b'W-2 PRE-PRINTED FORMSApex Packaged Laser SetsAPEX LW2A 22222 VOID aEmployees social security number For Ofcial Use Only OMB No. 1545-0008 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 APEX DWCL5 Medicare wages and tips 6 Medicare tax withheld7 Social security tips 8 Allocated tips APEX LW2B dControl number 910aEmployees social security number Safe, accurate,Visit the IRS website at OMB No. 1545-0008 FAST! Use www.irs.gov/ele e Last name Suff.11b 12aSee instructions for box 12 C doe 1 Wages, tips, other compensation 2 Federal income tax withheld13StatutoryRetirementThird-party12b C doe 3 Social security wages 4 Social security tax withheldemployeecEmployers name, address, and ZIP codeplan sick pay14Other 12c C doe 5 Medicare wages and tips 6 Medicare tax withheld12d C doe 7 Social security tips 8 Allocated tipsfEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Suff. 9 employee b RetirementThird-party10C C ddooe e aEmployees social security number OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If youAPEX LW2CLW22 15StateEmployers state ID number dControl numbereEmployees name, address, and ZIP code 1112aSee instructions for box 1213Statutoryplan sick pay 12bForm W-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue Service14Other 12c C doe may be imposed on you if this income is taxable and you fail to report it.For Privacy Act and Paperwork Reduction1 Wages, tips, other compensation 2 Federal income tax withheldCopy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411Act Notice, see the separate instructions.cEmployers name, address, and ZIP code12d C doe 3 Social security wages 4 Social security tax withheldForm W-3 to the Social Security Administration; photocopies are Do Not Cut, Fold, or Staple Forms on This Page 5 Medicare wages and tips 6 Medicare tax withheld15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tips 8 Allocated tips22222 VOID aEmployees social security number For Ofcial Use OnlydControl number 9 10 b OMB No. 1545-0008Form 2 Federal income tax withheld eEmployees name, address, and ZIP code Suff.1112a C doe See instructions for box 12 APEX LW2D1 1 Wages, tips, other compensationcEmployers name, address, and ZIP code W-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue Service Statutory 22222Third-party12b C oe aEmployees social security number OMB No. 1545-00082 Federal income tax withheld3 Social security wages 4 Social security tax withheldCopy BTo Be Filed With Employees FEDERAL Tax Return.13 employee b Retirementsick pay VOID 12c C ddoe 1 Wages, tips, other compensation 4 Social security tax withheldThis information is being furnished to the Internal Revenue Service. plan5 Medicare wages and tips 6 Medicare tax withheld14Other7 Social security tips 8 Allocated tips 3 Social security wagescEmployers name, address, and ZIP code12d C doe 5 Medicare wages and tips 6 Medicare tax withhelddControl number 910aEmployees social security number Safe, accurate,Visit the IRS website at oe OMB No. 1545-0008 FAST! Use www.irs.gov/ele17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tips 8 Allocated tipse Last name Suff.11b 12aSee instructions for box 12 C d1 Wages, tips, other compensation15StateEmployers state ID number2 Federal income tax withheld16State wages, tips, etc.13StatutorycEmployers name, address, and ZIP codeC C ddooe e e 3 Social security wages 4 Social security tax withheld dControl number Safe, accurate,Suff. 9 b Third-party10C C ddooe e See instructions for box 12 OMB No. 1545-00082 Federal income tax withheld APEX LW3 employee RetirementThird-party12bplan sick pay14Other 12c C dForm W-2 Wage and Tax Statement 2022 eEmployees name, address, and ZIP code 11Statutory22222 sick pay VOID 12a aEmployees social security number5 Medicare wages and tips 6 Medicare tax withheld Department of the TreasuryInternal Revenue Service12d o7 Social security tips 8 Allocated tips FAST!Use 13 employee Retirement12bCopy CFor EMPLOYEES RECORDS (See Notice to o be Filed With planEmployee on the back of Copy B.) fEmployees address and ZIP code dControl number 19Local income tax 20Locality name 9 10or CopTax y 2 tReturn 14Other 12c C doe 1 Wages, tips, other compensation 4 Social security tax withheldEmployees State, City or Local Income 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.Form For Privacy Act and Paperwork ReductionSuff.11employee plan sick pay 12aSee instructions for box 12 C C C ddoooe e e OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you17State income tax cEmployers name, address, and ZIP code C doe 20Locality name 3 Social security wages 6 Medicare tax withheldeEmployees name, address, and ZIP code 12ddaEmployees social security number 5 Medicare wages and tips13StatutoryRetirementThird-party12b may be imposed on you if this income is taxable and you fail to report it. 18Local wages, tips, etc.19Local income tax 7 Social security tips 8 Allocated tipsW-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue Service14Other b 12c 1 Wages, tips, other compensation15StateEmployers state ID number2 Federal income tax withheld16State wages, tips, etc.Copy AFor Social Security Administration. Send this entire page with not acceptable. 41-0852411 LW2AAct Notice, see the separate instructions. 