b"W-2 PRE-PRINTED FORMSCombined 4-Up LaserCopy BTo Be Filed With Employee's41-0852411 Copy 2To Be Filed With Employee's State, OMB No. 1545-0008 APEX L4UP Form c W-2 Wage and Tax Statement 2022 7Social security tips 1Wages, tips, other comp. 2Federal income tax withheld APEX L87 41-0852411FEDERAL Tax Return. OMB No. 1545-0008 a City, or Local Income Tax Return. 1 2Federal income tax withheld Employers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheldaEmployee's soc. sec. no. 1Wages, tips, other comp. 2Federal income tax withheld Employee's soc. sec. no. Wages, tips, other comp.bEmployer ID number (EIN) 5 3Social security wages 6 4Social security tax withheld bEmployer ID number (EIN) 5 3Social security wages 6 4Social security tax withheld TFP 5205 eEmployees name, address, and ZIP codeSuff. 10 9 emtaptulotoyeye S r RetirementThird-party 5Medicare wages and tipsC C ed d o o 6Medicare tax withheld TFP 5206Medicare 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 13 plansick pay14Other 12bb Employer number (EIN)C e 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.15State Employers state ID no. 16State wages, tips, etc. 17State 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. Dept. of the Treasury - IRSOMB No.1545-008Visit the IRS Web Site atwww.irs.gov/eleThis 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 1Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCodeSee inst. for box 12 10 11plans 12aCode Form c W-2 Wage and TaxStatement 2022 8Allocated tips 3Social security wages 4Social 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 r Retirement Third-party 11 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 plansick pay 14Other 12bb Employer number (EIN)C ed o 12c1State Employer's state ID number 19Local income tax 20 1Locality name 7 185 1 State Employer's state ID number 19Local income tax 20 1Locality name 7 aEmployees social security no.C e d o 12d 158Local wages, tips, etc. 16State wages, tips, etc. State income tax Local wages, tips, etc. 16State wages, tips, etc. State income tax15State Employers state ID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameForm W-2 Wage and Tax Statement 2022 Dept. of the Treasury IRSThis information is being furnished to the Internal Revenue Service. www.irs.gov/ele Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury IRS Copy C For EMPLOYEE'S RECORDS (See Notice to Employee on back of Copy B.)OMB No.1545-008 Dept. of the Treasury - IRSNotice to Employee on the back of Copy B.) OMB No. 1545-0008 City, or Local Income Tax Return.41-0852411 Employers name, address, and ZIP code 7Social security tips 3Social security wages 4Social security tax withhelda Copy CFor EMPLOYEE'S RECORDS (See 1 241-0852411 a Copy 2To Be Filed With Employee's State, 1 2 OMB No. 1545-0008 Form c W-2 Wage and TaxStatement 2022 8Allocated tips 1Wages, tips, other comp. 2Federal income tax withheldEmployee'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 bEmployer ID number (EIN) 3Social security wages 4Social security tax withheld 9 5Medicare wages and tips 6Medicare tax withheldbEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld 5Medicare wages and tips 6Medicare tax withheld 10pay 11 plansCC e e d d o o 12acEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP codeSuff.13emtaptulotyoreye S Retirement Third-party14Other 12bplansick b Employer number (EIN)C ed o 12caEmployees social security no.C e d o 12d dControl number dControl number15State Employers state ID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameeEmployee's name, address, and ZIP code Suff. eEmployee's name, address, and ZIP code Suff. Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return OMB No.1545-008 Dept. of the Treasury - IRS7Social security tips 1Wages, tips, other comp. 2Federal income tax withheld7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 c Form W-2 Wage and TaxStatement 2022 8Allocated tips 3Social security wages 4Social security tax withheld10 11plans 12aCodeSee inst. for box 12 10 11plans 12aCode Employers name, address, and ZIP code13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode 9 5Medicare wages and tips 6Medicare tax withheld12aRetirement plan 12cCode Retirement plan 12cCode eEmployees name, address, and ZIP codeSuff. 10 e plansick pay 11 plansCC e e d d o o 12bThird-party sick pay 12dCode Third-party sick pay 12dCode 13Smtaptulotyoreye Retirement Third-party14Other1581 State Employer's state ID number 19Local income tax 20 1Locality name 7 a EmployersState, 1 State Employer's state ID number 1 19 22222 2 2022OMB No. 7 a EmployersState,Local,or File 1 Copy22222 2 2022 1545-0008 APEX L4UPR c 2022 bEmployer number (EIN) 22222Void CC e e d d o o 12c 1Wages, tips, other comp. 2Federal income tax withheld APEX L87RLocal,or File 16State wages, tips, etc. 1545-0008 OMB No. aEmployees social security no. 12d State income tax 7Social security tipsLocal wages, tips, etc. 16State wages, tips, etc. State income tax 185 Local wages, tips, etc. 5 CopyLocal income tax 4 6 2022 20 1Locality name b Employee's soc. sec. no. 3 5 Wages, tips, other comp. 4 6 Federal income tax withheldEmployers state ID no. 16State wages, tips, etc. FormW-2 Wage andTaxStatement 5206 9 8Allocated tipse 20Locality name - 3Social security wagesCC e e d d o o 4Social security tax withheldEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employers name, address, and ZIP codeForm W-2 Wage and Tax Statement 2022 Dept. of the Treasury IRSbEmployer ID number (EIN)Form W-2 Wage and Tax Statement3Social security wages Social security tax withheld Employer ID