Income Tax Information: The wage-bracket method is used to determine federal income tax withholding. Calculate the annual federal income tax withheld by using the weekly wage-bracket table and multiply the answer by 52. The other taxes withheld are shown below. Employee Data Payroll Data Annual Taxes Withheld Kelly B. Roach Single Social security tax withheld $2,305.16 54 Gradison Place $715 per week Medicare tax withheld 539.24 Philadelphia, PA 19113-4054 55=: 000-00-4310 State income tax withheld 1,141.40 Deduction for 401(k) plan: $50/week Local income tax withheld 1,427.40 State unemployment tax withheld** 22.36 Ralph I. Volpe Married filing jointly Social security tax withheld 2,530.84 56 Andrews Court, Apt. 7 $785 per week Medicare tax withheld 591.76 Philadelphia, PA 19103-3356 SS#: 000-00-8804 State income tax withheld 1,253.20 Dependent care payment: $950 Local income tax withheld 1,567.28 $70/week-401(k) State unemployment tax withheld** 24.44 Randi A. Myer Single Social security tax withheld 2,853.24 770 Camac Street $885 per week Medicare tax withheld 667.16 Philadelphia, PA 19101-3770 55#: 000-00-3316 State income tax withheld 1,412.84 Union dues withheld: $102 Local income tax withheld 1,766.96 State unemployment tax withheld** 27.5 Kenneth T. Ford Married filing jointly Social security tax withheld 4,368.69 338 North Side Avenue $1,350 per week Medicare tax withheld 1,021.97 Philadelphia, PA 19130-6638 SS=: 000-00-6839 State income tax withheld 2,155.40 Cost of group-term life insurance Local income tax withheld 2,695.68 exceeding $50,000: $262.75* State unemployment tax withheld** 42.12 $100/week-401(k) Chrissy C. Carman Married filing jointly Social security tax withheld 2,643.68 4900 Gladwynne Terrace $820 per week Medicare tax withheld 618.28 Philadelphia, PA 19127-0049 55#: 000-00-5771 State income tax withheld 1,308.84 Union dues withheld: $102 Local income tax withheld 1,637.48 State unemployment tax withheld** 25.48 Hal B. Zuber Single Social security tax withheld 2,546.96 480-A Hopkinson Tower $790 per week Medicare tax withheld 595.92 Philadelphia, PA 19101-3301 SS=: 000-00-8703 State income tax withheld 1,261.00 Educational assistance payments Local income tax withheld 1,577.16 (job-required): $675 State unemployment tax withheld* * 24.44 $50/week-401(k) The cost of excess group-term life insurance is added to gross wages for federal income tax, Social Security, and Medicare. Employers withhold OASDI and HI tax on these amounts but are not required to withhold federal income tax. The cost is not added to gross wages for state and local taxes; therefore, it is not heck My Work All work saved. Save aAs we go to press, the federal income tax rates for 2023 are being determined by budget talks in Washington, and are not available for publication. For this edition, the 2022 federal income tax tables for Manual Systems with Forms W-4 from 2020 or Later with Standard Withholding and 2022 FICA rates have been used Click here to access the Wage-Bracket Method Tables. a Employee's social For Official Use Only 22222 Void security number OMB No. 1545-0008 000-00-5771 b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 00-0000972 42,640 3 Social security wages 4 Social security tax withheld c Employer's name, address, and ZIP code 2,643.68 5 Medicare wages and tips 6 Medicare tax withheld Quigley Corporation $ 595.92 X 4800 River Road $ Philadelphia, PA 19113-5548 7 Social security tips 8 Allocated tips d Control number 9 10 Dependent care benefits $ e Employee's first name and initial Last name Suff 11 Nonqualified plans 12a See instructions for box 12 Chrissy C. Carman Code 13 12b 4900 Gladwynne Terrace 14 Other Code $ 12c Philadelphia, PA 19127-0049 Code 12d f Employee's address and ZIP code Code 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name PA 00-0-1066 S $ Phila Form W-2 Wage and Tax Statement 20-- Department of the Treasury-Internal Revenue Service For Privacy Act and Paperwork Reduction Copy A For Social Security Administration - Send this entire page with Act Notice, see the separate instructions. Form W-3 to the Social Security Administration; photocopies are not acceptable. Cat. No. 10134Da Employee's social For Official Use Only security number 22222 Void D OMB No. 1545-0008 000-00-8703 b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 00-0000972 3 Social security wages 4 Social security tax withheld c Employer's name, address, and ZIP code 5 Medicare wages and tips 6 Medicare tax withheld Quigley Corporation 4800 River Road 8 Allocated tips Philadelphia, PA 19113-5548 7 Social security tips $ d Control number 9 10 Dependent care benefits e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 Hal B. Zuber Code 13 12b 480-A Hopkinson Tower 14 Other Code $ 12c Philadelphia, PA 19101-3301 Code f Employee's address and ZIP code 120 Code 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name 00-0-1066 Phila Form W-2 Wage and Tax Statement 20-- Department of the Treasury-Internal Revenue Service For Privacy Act and Paperwork Reduction Copy A For Social Security Administration - Send this entire page with Act Notice, see the separate instructions. Form W-3 to the Social Security Administration; photocopies are not acceptable. Cat. No. 10134DFor Official Use Only > 33333 a Control number OMB No. 1545-0008 b Kind of Payer Kind of Employer Third-party sick pay : Total number of forms W-2 1 Wages, tips, other compensation 2 Federal income tax withheld d Establishment number e Employer identification number (EIN) 3 Social security wages 4 Social security tax withheld 00-0000972 f Employer's name 5 Medicare wages and tips 6 Medicare tax withheld Quigley Corporation 7 Social security tips 8 Allocated tips $ 4800 River Road 9 10 Dependent care benefits Philadelphia, PA 19113-5548 11 Nonqualified plans 12a Deferred compensation g Employer's address and ZIP code 13 For third-party sick pay use only h Other EIN used this year 15 State Employer's state ID number 14 Income tax withheld by payer of third-party sick pay PA 00-0-1066 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax Employer's contact person Employer's telephone number For Official Use Only Ralph I. Volpe (215) 555-0017 Employer's fax number Employer's email address 215) 555-0010 NA Under penalties of perjury, 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 . Kenneth T. Ford Title . President Date . 1/31/20 Department of the Treasury Form W-3 Transmittal of Wage and Tax Statements 20-- Source: Internal Revenue Service