b"STATE FILING REQUIREMENTS W-2 PRE-PRINTED & BLANK FORMS Individual 2-Up Laser PacksVOID aEmployees social security number For Ofcial Use Only APEX LW2A APEX LW2BL22222 OMB No. 1545-0008 b 1 Wages, tips, other compensation 2 Federal income tax withheld TFP 5201 TFP 5222cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld5 Medicare wages and tips 6 Medicare tax withhelddControl number 7 Social security tips 8 Allocated tips Front Blank910 e Last name Suff.11RetirementThird-party12aSee instructions for box 12 C C dooe e13Statutoryplan sick pay 12b dwith W-2 Instructions employee14Other 12c C C ddooe e Safe, accurate,Visit the IRS website atAPEX LW2B on back side.aEmployees social security number 12d FAST! Use www.irs.gov/ele fEmployees address and ZIP code 16State wages, tips, etc.17State income tax OMB No. 1545-0008 20Locality name 2 Federal income tax withheld APEX LW2NB15StateEmployers state ID numberb 18Local wages, tips, etc.19Local income tax 4 Social security tax withheld TFP 52021 Wages, tips, other compensationcEmployers name, address, and ZIP code 3 Social security wages* Form W-2 Wage and Tax Statement 2023 5 Medicare wages and tips 6 Medicare tax withheld APEX LW2CLW22 TFP 5207Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction WI Form W-3 to the Social Security Administration; photocopies areSuff. 7 Social security tips 8 Allocated tips 2 Federal income tax withheldState W-2 Part Requirements: ID MI * * RI Copy AFor Social Security Administration. Send this entire page with not acceptable.Act Notice, see the separate instructions.C C ddooe e This information is being furnished to the Internal Revenue Service. If youTFP 5203dControl number 41-0852411aEmployees social security number9 OMB No. 1545-000810 may be imposed on you if this income is taxable and you fail to report it.Do Not Cut, Fold, or Staple Forms on This Page 1 Wages, tips, other compensationeEmployees name, address, and ZIP codeb 1112aSee instructions for box 12cEmployers name, address, and ZIP code 13StatutoryRetirementThird-party3 Social security wages 4 Social security tax withheld12bIA * * b 22222 VOID aEmployees social security number For Ofcial Use Only employee plan sick pay 5 Medicare wages and tips C C ddooe e 6 Medicare tax withheldOMB No. 1545-0008 OH * cEmployers name, address, and ZIP code 1 Wages, tips, other compensation 14Other 9 12c 8 Allocated tips2 Federal income tax withheld7 Social security tipsIN * dControl number16State wages, tips, etc. 8 Allocated tips 19Local income tax 20Locality name12aSee instructions for box 12n 6-Part States * * IL * * dControl number 15State Last name Suff. 3 Social security wages VOID C C doe 4 Social security tax withheld 1112d RetirementThird-party310C C C C ddddooooe e e e 2 Federal income tax withheld APEX LW2D1b aEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website atAPEX LW2BCEmployers state ID numbereEmployees name, address, and ZIP code5 Medicare wages and tips17State income tax6 Medicare tax withheld18Local wages, tips, etc.Suff.7 Social security tips 10Statutoryplan sick pay 12baEmployees social security number13 employee* * e Form W-2 13 9Statutoryb 22222 Third-party12b oe Department of the TreasuryInternal Revenue Service 4 Social security tax withheld cEmployers name, address, and ZIP code FAST! Use www.irs.gov/ele Copy BTo Be Filed With Employees FEDERAL Tax Return.2023 1 Wages, tips, other compensation* Wage and Tax Statement employee Retirementsick pay 12aSee instructions for box 12 C d14Other OMB No. 1545-0008Local income tax 20Locality name 6 Medicare tax withheld TFP 5204 1 Wages, tips, other compensation 2 Federal income tax withheld TFP 521212c* May need to add additional parts for city withholding tax 