5201 cEmployers name, address, and ZIP code12d C doe 3 Social security wages 4 Social security tax withheld dControl number Suff. 9 Third-party10C C doeForm W-3 to the Social Security Administration; photocopies are 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Form W-2 Wage and Tax Statement 2022eEmployees name, address, and ZIP code 11StatutoryRetirementsick pay 12aSee instructions for box 12 doe5 Medicare wages and tips 6 Medicare tax withheld Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction 7 Social security tips State,City,or 8LocalTaxDepartment Act Notice, see separate instructions. 13 employee plan 12bCopy1For Allocated tipsCopyDForEmployer.dControl number 9 1014Other 12c C doeForm W-2 Wage and Tax Statement 2022 Department of the TreasuryInternal Revenue Service Suff.11Statutory22222 Third-party12aSee instructions for box 12 C C ddooe e OMB No. 1545-000815StateEmployers state ID number2 Federal income tax withheld16State wages, tips, etc.17State income tax 18Local wages, tips, etc. 12d C doe 20Locality nameeEmployees name, address, and ZIP codeCopy BTo Be Filed With Employees FEDERAL Tax Return.13 employee Retirementsick pay VOID12b aEmployees social security number 19Local income taxThis information is being furnished to the Internal Revenue Service. LW2B 5202 plan14Other b 12c C doe 1 Wages, tips, other compensation 4 Social security tax withheldcEmployers name, address, and ZIP code 3 Social security wages12d C doe 5 Medicare wages and tipsWage and Tax Statement Department of the TreasuryInternal Revenue Service 15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Form W-2 or 6 Medicare tax withheld 2022 For Privacy Act and Paperwork Reduction 7 Social security tips State, LocalTaxDepartment Act Notice, see separate instructions.Copy1For Employer.City, 8 Allocated tipsCopyDFordControl number 9 10 Form W-2 Wage and Tax Statement 2022 eEmployees name, address, and ZIP code Suff.11Statutory 22222Third-party12a C C ddooe e See instructions for box 12 OMB No. 1545-00082 Federal income tax withheldDepartment of the TreasuryInternal Revenue ServiceCopy CFor EMPLOYEES RECORDS (SeeSafe, accurate,13 employee Retirementsick pay VOID12b aEmployees social security numberEmployee on the back of Copy B.) or Copy 2Notice toto be Filed With FAST!Use planEmployees State, City or Local Income Tax Return LW2C/LW22 5203 14Other b 12c C doe 1 Wages, tips, other compensation 4 Social security tax withheld(3) Transmittal W-3 forms included with each set 15StateEmployers state ID number 16State wages, tips, etc.17State income tax cEmployers name, address, and ZIP code C doe 20Locality name 3 Social security wages 6 Medicare tax withheld12d5 Medicare wages and tips18Local wages, tips, etc.19Local income tax 7 Social security tips 8 Allocated tipsdControl number 9 10 Copy W-2 orLocalTaxDepartment 2022 Department of the TreasuryInternal Revenue ServiceSuff. 13 employee plan sick pay 12bForm 1ForState, Wage and Tax Statement eEmployees name, address, and ZIP code 11StatutoryRetirementThird-party12aSee instructions for box 12 C C ddooe eFor Privacy Act and Paperwork Reduction CopyDForEmployer.City, LW2D1Act Notice, see separate instructions.5204 APEX W-2 Packaged Laser Sets 14Other 12c C C ddooe e12d15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality nameSTANDARD SETS 50 Sheets (100 Employees)Copy W-2 orLocalTaxDepartment 2022 Department of the TreasuryInternal Revenue Service 952144-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA) Form 1ForState, Wage and Tax Statement LW2D1For Privacy Act and Paperwork Reduction CopyDForEmployer.City, Act Notice, see separate instructions.5204952166-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA)952188-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)STANDARD SETS w/ Envelopes 50 Sheets (100 Employees)95214E4-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA) + DWCL (100)95216E6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA) + DWCL (100)95218E8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)APEX W-2 Packaged Laser Sets (continued)+ DWCL (100) MINI SETS w/ Self-Seal Envelopes 25 Sheets (50 Employees)STANDARD SETS w/ Self-Seal Envelopes 50 Sheets (100 Employees) 95211ES4-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA) 95214ES4-Part SET includes: W-2 Copy A, B, C, D (50 Sheets EA)+ DWCLS (50)+ DWCLS (100) 95212ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) 95216ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets EA)+ DWCLS (50)+ DWCLS (100) 95213ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA) 95218ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets EA)+ DWCLS (50)+ DWCLS (100) VALUE SETS w/ Self-Seal Envelopes 10 Sheets (20 Employees)MINI SETS 25 Sheets (50 Employees) 95204ES4-Part SET includes: W-2 Copy A, B, C, D (10 Sheets EA) 952114-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA) + DWCLS (20)952126-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) 95206ES6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (10 Sheets EA) 952138-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA) + DWCLS (20)MINI SETS w/ Envelopes 25 Sheets (50 Employees) 95208ES8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (10 Sheets EA) 95211E4-Part SET includes: W-2 Copy A, B, C, D (25 Sheets EA)+ DWCLS (20)+ DWCL (50) APEX W-2C Corrected Income Set95212E6-Part SET includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets EA) + DWCL (50) STANDARD SET w/ Envelopes 50 Sheets (50 Employees)95213E8-Part SET includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (25 Sheets EA)95219E6-Part SET Includes: LW2CA (50), LW2CB (50), LW2CC (100),+ DWCL (50) LW2D1 (100), LW3C (3) + DWW2C (50)17'