b'W-2 PRE-PRINTED & BLANK FORMSTFP Packaged Laser SetsTFP W-2 PACKAGED LASER SETTFP 5201 TFP 5202 TFP 5203 TFP 5204 TFP 5200aEmployees social security number For Ofcial Use OnlyaEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website atOMB No. 1545-0008 b 22222 VOID aEmployees social security number OMB No. 1545-0008b 33333 a Control number 943 944 DO NOT STAPLENone apply501c non-govt. Third-party22222 VOID OMB No. 1545-0008b 2 Federal income tax withheld FAST! Use www.irs.gov/ele This information is being furnished to the Internal Revenue Service. If you1 Wages, tips, other compensation 2 Federal income tax withheld For Ofcial Use Onlysick pay aEmployees social security number OMB No. 1545-0008cEmployers name, address, and ZIP code 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld b may be imposed on you if this income is taxable and you fail to report it. 5Kind 4 Social security tax withheld govt. emp. of (Check if b 1 Wages, tips, other compensation 1 Wages, tips, other compensation 2 Federal income tax withheld 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 941 Military MedicareKind State/localFederal govt. applicable) 5 Medicare wages and tips 6 Medicare tax withheld 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld 3 Social security wages cEmployers name, address, and ZIP code of CT-1 Hshld.(Check one)4 Social security tax withheld Payer6 Medicare tax withheld Employer 5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld (Check one) 8 Allocated tips emp. 1 Wages, tips, other compensationnon-501c7 Medicare wages and tips d Establishment number State/local 501c2 Federal income tax withheldc Total number of Forms W-2Social security tips7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips 7 Social security tips Control number 8 Allocated tips 9 e 103 Social security wages 4 Social security tax withhelddControl number 9dControl number 10C dddde e e e Suff. 13 9 StatutorydControl number 10C C C C ddddooe e e e Suff. 13 9 StatutoryRetirementdEmployees name, address, and ZIP code C C C C ddddooooe e e e 16State wages, tips, etc. Suff.11StatutoryfEmployers name 12a C C C C ddddooooe e e e See instructions for box 12 119 5 Medicare wages and tips 106 Medicare tax withhelde 10 e Last name Suff.11eEmployees name, address, and ZIP code12aSee instructions for box 12 C o11eEmployees name, address, and ZIP code12aSee instructions for box 12 1112aSee instructions for box 12 13 employee Retirement Third-party 12b 7 Social security tips 8 Allocated tipsplan sick pay13StatutoryRetirement Third-party 12b oemployee Retirement Third-party 12b employee plan Third-party 12b 14Other 12cemployee plan sick pay plan sick pay sick pay14Other 12c C o14Other 12c o14Other 12c 12d 12a Deferred compensation12d C o12d o15StateEmployers state ID number 17State income tax g Employers address and ZIP code 20Locality name 13 For third-party sick pay use only 12b12d 18Local wages, tips, etc.19Local income taxh Other EIN used this yearfEmployees address and ZIP code 15StateEmployers state ID number Locality name 15StateEmployers state ID number 16State wages, tips, etc.15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 2016State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 15 State Employers state ID number 14 Income tax withheld by payer of third-party sick payCopy W-2 Wage and Tax Statement 2022 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income taxForm 1ForState, orLocalTaxDepartment Department of the TreasuryInternal Revenue ServiceEmployers telephone numberFor Privacy Act and Paperwork Reduction Act Notice, see separate instructions.Department of the TreasuryInternal Revenue ServiceDepartment of the TreasuryInternal Revenue Service CopyDForEmployer.City, Employers contact personForm W-2 Wage and Tax Statement 2022 Form W-2 Wage and Tax Statement 2022 Form W-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue Service Employers fax number Employers email addressFor Privacy Act and Paperwork ReductionSafe, accurate, Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 Copy CFor EMPLOYEES RECORDS (See Notice toFAST!Use aEmployees social security number 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, and Act Notice, see the separate instructions. Copy BTo Be Filed With Employees FEDERAL Tax Return.Employee on the back of Copy B.) Form W-3 to the Social Security Administration; photocopies areThis information is being furnished to the Internal Revenue Service. Employees State, City or Local Income or CopTax y 2 tReturno be Filed With complete.Do Not Cut, Fold, or Staple Forms on This Page 22222 VOID aEmployees social security number Signature2 Federal income tax withheld TitleDateDepartment