15State 11cEmployers name, address, and ZIP code C doe 18Local wages, tips, etc. 512d 8 Allocated tips 3 Social security wages 4 Social security tax withheldThis information is being furnished to the Internal Revenue Service. plan Social security wagesEmployers state ID number 16State wages, tips, etc.17State income tax 19Medicare wages and tips 5 Medicare wages and tips 6 Medicare tax withheld14Other 12c* 15StateEmployers state ID numberb 16State wages, tips, etc. W-2 dControl number FAST! Use 2023 Visit the IRS website at12aSee instructions for box 12 eEmployees name, address, and ZIP code 9 10 n 4-Part States * fEmployees address and ZIP code Form aEmployees social security number 12d doe Safe, accurate,20Locality name www.irs.gov/ele13 7 Social security tips Third-party10C C C C ddddoooe e e e LW2BL 5222 dControl number Suff. 13 7 Social security tips Third-partyC C C C ddddooooe e e e 8 Allocated tipsOMB No. 1545-0008 917State income tax 18Local wages, tips, etc. 1 Wages, tips, other compensation 2 Federal income tax withheldDepartment of the TreasuryInternal Revenue ServiceWage and Tax Statement 11 eEmployees name, address, and ZIP code19Local income taxCopy CFor EMPLOYEES RECORDS (See3 Social security wages Suff.Safe, accurate,1112aSee instructions for box 12Employees State, City or Local Income Tax Returnor Copy 2Notice toto be Filed With 6 Medicare tax withheld employee plan employee plancEmployers name, address, and ZIP code 4 Social security tax withheldFAST!UseEmployee on the back of Copy B.)StatutoryRetirementsick pay 12b StatutoryRetirementsick pay 12b5 Medicare wages and tipsForm W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service8 Allocated tips 14Other 12c 14Other 12cFor Privacy Act and Paperwork Reduction 7 Social security tipsCopy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411aEmployees social security number9LW2AAct Notice, see the separate instructions. 5201 12d o12dForm W-3 to the Social Security Administration; photocopies areThis information is being furnished to the Internal Revenue Service. If you dControl number OMB No. 1545-000810 may be imposed on you if this income is taxable and you fail to report it.eEmployees name, address, and ZIP codeb Suff.111 Wages, tips, other compensation 2 Federal income tax withheldHI 15StateEmployers state ID number Retirement16State wages, tips, etc.12a C C C dddoooe e e See instructions for box 12 18Local wages, tips, etc.19Local income tax 20Locality name 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name17State income taxcEmployers name, address, and ZIP code 13Statutoryplan Third-party3 Social security wages 4 Social security tax withheldemployee sick pay 12b14Other 5 Medicare wages and tips 6 Medicare tax withheldDepartment of the TreasuryInternal Revenue Service 12cForm W-2 Wage and Tax Statement 12d C doe 2023 For Privacy Act and Paperwork ReductionForm W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue ServiceCopy 1Fo Employer.City, 7 Social security tips 8 Allocated tips Act Notice, see separate instructions. Copy BTo Be Filed With Employees FEDERAL Tax Return. Copy DForr State, orLocalTaxDepartment 9 10This information is being furnished to the Internal Revenue Service.15State dControl number16State wages, tips, etc. 18Local wages, tips, etc.Suff.1120Locality name12aSee instructions for box 12 C doe a Control number DO NOT STAPLEEmployers state ID numbereEmployees name, address, and ZIP code17State income tax 19Local income taxStatutoryRetirementThird-partyFor Ofcial Use Only:Copy BTo Be Filed With Employees FEDERAL Tax Return.22222 VOID aEmployees social security number13 employee plan sick pay 12b C C C ddoe e 2 Federal income tax withheld b 33333 941 Military 943 OMB No. 