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    Wage and Income - KULU - 101484197429

    Uploaded by

    Raymond Kabutano
    This document contains wage and income transcript information for tax year 2018 for taxpayer with SSN XXX-XX-9254. It includes two Form W-2s from different employers reporting wages and withholdings, as well as a Form 1099-R reporting a retirement plan distribution. The first W-2 is from Employer SUPE and shows wages of $4,780. The second W-2 is from Employer KC A and shows significantly higher wages of $62,393. The 1099-R is from issuer MATR and reports a taxable gross distribution of $1,137.

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    Wage and Income - KULU - 101484197429

    Uploaded by

    Raymond Kabutano
    152 views2 pages
    This document contains wage and income transcript information for tax year 2018 for taxpayer with SSN XXX-XX-9254. It includes two Form W-2s from different employers reporting wages and withholdings, as well as a Form 1099-R reporting a retirement plan distribution. The first W-2 is from Employer SUPE and shows wages of $4,780. The second W-2 is from Employer KC A and shows significantly higher wages of $62,393. The 1099-R is from issuer MATR and reports a taxable gross distribution of $1,137.

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    201812_Wage and Income_KULU_101484197429

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    This document contains wage and income transcript information for tax year 2018 for taxpayer with SSN XXX-XX-9254. It includes two Form W-2s from different employers reporting wages and withholdings, as well as a Form 1099-R reporting a retirement plan distribution. The first W-2 is from Employer SUPE and shows wages of $4,780. The second W-2 is from Employer KC A and shows significantly higher wages of $62,393. The 1099-R is from issuer MATR and reports a taxable gross distribution of $1,137.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    152 views2 pages

    Wage and Income - KULU - 101484197429

    Uploaded by

    Raymond Kabutano
    This document contains wage and income transcript information for tax year 2018 for taxpayer with SSN XXX-XX-9254. It includes two Form W-2s from different employers reporting wages and withholdings, as well as a Form 1099-R reporting a retirement plan distribution. The first W-2 is from Employer SUPE and shows wages of $4,780. The second W-2 is from Employer KC A and shows significantly higher wages of $62,393. The 1099-R is from issuer MATR and reports a taxable gross distribution of $1,137.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    This Product Contains Sensitive Taxpayer Data

    Request Date: 01-11-2022


    Response Date: 01-11-2022
    Tracking Number: 101484197429
    Wage and Income Transcript
    SSN Provided: XXX-XX-9254
    Tax Period Requested: December, 2018

    Form W-2 Wage and Tax Statement


    Employer:
    Employer Identification Number (EIN):XXXXX8853
    SUPE
    14500
    Employee:
    Employee's Social Security Number:XXX-XX-9254
    PASC KULU
    12519
    Submission Type:.............................................Original document
    Wages, Tips and Other Compensation:..................................$4,780.00
    Federal Income Tax Withheld:............................................$26.00
    Social Security Wages:...............................................$5,032.00
    Social Security Tax Withheld:..........................................$312.00
    Medicare Wages and Tips:.............................................$5,032.00
    Medicare Tax Withheld:..................................................$72.00
    Social Security Tips:....................................................$0.00
    Allocated Tips:..........................................................$0.00
    Dependent Care Benefits:.................................................$0.00
    Deferred Compensation:.................................................$251.00
    Code "Q" Nontaxable Combat Pay:..........................................$0.00
    Code "W" Employer Contributions to a Health Savings Account:.............$0.00
    Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation
    plan:....................................................................$0.00
    Code "Z" Income under section 409A on a nonqualified Deferred Compensation
    plan:....................................................................$0.00
    Code "R" Employer's Contribution to MSA:.................................$0.00
    Code "S" Employer's Contribution to Simple Account:......................$0.00
    Code "T" Expenses Incurred for Qualified Adoptions:......................$0.00
    Code "V" Income from exercise of non-statutory stock options:............$0.00
    Code "AA" Designated Roth Contributions under a Section 401(k) Plan:.....$0.00
    Code "BB" Designated Roth Contributions under a Section 403(b) Plan:.....$0.00
    Code "DD" Cost of Employer-Sponsored Health Coverage:....................$0.00
    Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b)
    Plan:....................................................................$0.00
    Code "FF" Permitted benefits under a qualified small employer health
    reimbursement arrangement:...............................................$0.00
    Code "GG" Income from Qualified Equity Grants Under Section 83(i):.......$0.00
    Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close
    of the Calendar Year:....................................................$0.00
    Third Party Sick Pay Indicator:.....................................Unanswered
    Retirement Plan Indicator:...............................Yes - retirement plan
    Statutory Employee:.....................................Not Statutory Employee
    W2 Submission Type:...................................................Original
    W2 WHC SSN Validation Code:........................................Correct SSN

