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Complete the W-3 Form for Belt Buckle Industries (employer identification #88-8888888). The company (located at 435 Georgia Lane, Clifton, NJ 07011) does not use control

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Complete the W-3 Form for Belt Buckle Industries (employer identification \#88-8888888). The company (located at 435 Georgia Lane, Clifton, NJ 07011) does not use control numbers. Total employee compensation (gross pay) for the year was $527,000, and annual retirement plan contributions totaled $15,200. Federal income tax withholding totaled $73,100 for the year, Of the company's four employees, only one had earnings subject to Social Security tax that did not exceed $142,800 (this employee eamed $18,200 ). New Jersey state eamings subject to income tax withholding were the same as that subject to federal income tax withholding. State income tax withholding totaled $53,000, with no local taxes withheld. The employer's New Jersey State ID number is the same as its federal identification number. The form is signed by the CEO of the company, Paul Goldstein (telephone \#862-555-0052), and is submitted on the due date for e-fling. The company files Form 941 during the year, and selects "none apply" in the Kind of Employer section. Notes: - There are no rounding differenoes for Social Security tax or Medicare tax between withheld amounts and those that can be calculated by using the total taxable earnings for the year, and no employee was subject to Additional Medicare Tax during the year. - For simplicity, all calculations throughout this exercise, both intermediate and final, should be rounded to two decimal places at each calculation. DO NOT STAPLE Under penalties of periury, 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 complete. Signature P Pand Qaldstein Tite r CEO Date - 1/31/2022 Form V=3 Transmittal of Wage and Tax Statements X Department of the Treasury Internal Revenue Service Complete the W-3 Form for Belt Buckle Industries (employer identification \#88-8888888). The company (located at 435 Georgia Lane, Clifton, NJ 07011) does not use control numbers. Total employee compensation (gross pay) for the year was $527,000, and annual retirement plan contributions totaled $15,200. Federal income tax withholding totaled $73,100 for the year, Of the company's four employees, only one had earnings subject to Social Security tax that did not exceed $142,800 (this employee eamed $18,200 ). New Jersey state eamings subject to income tax withholding were the same as that subject to federal income tax withholding. State income tax withholding totaled $53,000, with no local taxes withheld. The employer's New Jersey State ID number is the same as its federal identification number. The form is signed by the CEO of the company, Paul Goldstein (telephone \#862-555-0052), and is submitted on the due date for e-fling. The company files Form 941 during the year, and selects "none apply" in the Kind of Employer section. Notes: - There are no rounding differenoes for Social Security tax or Medicare tax between withheld amounts and those that can be calculated by using the total taxable earnings for the year, and no employee was subject to Additional Medicare Tax during the year. - For simplicity, all calculations throughout this exercise, both intermediate and final, should be rounded to two decimal places at each calculation. DO NOT STAPLE Under penalties of periury, 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 complete. Signature P Pand Qaldstein Tite r CEO Date - 1/31/2022 Form V=3 Transmittal of Wage and Tax Statements X Department of the Treasury Internal Revenue Service

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