1545-0008Kind of EmployerNone apply 501c non-govt. Federal govt. Third-partyb aEmployees social security number OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you Form W-2 Wage and Tax Statement b 2023 Department of the TreasuryInternal Revenue Service oKind of PayerCT-1 Hshld.Medicare944 (Check one) State/localState/local 501c sick paymay be imposed on you if this income is taxable and you fail to report it.14Other OMB No. 1545-0008 12cLW2B 1 Wages, tips, other compensation doe 4 Social security tax withheld (Check one) emp. govt. emp. non-501c 2 Federal income tax withheld applicable)cEmployers name, address, and ZIP code 1 Wages, tips, other compensation 2 Federal income tax withheld(Check if This information is being furnished to the Internal Revenue Service. 312d 3 Social security wages 4 Social security tax withheldcEmployers name, address, and ZIP code 5202Social security wagesc Total number of Forms W-2 d Establishment number 1 Wages, tips, other compensation15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc. 5 Medicare wages and tips e 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld19Local income tax 20Locality name6 Medicare tax withheld7 Social security tips 8 Allocated tips LW2NB 5207 7 Social security tips 8 Allocated tipsfEmployers name 5 Medicare wages and tips 6 Medicare tax withhelddControl number 9 10 Form W-2 Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue Service C doe 9 7 Social security tips 108 Allocated tips dControl number Suff. 9 10C doeCopy CFor EMPLOYEES RECORDS (See Notice toSuff.Safe, accurate,12aSee instructions for box 12 eEmployees name, address, and ZIP code 1112aSee instructions for box 12eEmployees name, address, and ZIP code FAST!Use11 Employee on the back of Copy B.)o be Filed With LW2C/LW2213StatutoryRetirementThird-party 5203 C C doe 1112a Deferred compensation 13StatutoryRetirementThird-party12b C C dooe eW-2 AND 1099 PART REQUIREMENTS Employees State, City or Local Incomeor Cop Taxy 2tReturn employee plan sick pay 12b C ddooe e h Employers address and ZIP codeg 13 For third-party sick pay use only 12b employee plan sick pay 12c C ddoe14Other 12c 14Other12dOther EIN used this year 14 Income tax withheld by payer of third-party sick pay 12d15 State Employers state ID number15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality nameW-2 1099 W-2 1099 W-2 1099 W-2 1099 W-2 1099 W-2 1099 W-2 1099 Copy1Forr State, Wage and Tax Statement Department of the TreasuryInternal Revenue ServiceEmployers contact person Employers telephone number Form Wage and Tax Statement 2023 Department of the TreasuryInternal Revenue ServiceForm W-2 orLocalTaxDepartment 2023 LW2D1For Privacy Act and Paperwork ReductionEmployers fax number Employers email address APEX LW3 W-2 (See Notice toSafe, accurate, Alabama* . 64 Dist. of Columbia* 64 Kansas* 64 Mississippi . 64 New York* . 64 Rhode Island . 63 Washington 43 CopyDFoEmployer.City, Act Notice, see separate instructions.5204 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, andCopy CFor EMPLOYEES RECORDSLW2BC FAST!Use 5212Signature: Title: 2023 Date: Department of the TreasuryTFP 5200 Employees State, City or Local Incomeor Cop yTax 2 t oReturn be Filed Withcomplete. Employee on the back of Copy B.) Form W-3 Transmittal of Wage and Tax Statements Internal Revenue ServiceAlaska 43 Florida 43 Kentucky* . 63 Missouri* 64 New York City 64 South Carolina 64 West Virginia . 63 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. Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.ReminderArizona . 64 Georgia . 64 Louisiana 64 Montana . 64 North Carolina 64 South Dakota . 43 Wisconsin . 