    Form W-2 Wage and Tax Statement


    Employer:
    Employer Identification Number (EIN):XXXXX2477
    KC A
    1350 E
    Employee:
    Employee's Social Security Number:XXX-XX-9254
    PASC KULU
    12519
    Submission Type:.............................................Original document
    Wages, Tips and Other Compensation:.................................$62,393.00
    Federal Income Tax Withheld:.........................................$4,378.00
    Social Security Wages:..............................................$62,818.00
    Social Security Tax Withheld:........................................$3,894.00
    Medicare Wages and Tips:............................................$62,818.00
    Medicare Tax Withheld:.................................................$910.00
    Social Security Tips:....................................................$0.00
    Allocated Tips:..........................................................$0.00
    Dependent Care Benefits:.................................................$0.00
    Deferred Compensation:...................................................$0.00
    Code "Q" Nontaxable Combat Pay:..........................................$0.00
    Code "W" Employer Contributions to a Health Savings Account:.............$0.00
    Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation
    plan:....................................................................$0.00
    Code "Z" Income under section 409A on a nonqualified Deferred Compensation
    plan:....................................................................$0.00
    Code "R" Employer's Contribution to MSA:.................................$0.00
    Code "S" Employer's Contribution to Simple Account:......................$0.00
    Code "T" Expenses Incurred for Qualified Adoptions:......................$0.00
    Code "V" Income from exercise of non-statutory stock options:............$0.00
    Code "AA" Designated Roth Contributions under a Section 401(k) Plan:.....$0.00
    Code "BB" Designated Roth Contributions under a Section 403(b) Plan:.....$0.00
    Code "DD" Cost of Employer-Sponsored Health Coverage:...............$18,061.00
    Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b)
    Plan:....................................................................$0.00
    Code "FF" Permitted benefits under a qualified small employer health
    reimbursement arrangement:...............................................$0.00
    Code "GG" Income from Qualified Equity Grants Under Section 83(i):.......$0.00
    Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close
    of the Calendar Year:....................................................$0.00
    Third Party Sick Pay Indicator:.....................................Unanswered
    Retirement Plan Indicator:..........................................Unanswered
    Statutory Employee:.....................................Not Statutory Employee
    W2 Submission Type:...................................................Original
    W2 WHC SSN Validation Code:........................................Correct SSN

    Form 1099-R Distributions from Pensions, Annuities, Retire or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
    Payer:
    Payer's Federal Identification Number (FIN):XXXXX2674
    MATR
    P.O. B
    Recipient:
    Recipient's Identification Number:XXX-XX-9254
    PASC KULU
    12519
    Submission Type:.............................................Original document
    Account Number (Optional):.............................................XXX8717
    Distribution Code Value:
    ......Early Distribution, no known exception (in most cases, under age 59 1/2)
    Distribution Code:...........................................................1
    Distribution Code Value:.......................................Not significant
    Distribution Code:.......................................................Blank
    Tax Amount Undetermined Code:......................................Not checked
    Total Distribution Code:...........................................Not checked
    First Year Roth Contribution:.............................................0000
    SEP Indicator:....................................IRA/SEP/SIMP box not checked
    FATCA Indicator:.....................................................not FATCA
    Date of Payment for Reportable Death Benefits under Section 6050Y:..00-00-0000
    Tax Withheld:............................................................$0.00
    Total Employee Contributions:............................................$0.00
    Unrealized Appreciation:.................................................$0.00
    Other Income:............................................................$0.00
    Gross Distribution:..................................................$1,137.00
    Taxable Amount:......................................................$1,137.00
    Eligible Capital Gains:..................................................$0.00
    Amount to IRR:...........................................................$0.00

    This Product Contains Sensitive Taxpayer Data

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