of the Treasury b OMB No. 1545-0008 1 Wages, tips, other compensationVOID aEmployees social security number For Ofcial Use OnlyaEmployees social security number OMB No. 1545-0008 Safe, accurate,Visit the IRS website atOMB No. 1545-0008 22222 VOID 5Form W-3 Transmittal of Wage and Tax Statements 2022 Internal Revenue Service22222 OMB No. 1545-0008www.irs.gov/eleThis information is being furnished to the Internal Revenue Service. If youOMB No. 1545-0008 3 Social security wages 4Federal income tax withheldaEmployees social security number cEmployers name, address, and ZIP code Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).2 Social security tax withheldb b 2 Federal income tax withheld FAST! Useb 2 Federal income tax withheld bEmployers name, address, and ZIP code 1 Wages, tips, other compensation 6Social security tax withheld1 Wages, tips, other compensation 1 Wages, tips, other compensation may be imposed on you if this income is taxable and you fail to report it. Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA. 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Medicare wages and tips 4 Medicare tax withheldDo not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.c Social security wagesReminder 6 Medicare tax withheldcEmployers name, address, and ZIP code 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld 3 Social security wagescEmployers name, address, and ZIP code4 Social security tax withheld 3 Social security wages 4 Social security tax withheld 7 Social security tips 8 Allocated tips5 Medicare wages and tips See the 2022 General Instructions for Forms dControl number 6 Medicare tax withheld 9 Separate instructions. W-28 Allocated tips5 Medicare wages and tips C de e 6 Medicare tax withheld 5 Medicare wages and tips C dddoe e e 6 Medicare tax withheld 13 5 Medicare wages and tips 12b C C dddooe e e 16State wages, tips, etc. Suff. 13 7 Social security tips Third-party10C C C C ddddooooe e e e C C C C ddddooooe e e e See instructions for box 12 When To File Paper FormsdControl number Last name Suff. 13 7 Social security tips Third-partyC C dooe 8 Allocated tips Suff. 13 7 Social security tips Third-partyC C oo8 Allocated tips Suff. 7 Social security tips e dEmployees name, address, and ZIP code C oSuff. 11StatutoryW-3 for Form(s) W-2 that were submitted electronically to the SSA. Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2023. TFP: 66661 or 66662 Control number8 Allocated tips 9 Purpose of Form12aRetirementsick pay 10See instructions for box 121014Other plan Third-party12bacceptable. Use a Form W-3 even if only one 9dControl number 109 dControl number 109 eEmployees name, address, and ZIP code 11employee paper forms must notcomply with IRS standards and be machine readable. 13StatutoryPhotocopies are12aStatutoryRetirementsick pay 12b doStatutoryRetirementsick pay 12b StatutoryRetirement Third-party12c 17State income tax employee Retirementsick pay 12c 20Locality name Where To File Paper Forms Suggested envelopes e 11eEmployees name, address, and ZIP code12aSee instructions for box 12 11eEmployees name, address, and ZIP code12aSee instructions for box 12 1112aSee instructions for box 12 plan 12bsick pay 14Other number (EIN). Make a copy of this form and keep it with Copy D (For 12dEmployer) of Form(s) W-2 for your records. The IRS recommends employee plan employee plan employee plan 12cretaining copies of these forms for 4 years.E-Filing Local income tax14Other 12c 14Other 12c 14Other 15StateEmployers state ID number 18Local wages, tips, etc.1912dfEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d C doe 2016State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d C doe 20Locality name 17State income tax 15State W-2 C doe orLocalTax 16State wages, tips, etc.17State income tax Copy A electronically instead of on paper. The SSA provides two freetoSend this entire page with the entire Copy A page of Form(s) W-2 to: for use with LaserLink The SSA strongly suggests employers report Form W-3 and Forms W-2 Employers state ID number 19Local income tax 2015StateEmployers state ID number 15StateEmployers state ID number Locality name 15StateEmployers state ID number 16State wages, tips, etc. 18Local wages, tips, etc. 12d Wage and Tax Statement 2022 18Local wages, tips, etc.Department of the TreasuryInternal Revenue Service Locality nameusingNote:Social Security Administration W-2 Online. Form 1For19Local income tax 20Department 50 Forms W-2 at a time to the SSA.the SSAsDirect Operations CenterWage and Tax Statement 2022 19Local income tax Form 19Local income tax 2022 CopyDFor State, orLocalTax Locality name 2022File Upload.For Privacy Act and Paperwork Reductionwww.SSA.gov/bso. First- Wilkes-Barre, PA 18769-0001 or TFP 20.22 software. Copy Employer.City, LW2D1Act Notice, see separate instructions. 