22222 Employs Weily number 123-45-6789 Employer ton umber 11-2233444 14.700.00 Employer's and P code OMS No. 1545-0008 1 W, foother companion $47,000.00 3 Scalcurity was $50,000.00 Medicare was and tips $50,000.00 7 Social security Big Employer 123 Easy Street Washington, DC 12345 53.100.00 . Med 5725.00 & Med d Control 10 Dependent care benefits Employee's first name and initial La name Su 11 Nonguid 120 13 Ima B. Taxpayer 456 Main Street Philadelphia, PA 12345 14 Other 12 12d 1 Employee's address and P code 15 Sale Employer's at number PA 55-222222222 16 Stato wages, tios, etc. 17 State income tax $50,000.00 $1,535.00 18 Local wage, c. 19 Local income tax $50,000.00 $800.00 20 L TGP Form W-2 Wage and Tax Statement Copy 1 -For State, City, or Local Tax Department 2020 Department of the Treasury-owl Revenue Service Other Information: 120 Employee's address and code 15 Sale Employer's Outer PA 55-222222222 10 te wages, etc. 17 Site income $50,000.00 $1,536.00 18 Local wages, sp. 10 Locancome tax $50,000.00 $800.00 TGP W-2 Wago and Tax Statement Form Copy 1 -For State, City, or Local Tax Department Department of the Tury-Intem u Dervice 2020 Other Information: Single Received $220 in interest from Ally Bank Donated $30/month to Holy Trinity Church Attended college classes for work and received a $500 Lifetime Learning Credit Calculate final taxes due or refund due (Show work for credit)