64 Separate instructions. See the 2023 General Instructions for Forms W-2 W-3 for Form(s) W-2 that were submitted electronically to the SSA.Purpose of FormArkansas 64 Hawaii 64 Maine . 63 Nebraska 63 North Dakota . 64 Tennessee . 43 Wyoming 43 Photocopies are not acceptable. Use a Form W-3 even if only one paper forms must comply with IRS standards and be machine readable. Required Envelope: number (EIN). Make a copy of this form and keep it with Copy D (ForMail Form W-3 with Copy A of Form(s) W-2 by January 31, 2024.California 64 Idaho . 64 Maryland* . 63 Nevada . 43 Ohio* . 63 Texas . 43 Employer) of Form(s) W-2 for your records. The IRS recommendsWhen To File Paper Formsretaining copies of these forms for 4 years.E-FilingCopy A electronically instead of on paper. The SSA provides two freeWhere To File Paper FormsAPEX: DWCL or DWCLS The SSA strongly suggests employers report Form W-3 and Forms W-2Send this entire page with the entire Copy A page of Form(s) W-2 to:Colorado* . 63 Illinois 63 Massachusetts. . 64 New Hampshire . 43 Oklahoma . 64 Utah 64 50 Forms W-2 at a time to the SSA.toNote:Social Security Administration W-2 Online. Direct Operations CenterTFP: 66661 or 66662File Upload. usingWilkes-Barre, PA 18769-0001Specications for Filing Forms W-2 Electronically (EFW2). the SSAs Connecticut 64 Indiana*. . . . . . . 64 Michigan* . 63 New Jersey 63 Oregon* 64 Vermont . 63 January 31, 2024. For more information, go to www.SSA.gov/bso. First- 18769-0002. If you use an IRS-approved private delivery service, add ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change Register Log In. the ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax Guide, for a list of IRS-approved private delivery services.For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.Delaware* . 64 Iowa* . 64 Minnesota . 64 New Mexico 63 Pennsylvania* 64 Virginia . 64 LW3 41-0852411 5200*Certain Cities in Alabama, Colorado, D.C., Delaware, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Missouri, New York, Ohio, Oregon, Pennsylvania will require our 8 part all-purpose form. (5) W-3 Transmittal forms are included with each Federal Copy A (Red) Form orderAPEX - Sheets per packTFP - Forms per pack50s500s100s1000'sFORM DESCRIPTION(500 forms LW3 LW3500 520010 or 520025 5200B per package) W-3 Transmittal Of Income And Tax Statement1 Page Equals 1 FormState 1099 Part Requirements: LW2A LW2A500 5201 5201B W-2 IRS Federal Copy A1 Page Equals 2 FormsLW2B LW2B500 5202 5202B W-2 Employees IRS Federal Copy B1 Page Equals 2 FormsLW2CLW22 LW2CW22500 5203 5203B W-2 Employees Copy C and/or State, City Or Local Copy 21 Page Equals 2 Formsn3-Part States LW2D1 LW2D1500 5204 5204B W-2 Employers Copy D and/or State, City Or Local Copy 21 Page Equals 2 FormsLW2BL LW2BL500 5222 5222B W-2 Blank Face, With W-2 Backer Instructions1 Page Equals 2 Formsn4-Part States LW2NB LW2NB500 5207 5207B W-2 Blank Face, No Backer1 Page Equals 2 Forms* LW2BC LW2BC500 5212 5212B W-2 Employees Copies B & C Combined1 Page Equals 1 Form 4 parts required if state tax was withheld Only 3 parts required if state tax not withheld 50s500s100s500sFORM DESCRIPTIONLW3C N/A 5309 N/AW-3C Transmittal of Corrected Income and Tax Statement1 Page Equals 1 FormLW2CA LW2CA500 5313 5313B W-2C Corrected Income Fed Copy A1 Page Equals 1 FormLW2CB LW2CB500 5314 5314B W-2C Corrected Income Employees Fed Copy B1 Page Equals 1 FormLW2CC LW2CC500 5316 5316B W-2C Corrected Income Employees Copy C and/or State, City, Local Copy 21 Page Equals 1 FormLW2C2 LW2C2500 5316 5316B W-2C Corrected Income Employees Copy C and/or State, City, Local Copy 21 Page Equals 1 FormLW2CD1 LW2CD1500 5315 5315B W-2C Corrected Income Employers Copy D and/or State, City, local Copy 11 Page Equals 1 FormWE OFFER W-2 CORRECTION FORMS IN SETS, SEE PAGE 24 & 25.18 19"