18769-0002. If you use an IRS-approved private delivery service, addForm W-2 Wage and Tax Statement Specications for Filing Forms W-2 Electronically (EFW2). ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change Department of the TreasuryInternal Revenue Service 5204For Privacy Act and Paperwork Reduction Copy1ForState, Department Act Notice, see separate instructions. Log In. the ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers TaxCopyDForEmployer.City, January 31, 2023. For more information, go toGuide, for a list of IRS-approved private delivery services.Department of the TreasuryInternal Revenue ServiceDepartment of the TreasuryInternal Revenue Service Safe, accurate,Register LW3 41-0852411 5200Form W-2 Form W-2 Wage and Tax Statement 2022 W-2 Wage and Tax Statement Department of the TreasuryInternal Revenue Service OMB No. 1545-0008 1 Wages, tips, other compensation For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Envelopes orderedFor Privacy Act and Paperwork Reduction 41-0852411 LW2AAct Notice, see the separate instructions. 5201 Copy CFor EMPLOYEES RECORDS (See Notice to Copy AFor Social Security Administration. Send this entire page with not acceptable. This information is being furnished to the Internal Revenue Service. Employee on the back of Copy B.)5202 LW2C/LW22 FAST!Use VOID aEmployees social security numberForm W-3 to the Social Security Administration; photocopies areCopy BTo Be Filed With Employees FEDERAL Tax Return.LW2B 5203Employees State, City or Local Income or CopTax y 2 tReturno be Filed With 22222bEmployers name, address, and ZIP code 3 Social security wages 2 Federal income tax withheld separately.c 4 Social security tax withheldTFP W-2 PACKAGED BLANK LASER SET Control number 5 Medicare wages and tips 6 Medicare tax withheld7 Social security tips 8 Allocated tips9 10 dEmployees name, address, and ZIP code Suff.1112a C doe See instructions for box 12TFP 5201 TFP 5207 TFP 5209 TFP 5200 13StatutoryRetirement Third-party 12b C C C ddooe eeemployee plan sick pay14Other 12c12d doea Control number DO NOT STAPLE 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name22222 VOID aEmployees social security number For Ofcial Use Only 33333 For Ofcial Use Only15StateEmployers state ID numberOMB No. 1545-0008b Kind 941 Military 943 OMB No. 1545-0008None apply501c non-govt. Third-party Department of the TreasuryInternal Revenue Service b 1 Wages, tips, other compensation 2 Federal income tax withheld of CT-1 Hshld.govt. emp. 944 Kind Form W-2 State/localorState/local 501cFederal govt. sick payLW2D1For Privacy Act and Paperwork Reduction of Wage and Tax Statement (Check if (Check one) d Establishment number (Check one) CopyDFor State, LocalTax2 Federal income tax withheld 2022 Act Notice, see separate instructions.5204cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Payeremp. MedicareEmployernon-501c applicable) 5 Medicare wages and tips 6 Medicare tax withheld c Total number of Forms W-2 1 Wages, tips, other compensation DepartmentCopy1For Employer.City,dControl number 7 Social security tips Front Blank e Front Blank 3 Social security wages 4 Social security tax withheld8 Allocated tips910fEmployers name 5 Medicare wages and tips 6 Medicare tax withhelde Last name Suff.11Statutorywith W-2 InstructionsC C ddooe e with W-2 Instructions117 Social security tips 9 108 Allocated tips12aSee instructions for box 1213 employee Retirement Third-party 12bplan sick pay12c g Employers address and ZIP code 12a Deferred compensation14Other on back side. C C ddooe e 15 State on back side. 13 For third-party sick pay use only 12b12d h Other EIN used this yearfEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Employers state ID number 14 Income tax withheld by payer of third-party sick pay15StateEmployers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income taxEmployers contact person Employers telephone numberForm W-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue ServiceEmployers fax number Employers email addressFor Privacy Act and Paperwork ReductionAct Notice, see the separate instructions. Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 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, and Form W-3 to the Social Security Administration; photocopies arecomplete.Do Not Cut, Fold, or Staple Forms on This Page SignatureTitleDate aEmployees social security number For Ofcial Use OnlyForm W-3 Transmittal of Wage and Tax Statements 2022 Department of the Treasury Internal Revenue Service22222 VOID OMB No. 1545-0008Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).b 1 Wages, tips, other compensation 2 Federal income tax withheld 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.cEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld ReminderSeparate instructions. See the 2022 General Instructions for Forms W-2 5 Medicare wages and tips 6 Medicare tax withheld W-3 for Form(s) W-2 that were submitted electronically to the SSA.8 Allocated tips Purpose of FormdControl number 7 Social security tips Front Blank Front Blank910paper forms must comply with IRS standards and be machine readable. Photocopies are not acceptable. Use a Form W-3 even if only one 13Statutoryplan with W-2 Instructionswith W-2 Instructions e Last name Suff.11employee 12aSee instructions for box 12 C C ddooe e number (EIN). Make a copy of this form and keep it with Copy D (ForWhen To File Paper FormsRetirement Third-party 12b Employer) of Form(s) W-2 for your records. The IRS recommends sick pay retaining copies of these forms for 4 years.fEmployees address and ZIP code 16State wages, tips, etc. 14Other 18Local wages, tips, etc. 12c C C dooe e 20Locality name E-Filing on back side.usingtoMail Form W-3 with Copy A of Form(s) W-2 by January 31, 2023.The SSA strongly suggests employers report Form W-3 and Forms W-2Where To File Paper Formson back side. dCopy A electronically instead of on paper. The SSA provides two freeSend this entire page with the entire Copy A page of Form(s) W-2 to:12d W-2 Online.Social Security Administration15StateEmployers state ID number 17State income tax 19Local income taxFile Upload.Note:Wilkes-Barre, PA 18769-000150 Forms W-2 at a time to the SSA. Direct Operations CenterSpecications for Filing Forms W-2 Electronically (EFW2). the SSAs18769-0002. If you use an IRS-approved private delivery service, addATTN: W-2 Process, 1150 E. Mountain Dr. to the address and changeJanuary 31, 2023. For more information, go to www.SSA.gov/bso. First- the ZIP code to 18702-7997. See Pub. 15 (Circular E), Employers Tax Form Department of the TreasuryInternal Revenue ServiceRegister Log In. Guide, for a list of IRS-approved private delivery services.W-2 Wage and Tax Statement 2022 For Privacy Act and Paperwork ReductionFor Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 LW2AAct Notice, see the separate instructions. 5201 LW2NB 5207 LW3 41-0852411 5200Form W-3 to the Social Security Administration; photocopies areTFP W-2 Packaged Blank Laser Sets(3) Transmittal W-3 forms are included with each set FOR 50 EMPLOYEES57466-Part SET includes: 5201 (50), 5207 (100), 5209 (50),TFP W-2 Packaged Laser Sets 5200 W-3 (3)FOR 25 EMPLOYEESFOR 50 EMPLOYEES 5746256-Part SET includes: 5201 (25), 5207 (50), 5209 (25),56454-Part SET includes: 5201 (50), 5202 (50), 5203 (50), 5200 W-3 (3)5204 (50), 5200 W-3 (3) TFP W-2 4-Up Packaged Laser Sets5645E4-Part SET includes: 5201 (50), 5202 (50), 5203 (50), FOR 50 EMPLOYEES5204 (50), 5200 W-3 (3), 6666-2 Envelopes (50) 5844 4-Part SET includes: 5201 (50), 5204 (50), 5205 (50), 5200 (3)56506-Part SET includes: 5201 (50), 5202 (50), 5203 (25), 5846 6-Part SET includes: 5201 (50), 5204 (100), 5205 (50), 5200 (3)5204 (50), 5200 W-3 (3)5650E6-Part SET includes: 5201 (50), 5202 (50), 5203 (50), 5848 8-Part SET includes:5201 (50), 5204 (150), 5205 (150), 5200 (3)5204 (50), 5200 W-3 (3), 6666-2 Envelopes (50) TFP W-2 Packaged Laser Sets for Electronic Filing56558-Part SET includes: 5201 (50), 5202 (50), 5203 (150), FOR 50 EMPLOYEES5204 (150), 5200 W-3 (3) 56485-Part SET includes: 5202 (50), 5203 (100), 5204 (100)5655E8-Part SET includes: 5201 (50), 5202 (50), 5203 (150), 5648E 5-Part SET includes: 5202 (50), 5203 (100), 5204 (100),5204 (150), 5200 W-3 (3), 6666-2 Envelopes (50) Envelopes 66662 (50)FOR 25 EMPLOYEES TFP W-2C Corrected Income Packaged Laser Sets5645254-Part SET includes: 5201 (25), 5202 (25), 5203 (25), FOR 50 EMPLOYEES5204 (25), 5200 W-3 (3) 53174-Part SET includes: 5313 (50), 5314 (50), 5315 (50),5645E254-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 5316 (50), 5309 (3)5204 (25), 5200 W-3 (3), 6666-2 Envelopes (25) 53186-Part SET includes: 5313 (50), 5314 (50), 5315 (100),5650256-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 5316 (100), 5309 (3)5204 (25), 5200 W-3 (3) FOR 25 EMPLOYEES5650E256-Part SET includes: 5201 (25), 5202 (25), 5203 (25), 531725 4-Part SET Includes: 5313 (25), 5314 (25), 5315 (25),5204 (25), 5200 W-3 (3), 6666-2 Envelopes (25) 5316 (25), 5309 (3)5655258-Part SET includes: 5201 (25), 5202 (25), 5203 (75), 531825 6-Part SET Includes: 5313 (25), 5314 (25), 5315 (50),5204 (75), 5200 W-3 (3) 5316 (50), 5309 (3)5655E258-Part SET includes: 5201 (25), 5202 (25), 5203 (75),5204 (75), 5200 W-3 (3), 6666-2 Envelopes (25)16'