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Copy B – To Be Filed With Employee’s 41-0852411 Copy 2 – To Be Filed With Employee’s 41-0852411

OMB No. 1545-0008 OMB No. 1545-0008


FEDERAL Tax Return. State, City, or Local Income Tax Return.
a Employee’s soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld a Employee’s soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld
15721.76 1679.82 15721.76 1679.82
631-02-3674 631-02-3674
3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld
b Employer ID number (EIN) 15721.76 974.75 b Employer ID number (EIN) 15721.76 974.75
5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
72-1332889 72-1332889
15721.76 227.97 15721.76 227.97
c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code

BRANDED WORKS, INC. BRANDED WORKS, INC.


114 W Harrison Ave 114 W Harrison Ave
New Orleans, LA 70124 New Orleans, LA 70124
d Control number d Control number

e Employee’s name, address, and ZIP code Suff. e Employee’s name, address, and ZIP code Suff.

CRISTHIAN D SUELPRES CRISTHIAN D SUELPRES

1710 CARLISLE ST 1710 CARLISLE ST


Irving, TX 75062 Irving, TX 75062
7 Social security tips 8 Allocated tips 9 7 Social security tips 8 Allocated tips 9
0.00 0.00 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 10 Dependent care benefits 11 Nonqualified plans 12a Code

13 Statutory employee 14 Other 12b Code 13 Statutory employee 14 Other 12b Code

Retirement plan 12c Code Retirement plan 12c Code

Third-party sick pay 12d Code Third-party sick pay 12d Code

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 15 State Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury -- IRS Form W-2 Wage and Tax Statement
2022 Dept. of the Treasury -- IRS
This information is being furnished to the Internal Revenue Service.
www.irs.gov/efile

Copy C – For EMPLOYEE’S RECORDS (See 41-0852411 Copy 2 – To Be Filed With Employee’s State, 41-0852411
OMB No. 1545-0008 OMB No. 1545-0008
Notice to Employee on the back of Copy B.) City, or Local Income Tax Return.
a Employee’s soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld a Employee’s soc. sec. no. 1 Wages, tips, other comp. 2 Federal income tax withheld
15721.76 1679.82 15721.76 1679.82
631-02-3674 631-02-3674
3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld
b Employer ID number (EIN) 15721.76 974.75 b Employer ID number (EIN) 15721.76 974.75
5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
72-1332889 72-1332889
15721.76 227.97 15721.76 227.97
c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code

BRANDED WORKS, INC. BRANDED WORKS, INC.


114 W Harrison Ave 114 W Harrison Ave
New Orleans, LA 70124 New Orleans, LA 70124
d Control number d Control number

e Employee’s name, address, and ZIP code Suff. e Employee’s name, address, and ZIP code Suff.

CRISTHIAN D SUELPRES CRISTHIAN D SUELPRES

1710 CARLISLE ST 1710 CARLISLE ST


Irving, TX 75062 Irving, TX 75062
7 Social security tips 8 Allocated tips 9 7 Social security tips 8 Allocated tips 9
0.00 0.00 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 10 Dependent care benefits 11 Nonqualified plans 12a Code

13 Statutory employee 14 Other 12b Code 13 Statutory employee 14 Other 12b Code

Retirement plan 12c Code Retirement plan 12c Code

Third-party sick pay 12d Code Third-party sick pay 12d Code

15 State Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax 15 State Employer’s state I.D. number 16 State wages, tips, etc. 17 State income tax
18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury -- IRS Form W-2 Wage and Tax Statement 2022 Dept. of the Treasury -- IRS
This information is being furnished to the IRS. If you are required to file a tax return, a negligence
penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. L4UP 5205
Notice to Employee

Do you have to file? Refer to the Form 1040 instructions to determine if you are required to file a tax return. Even if you don’t
have to file a tax return, you may be eligible for a refund if box 2 shows an amount or if you are eligible for any credit.

Earned income credit (EIC). You may be able to take the EIC for 2022 if your adjusted gross income (AGI) is less than a
certain amount. The amount of the credit is based on income and family size. Workers without children could qualify for a
smaller credit. You and any qualifying children must have valid social security numbers (SSNs). You can’t take the EIC if your
investment income is more than the specified amount for 2022 or if income is earned for services provided while you were an
inmate at a penal institution. For 2022 income limits and more information, visit www.irs.gov/EITC. See also Pub. 596, Earned
Income Credit. Any EIC that is more than your tax liability is refunded to you, but only if you file a tax return.