number (EIN) Social security wages Social security tax withheld TFP 540515State17State income tax 18Local wages, tips, etc. 19Local income tax Dept.oftheR Treasury IRS 5Medicare wages and tips 6Medicare tax withheld TFP 5406Dept. of the Treasury IRSpenalty or other sanction may be imposed on you if this income is taxable and you fail to report it. L4UP Medicare wages and tips Medicare tax withheld 5205 Medicare wages and tips Medicare tax withheldCopy 2 To Be Filed With Employee's State, City, or Local Income Tax Return L87 OMB No.1545-008 10 11 plans 12aSee instructions for box 12 cEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP code Suff.13Smtaptluotyoerye Pleatnirement Third-party 14Other 12b Sick paybC 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. State EmployersstateID no. 16State wages, tips, etc. 17State 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. 1545-008 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 2022 FormW-2 Wage andTaxStatement22222Void 7Social security tips 1Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 cEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheld13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode 9 5Medicare wages and tips 6Medicare tax withheldRetirement plan 12cCode Retirement plan 12cCode 10 11 plansC ed o 12aSee instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP code Suff.13 S emtaptluotoyerye R Platnirement eSickpay 14OtherC e d o 12b Third-partyState income tax bCC e e d d o o 12c185 1 State Employer's state ID number19 16State wages,tips ,etc. 20 1Locality name 7 1 158 State Employer's state ID number19 16State wages, tips,etc. 20 1Locality name 7 aEmployees social security no. 12dLocal wages, tips, etc. Local income tax State income tax Local wages, tips, etc. Local income taxForm W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameFor Privacy Act and Paperwork Reduction Dept. of the Treasury IRS Form W-2 Wage and Tax Statement Dept. of the Treasury IRSAct 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. 1545-008 Dept. of the Treasury - IRSOMB No. OMB No. 7Social security tips 2Federal income tax withhelda EmployersState,Local,or File 1 Copy22222 2 2022 1545-0008 a EmployersState,Local,or File 1 Copy22222 2 2022 1545-0008 c 2022 FormW-2 Wage andTaxStatement22222Void8Allocated tips 1Wages, tips, other comp. 4Social security tax withheldEmployee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employee's soc. sec. no. Wages, tips, other comp. Federal income tax withheld Employers name, address, and ZIP code 3Social security wages3Social security wages 4Social 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 withheldbEmployer ID number (EIN) 5Medicare wages and tips 6Medicare tax withheld Medicare wages and tips Medicare tax withheld 11 plans 12aSee instructions for box 12 cEmployer's name, address, and ZIP code cEmployer's name, address, and ZIP code eEmployees name, address, and ZIP code Suff.13 e Smtaptluotyoerye P Rleatnirement Third-party 14OtherC e d o 12b Sick paybC 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. State EmployersstateID no. 16State wages, tips, etc. 17State 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. 1545-008 Dept. of the Treasury - IRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 2022 FormW-2 Wage andTaxStatement22222Void 7Social security tips 1Wages, tips, other comp. 2Federal income tax withheld10 11plans 12aCode See inst. for box 12 10 11plans 12aCode See inst. for box 12 cEmployers name, address, and ZIP code 8Allocated tips 3Social security wages 4Social security tax withheld13Statutory employee 14Other 12bCode 13Statutory employee 14Other 12bCode 9 5Medicare wages and tips 6Medicare tax withheldRetirement plan 12cCode Retirement plan 12cCode 10 eThird-party 11 plansCC e e d d o o 12aSee instructions for box 12 Third-party sick pay 12dCode Third-party sick pay 12dCode eEmployees name, address, and ZIP code Suff.13 e Smtaptulotoyerye RPlatnirement Sick pay 14Other 12b16,etc 20 1Locality name 158Local wages, tips, etc. 19Local income tax tips, etc 20 1Locality name bCC e e d d o o 12c1State Employer's state ID numbertips . 7State income tax 1State Employer's state ID number 16 ,. 7State income tax aEmployees social security no. 12d158Local wages, tips, etc. 19 State wages,State wages Local income taxForm W-2 Wage and Tax Statement For Privacy Act and Paperwork Reduction State EmployersstateID no. 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameFor Privacy Act and Paperwork Reduction Dept. of the Treasury IRS Form W-2 Wage and Tax Statement L4UPR Dept. of the Treasury IR540S5Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return L87 OMB No.1545-008 5206 Dept.oftheTreasury-IRSAct Notice, see separate instructions. Act Notice, see separate instructions.Required Envelope: Required Envelope:APEX: DW4S or DW4SS APEX: DW387 or DW387STFP: 99991 or 99992 TFP: 44441 or 44442A full PDF image library is available at complyrightdealer.comAPEX - Sheets per packTFP - Forms per pack50s500s100s500sFORM DESCRIPTIONL4UP L4UP500 5205 5205B W-2 4-Up Box Employees Copies B, C, 2 & 2 Combined1 Page Equals 1 FormL4UPR L4UPR500 5405 5405B W-2 4-Up Box Employers Copies 1/D, 1/D, 1/D, 1/D1 Page Equals 1 FormN/A L4UP24500 N/A N/AAvailable On 24# Paper Stock1 Page Equals 1 FormL87 L87500 5206 5206B W-2 4-Up Horizontal Employees Copies B, C, 2 & 2 Combined1 Page Equals 1 FormL87R L87R500 5406 5406B W-2 4-Up Horizontal Employers Copies 1/D, 1/D, 1/D, 1/D Combined1 Page Equals 1 FormN/A L8724500 N/A N/AAvailable On 24# Paper Stock1 Page Equals 1 Form12"