Prepare the tax returns using form 540-2EZ (California) for this problem. Brenda Peterson is single, date of birth is March 1, 1987, and lives at
Prepare the tax returns using form 540-2EZ (California) for this problem.
Brenda Peterson is single, date of birth is March 1, 1987, and lives at 567 East Street, Pacifica, CA 94044. Her SSN is 412-34-5670. She worked the entire year for Applebee Consulting as a consultant in Pacifica. She has enclosed her form W-2 and one form 1099-INT. Brenda had qualifying health coverage for every month of 2017 and lives with her uncle without paying rent.
22222 | void 47 a Employee's social security number For Official Use Only OMB No. 1545-0008 12-34-56 identification number 1 Wages, 1ps, other compensat on 61.292.05 61,292.05 2 Federal income tax withheld 94-1234567 9,318. 12 c Employer's name, address and ZIP code withheld Applebee Consulting 123 Main Street Pacifica, CA 94104 Medicare wagas and tips 61,292.05 3,800.11 6 Medicare tax withheld 888.73 8 Allocated 7 Social security tipe d Control number 10 Dependent care benefits s first name and initial Sutf. 11 Nonqualified plans 12a See instructions for box 12 Peterson Brenda 12b 567 East Street Pacifica, CA 94044 14 Other 12c CA SDI $551.63 12d f Employee's address and ZziP code 16 State wagos tis, ete7 State income tax18 Locw wages tos ete 19 Local Inoume tax 20 Loca ty name 61,292.05 Sate E s state ID number CAl 123456 0.0 Department of the Treasury- Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 10134D ] Form W 12017 Copy A For Social Security Administration Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. 2 Wage and Tax Statement Do Not Cut, Fold, or Staple Forms on This Page +7 16:39 22222 | void 47 a Employee's social security number For Official Use Only OMB No. 1545-0008 12-34-56 identification number 1 Wages, 1ps, other compensat on 61.292.05 61,292.05 2 Federal income tax withheld 94-1234567 9,318. 12 c Employer's name, address and ZIP code withheld Applebee Consulting 123 Main Street Pacifica, CA 94104 Medicare wagas and tips 61,292.05 3,800.11 6 Medicare tax withheld 888.73 8 Allocated 7 Social security tipe d Control number 10 Dependent care benefits s first name and initial Sutf. 11 Nonqualified plans 12a See instructions for box 12 Peterson Brenda 12b 567 East Street Pacifica, CA 94044 14 Other 12c CA SDI $551.63 12d f Employee's address and ZziP code 16 State wagos tis, ete7 State income tax18 Locw wages tos ete 19 Local Inoume tax 20 Loca ty name 61,292.05 Sate E s state ID number CAl 123456 0.0 Department of the Treasury- Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 10134D ] Form W 12017 Copy A For Social Security Administration Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. 2 Wage and Tax Statement Do Not Cut, Fold, or Staple Forms on This Page +7 16:39