Employee's social security number (SSN). For your protection, this form may show only the last four digits of your SSN.
However, your employer has reported your complete SSN to the IRS and the Social Security Administration (SSA).

Clergy and religious workers. If you aren’t subject to social security and Medicare taxes, see Pub. 517, Social Security and
Other Information for Members of the Clergy and Religious Workers.

Corrections. If your name, SSN, or address is incorrect, correct Copies B, C, and 2 and ask your employer to correct your
employment record. Be sure to ask the employer to file Form W-2c, Corrected Wage and Tax Statement, with the SSA to
correct any name, SSN, or money amount error reported to the SSA on Form W-2. Be sure to get your copies of Form W-2c
from your employer for all corrections made so you may file them with your tax return. If your name and SSN are correct but
aren’t the same as shown on your social security card, you should ask for a new card that displays your correct name at any
SSA office or by calling 800-772-1213. You also may visit the SSA website at www.SSA.gov.

Cost of employer-sponsored health coverage (if such cost is provided by the employer). The reporting in box 12, using
code DD, of the cost of employer-sponsored health coverage is for your information only. The amount reported with code DD
is not taxable.

Credit for excess taxes. If you had more than one employer in 2022 and more than $9,114 in social security and/or Tier 1
railroad retirement (RRTA) taxes were withheld, you may be able to claim a credit for the excess against your federal income
tax. See the Form 1040 instructions. If you had more than one railroad employer and more than $5,350.80 in Tier 2 RRTA tax
was withheld, you may be able to claim a refund on Form 843. See the Instructions for Form 843.

(Also see Instructions for Employee, below.)

Instructions for Employee L—Substantiated employee business expense reimbursements


