ID number 18 Local wages, tips, etc. 19 Local income taxeEmployees name, address, and ZIP code 11StatutoryRetirement Third-party12aSee instructions for box 12 eEmployees name, address, and ZIP code 11StatutoryRetirement Third-party12aSee instructions for box 12 5200 Form W-3 to the Social Security Administration; photocopies areControl number Control number Suff.Employees State, City or Local Income 16 State wages, tips, etc.13 employee plan sick pay 12b Employee's name, address, and ZIP code Employee's name, address, and ZIP code Employers telephone numberEmployers contact person14Other 12c This information is being furnished to the Internal Revenue Service. If youemployee plan sick pay 12b Employers fax number Employers email addressaEmployees social security numberb 12d C oOMB No. 1545-00081 Wages, tips, other compensation 2 Federal income tax withheld 14Other a Control number 12c DO NOT STAPLE Social security tips Allocated tips Social security tips Allocated tipsthis return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and may be imposed on you if this income is taxable and you fail to report it.Under penalties of perjury, declare that I have examined3 Social security wages 4 Social security tax withheld 33333 941 Military 12d dFor Ofcial Use Only: sick pay10 Statutory employeeplans CodeSee inst. for box 12 complete. 14Other1plans 12a Code Title: Internal Revenue Service15StateEmployers state ID number 16State wages, tips, etc.17State income taxcEmployers name, address, and ZIP code 20Locality name 5 Medicare wages and tips 6 Medicare tax withheld b Kind of Payer18Local wages, tips, etc.Hshld.943 OMB No. 1545-0008 State/localState/local 501cFederal govt. (Check if13 Retirement plan Code 130 Signature: 12bcCode 202518Local wages, tips, etc.19Local income tax CT-1 emp. govt. emp. 944 (Check one) non-501c applicable)Code Statutory employee Transmittal of Wage and Tax StatementsEmployers state ID number (Check one) MedicareForm W-3Form dControl number Department of the TreasuryInternal Revenue Service 15State7 Social security tips 1016State wages, tips, etc.17State income tax e 19Local income tax 20Locality name 2 Federal income tax withheld 1851 Third-party sick pay 19 16State wages, tips, etc. 1 122dc 7 Code 1 158 Retirement plan 19 16State wages, tips, etc. 12 7 Code8 Allocated tips Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. Third-party sick pay 12dW-2 Wage and Tax Statement 2025 9 Wage and Tax Statement C c Total number of Forms W-2 d Establishment number 1 Wages, tips, other compensation 4 Social security tax withheld State Employer's state ID number Local income tax State income tax Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.Copy BTo Be Filed With Employees FEDERAL Tax Return.12aSee instructions for box 12 For Privacy Act and Paperwork ReductionReminder See the 202 20 1Locality nameThis information is being furnished to the Internal Revenue Service. eEmployees name, address, and ZIP code 5202 Suff.Form11W-2 plan City,orLocalTax C ddooe e Department 2025 Department of the TreasuryInternal Revenue Service 3 Social security wages 6 Medicare tax withheld Local wages, tips, etc. 2025 20 1Locality name State Employer's state ID number Local income tax 5 General Instructions for Forms5205Separate instructions.State income taxCopyDForEmployer. sick pay 12c C C ddooe e OMB No. 1545-0008115 Medicare wages and tips 9 108 Allocated tips penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.Dept. of the Treasury IRS W-2acceptable. Use a Form W-3 even if only one Copy1ForState, Third-party 12b fEmployers name Act Notice, see separate instructions. Form W-2 Wage and Tax Statement Local wages, tips, etc. 2025 Dept. of the Treasury IRS13StatutoryRetirementW-3 for Form(s) W-2 that were submitted electronically to the SSA.employee 7 Social security tips Purpose of FormForm W-2 Wage and Tax Statement14OtheraEmployees social security number g Employers address and ZIP code 2 Federal income tax withheld 12a Deferred compensation paper forms must notcomply with IRS standards and be machine readable. 12d Photocopies are b 22222 VOID 19Local income tax 20Locality name h Other EIN used this year 4 Social security tax withheld13 For third-party sick pay use only 12b number (EIN). Make a copy of this form and keep it with Copy D (ForWhen To File Paper Forms February 02, 2026.18Local wages, tips, etc. 1 Wages, tips, other compensation Employer) of Form(s) W-2 for your records. The IRS recommends 15StateEmployers state ID number 16State wages, tips, etc.17State income taxcEmployers name, address, and ZIP code 15 State 3 Social security wages 14 Income tax withheld by payer of third-party sick pay retaining copies of these forms for at least 4 years. Mail Form W-3 with Copy A of Form(s) W-2 by Employers state ID number E-Filing Where To File Paper FormsThe SSA strongly suggests employers report Form W-3 and Forms W-2 Form Wage and Tax Statement 2025 Department of the TreasuryInternal Revenue Service 5 Medicare wages and tips17 State income tax6 Medicare tax withheld18 Local wages, tips, etc. 19 Local income tax 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:W-2 dControl number Safe, accurate,5203 16 State wages, tips, etc. 8 Allocated tips Employers telephone number 50 Forms W-2 at a time to the SSA. usingtoNote:Social Security AdministrationCopy CFor EMPLOYEES RECORDS (SeeFAST!Use Employers contact person 10Employers email address W-2 Online. Wilkes-Barre, PA 18769-0001Employee on the back of Copy B.)7 Social security tips Direct Operations CenterEmployees State, City or Local Incomeor Cop Taxy 2Notice to tReturno be Filed With Employers fax number File Upload. 