Em 10 Data Kenneth T. Ford 338 North Side Avenue Philadel hia, PA 19130-6638 pa roll Data Married, 7 allowances wages: $1,350 per week SSN: 000-00-6839 401k: $100 r week Cost of group life insurance exceeding $50,000: $262.75 per year. Include in boxes and 5. No income tax withheld on insurance cost, but FICA taxes are withheld. Annual Taxes Withheld Social securit Medicare State income tax Local income tax 4,368.69 1,021.97 2 155.40 2,754.44