(nontaxable).
Box 1. Enter this amount on the wages line of your tax return. M—Uncollected social security or RRTA tax on taxable cost of
Box 2. Enter this amount on the federal income tax withheld line of group-term life insurance over $50,000 (former employees only).
your tax return. See the Form 1040 instructions.
Box 5. You may be required to report this amount on Form 8959, N—Uncollected Medicare tax on taxable cost of group-term life
Additional Medicare Tax. See the Form 1040 instructions to insurance over $50,000 (former employees only). See the Form
determine if you are required to complete Form 8959. 1040 instructions.
Box 6. This amount includes the 1.45% Medicare Tax withheld on all P—Excludable moving expense reimbursements paid directly to a
Medicare wages and tips shown in box 5, as well as the 0.9% member of the U.S. Armed Forces (not included in box 1, 3, or 5).
Additional Medicare Tax on any of those Medicare wages and tips Q—Nontaxable combat pay. See the Instructions for Form 1040
above $200,000. instructions for details on reporting this amount.
Box 8. This amount is not included in box 1, 3, 5, or 7. For R—Employer contributions to your Archer MSA. Report on Form
information on how to report tips on your tax return, see the Form 8853, Archer MSAs and Long-Term Care Insurance Contracts.
1040 instructions. S—Employee salary reduction contributions under a section 408(p)
SIMPLE plan (not included in box 1).
You must file Form 4137, Social Security and Medicare Tax on T—Adoption benefits (not included in box 1). Complete Form 8839,
Unreported Tip Income, with your income tax return to report at least Qualified Adoption Expenses, to figure any taxable and nontaxable
the allocated tip amount unless you can prove with adequate records amounts.
that you received a smaller amount. If you have records that show the V—Income from exercise of nonstatutory stock option(s)
actual amount of tips you received, report that amount even if it is (included in boxes 1, 3 (up to the social security wage base), and
more or less than the allocated tips. Use Form 4137 to figure the 5). See Pub. 525, Taxable and Nontaxable Income, for reporting
social security and Medicare tax owed on tips you didn’t report to your requirements.
employer. Enter this amount on the wages line of your tax return. By W—Employer contributions (including amounts the employee
filing Form 4137, your social security tips will be credited to your elected to contribute using a section 125 (cafeteria) plan) to your
social security record (used to figure your benefits). health savings account. Report on Form 8889, Health Savings
Accounts (HSAs).
Box 10. This amount includes the total dependent care benefits that Y—Deferrals under a section 409A nonqualified deferred
your employer paid to you or incurred on your behalf (including compensation plan.
amounts from a section 125 (cafeteria) plan). Any amount over your Z—Income under a nonqualified deferred compensation plan that
employer's plan limit is also included in box.1. See Form 2441. fails to satisfy section 409A. This amount is also included in box 1.
Box 11. This amount is (a) reported in box 1 if it is a distribution It is subject to an additional 20% tax plus interest. See the Form
made to you from a nonqualified deferred compensation or nongov- 1040 instructions.
ernmental section 457(b) plan or (b) included in box 3 and/or 5 if it is a AA—Designated Roth contributions under a section 401(k) plan.
prior year deferral under a nonqualified or section 457(b) plan that BB—Designated Roth contributions under a section 403(b) plan.
became taxable for Social Security and Medicare taxes this year DD— Cost of employer-sponsored health coverage. The amount
because there is no longer a substantial risk of forfeiture of your right to reported with code DD is not taxable.
the deferred amount. This box shouldn't be used if you had a deferral EE—Designated Roth contributions under a governmental section
and a distribution in the same calendar year. If you made a deferral 457(b) plan. This amount does not apply to contributions under a
and received a distribution in the same calendar year, and you are or tax-exempt organization section 457(b) plan.
will be age 62 by the end of the calendar year, your employer should FF—Permitted benefits under a qualified small employer health
file Form SSA-131, Employer Report of Special Wage Payments, with reimbursement arrangement.
the Social Security Administration and give you a copy. GG—Income from qualified equity grants under section 83(i).
Box 12. The following list explains the codes shown in box 12. You HH—Aggregate deferrals under section 83(i) elections as of the
may need this information to complete your tax return. Elective close of the calendar year.
deferrals (codes D, E, F, and S) and designated Roth contributions Box 13. If the “Retirement plan” box is checked, special limits may
(codes AA, BB, and EE) under all plans are generally limited to a total apply to the amount of traditional IRA contributions you may
of $20,500 ($14,000 if you only have SIMPLE plans; $23,500 for deduct. See Pub. 590-A, Contributions to Individual Retirement
section 403(b) plans if you qualify for the 15-year rule explained in Arrangements (IRAs).
Pub. 571). Deferrals under code G are limited to $20,500. Deferrals Box 14. Employers may use this box to report information such as
under code H are limited to $7,000. state disability insurance taxes withheld, union dues, uniform
payments, health insurance premiums deducted, nontaxable
However, if you were at least age 50 in 2022, your employer may income, educational assistance payments, or a member of the
have allowed an additional deferral of up to $6,500 ($3,000 for section clergy's parsonage allowance and utilities. Railroad employers use
401(k)(11) and 408(p) SIMPLE plans). This additional deferral amount this box to report railroad retirement (RRTA) compensation, Tier 1
is not subject to the overall limit on elective deferrals. For code G, the tax, Tier 2 tax, Medicare tax and Additional Medicare Tax. Include
limit on elective deferrals may be higher for the last 3 years before you tips reported by the employee to the employer in railroad retirement
reach retirement age. Contact your plan administrator for more (RRTA) compensation.
information. Amounts in excess of the overall elective deferral limit Note: Keep Copy C of Form W-2 for at least 3 years after the due
must be included in income. See the Form 1040 instructions. date for filing your income tax return. However, to help protect
your social security benefits, keep Copy C until you begin
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you receiving social security benefits, just in case there is a question
made a make-up pension contribution for a prior year(s) when you about your work record and/or earnings in a particular year.
were in military service. To figure whether you made excess deferrals,
consider these amounts for the year shown, not the current year. If no
year is shown, the contributions are for the current year.

A—Uncollected social security or RRTA tax on tips. Include this tax on


Form 1040 or 1040-SR. See the instructions for Forms 1040 and
1040-SR.
B—Uncollected Medicare tax on tips. Include this tax on Form 1040 or
1040-SR. See the Form 1040 instructions.
C—Taxable cost of group-term life insurance over $50,000
(included in boxes 1, 3 (up to the social security wage base), and 5) D
—Elective deferrals to a section 401(k) cash or deferred arrangement.
Also includes deferrals under a SIMPLE retirement account that is
part of a section 401(k) arrangement.
E—Elective deferrals under a section 403(b) salary reduction
agreement.
F—Elective deferrals under a section 408(k)(6) salary reduction SEP.
G—Elective deferrals and employer contributions (including
nonelective deferrals) to a section 457(b) deferred compensation plan.
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
organization plan. See the Form 1040 instructions for how to deduct.
J—Nontaxable sick pay (information only, not included in box 1, 3, or
5).
K—20% excise tax on excess golden parachute payments. See the
Form 1040 instructions.

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