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Jose and Maria Suarez are married and live at 9876 Main Street, Denver, CO 80205. Jose s SSNIS 420 412-34-5671 For the first five months

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Jose and Maria Suarez are married and live at 9876 Main Street, Denver, CO 80205. Jose s SSNIS 420 412-34-5671 For the first five months of the year, Jose was employed by Mountain Mortgage Company. The Form W-2 contained information in the following boxes: Wages (box 1) = $35,028.52 Federal W/H (box 2) = $ 3,746.89 Social security wages (box 3) = $35,028.52 Social security W/H (box 1) - $ 2,171.77 Medicare wages (box 5) = $35,028.52 Medicare W/H (box 6) = $ 507.91 Jose was laid off from his job at Mountain Mortgage and was unemployed for three months. He received $ insurance payments. The Form 1099-G Jose received from the state of Colorado contained $1,000 of unem box 1 and $100 of federal income tax withholding in box 4. During the last four months of the year, Jose was employed by First Mountain Bank in Denver. The Form W bank contained information in the following boxes: Wages (box 1) - $17, 620.20 Federal w/H (box 2) - $ 1,767.89 Social security wages (box 3) - $17, 020.20 Social security W/H (box 4) - $ 1,104.85 Medicare wages (box 5) - $17, 120.20 Medicare W/H (box 6) - $ 258.39 Maria was employed the entire year by Blue Sky Properties in Denver. The Form W-2 Maria received from information in the following boxes: Wages (box 1) - $52, 155.05 Federal W/B (box 2) - $4,786.62 Social security wages (box 3) - 552, 155.05 Social security W/H (box 1) - $3,252.21 Medicare vages (box ) - $52.455.05 Medicare W/ (box 6) - 6 760.60 Jose and Maria Suarez are married and live at 9876 Main Street, Denver, CO 80205. Jose s SSNIS 420 412-34-5671 For the first five months of the year, Jose was employed by Mountain Mortgage Company. The Form W-2 contained information in the following boxes: Wages (box 1) = $35,028.52 Federal W/H (box 2) = $ 3,746.89 Social security wages (box 3) = $35,028.52 Social security W/H (box 1) - $ 2,171.77 Medicare wages (box 5) = $35,028.52 Medicare W/H (box 6) = $ 507.91 Jose was laid off from his job at Mountain Mortgage and was unemployed for three months. He received $ insurance payments. The Form 1099-G Jose received from the state of Colorado contained $1,000 of unem box 1 and $100 of federal income tax withholding in box 4. During the last four months of the year, Jose was employed by First Mountain Bank in Denver. The Form W bank contained information in the following boxes: Wages (box 1) - $17, 620.20 Federal w/H (box 2) - $ 1,767.89 Social security wages (box 3) - $17, 020.20 Social security W/H (box 4) - $ 1,104.85 Medicare wages (box 5) - $17, 120.20 Medicare W/H (box 6) - $ 258.39 Maria was employed the entire year by Blue Sky Properties in Denver. The Form W-2 Maria received from information in the following boxes: Wages (box 1) - $52, 155.05 Federal W/B (box 2) - $4,786.62 Social security wages (box 3) - 552, 155.05 Social security W/H (box 1) - $3,252.21 Medicare vages (box ) - $52.455.05 Medicare W/ (box 6) - 6 760.60

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