18769-0002. If you use an IRS-approved private delivery service, add 9of perjury, I declare that I have examined12a C doe See instructions for box 12 Specications for Filing Forms W-2 Electronically (EFW2). the SSAsATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change eEmployees name, address, and ZIP code Suff.11 this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, andFebruary 02, 2026. For more information, go to www.SSA.gov/bso. the ZIP code to 18702-7997. Go to www.irs.gov/PDS for a list of IRS-Under penalties13StatutoryRetirement Third-party 12b C doe e Title: Date: Department of the Treasury41-0852411 approved private delivery services.complete. employee plan sick pay 12c C do2025 Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.Signature:W-3Form 14OtherTransmittal of Wage and Tax Statements 5200Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA). C doe12dPhotocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.Reminder See the 2025 General Instructions for Forms 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality nameSeparate instructions. W-2W-3 for Form(s) W-2 that were submitted electronically to the SSA.Purpose of FormForm W-2 Wage and Tax Statement 2025 Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.5204Copy1ForState, orLocalTaxDepartment paper forms must notcomply with IRS standards and be machine readable. CopyDForEmployer.City, Photocopies areacceptable. Use a Form W-3 even if only one number (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 recommendsWhen To File Paper Formsretaining copies of these forms for at least 4 years.E-Filing Mail Form W-3 with Copy A of Form(s) W-2 by February 02, 2026.Copy A electronically instead of on paper. The SSA provides two freeWhere To File Paper Forms 66661 or 66662 The SSA strongly suggests employers report Form W-3 and Forms W-2 Send this entire page with the entire Copy A page of Form(s) W-2 to:50 Forms W-2 at a time to the SSA.using toNote:Social Security AdministrationW-2 Online. Direct Operations CenterFile Upload. Wilkes-Barre, PA 18769-0001 Suggested envelopes for use with Specications for Filing Forms W-2 Electronically (EFW2).the SSAs18769-0002. If you use an IRS-approved private delivery service, addFebruary 02, 2026. For more information, go to www.SSA.gov/bso. ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and changethe ZIP code to 18702-7997. Go to www.irs.gov/PDS for a list of IRS-approved private delivery services.For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. LaserLink or TaxRight 20.25 software. 41-0852411 5200Envelopes ordered separately.(3) Transmittal W-3 forms are included with each setW-2 Packaged Laser Sets W-2 4-Up Packaged Laser SetsFOR 50 EMPLOYEES FOR 50 EMPLOYEES56454-Part Set Includes: Copy A, B, C, D (25 Sheets each) 5844 4-Part Set Includes: Copy A, D (25 Sheets each) 4-Up 3 Transmittals Copies B, C, 2, 2 (50 Sheets) 3 Transmittals 5645E4-Part Set Includes: Copy A, B, C, D (25 Sheets each) 5846 6-Part Set Includes: Copy A, D, 1 (25 Sheets each) 4-Up3 Transmittals and 50 Self-Seal ENV. Copies B, C, 2, 2 (50 Sheets) 3 Transmittals5650W-2 Packaged Laser Sets for Electronic Filing6-Part Set Includes: Copy A, B, C, 2, D, 1 (25 Sheets each)3 Transmittals FOR 50 EMPLOYEES5650E6-Part Set Includes: Copy A, B, C, 2, D, 1 (25 Sheets each)5205E 3 Transmittals and 50 Self-Seal ENV.) Employee Copies Only Set Includes: 4-Up Box5655E8-Part Set Includes: Copy A, B, C, 2, 2, D, 1, 1 Copies B, C, 2, 2 (50 Sheets) and 50 Self-Seal ENV.5221EEmployee Copies Only Set Includes: 4-Up Box(25 Sheets each) 3 Transmittals and 50 Self-Seal ENV.Blank No Backer (50 Sheets) and 50 Self-Seal ENV.5648 5-Part Set Includes: Copy B, C, 2, D, 1 (25 Sheets each) FOR 25 EMPLOYEES 3 Transmittals5645254-Part Set Includes: Copy A, B, C, D (13 Sheets each) 5648E 5-Part Set Includes: Copy B, C, 2, D, 1 (25 Sheets each) 3 Transmittals 3 Transmittals and 50 Self-Seal ENV.5645E254-Part Set Includes: Copy A, B, C, D (13 Sheets each) 3 Transmittals and 25 Self-Seal ENV.) FOR 25 EMPLOYEES 5650254-Part Set Includes: Copy A, B, C, D (13 Sheets each) 5205E25Employee Copies Only Set Includes: 4-Up Box Copies B, C, 2, 2 3 Transmittals and 25 Self-Seal ENV. (25 Sheets) and 25 Self-Seal ENV.5650E255648E255-Part Set Includes: Copy B, C, 2, D, 1 (13 Sheets each)6-Part Set Includes: Copy A, B, C, 2, D, 1 (13 Sheets each)3 Transmittals and 25 Self-Seal ENV 25 Self-Seal ENV.5655258-Part Set includes: Copy A, B, C, 2, 2 D, 1, 1 (13 Sheets each)3 Transmittals)5655E258-Part Set Includes: Copy A, B, C, 2, 2 D, 1, 1 (13 Sheets each)3 Transmittals and Self-Seal ENV.28"