to complete the Form W-3. The form is to be signed by the president, Kenneth 1. Ford, and is prepared by Ralph I. Volpe. Company Information: Address: 4800 River Road Philadelphia, PA 19113-5548 Pennsylvania state identification number: 00-0-1066 Telephone number: (215) 555-0017 Federal identification number: 00-0000972 Fax number: (215) 555-0010 Philadelphia identification number: 0001895 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 Randy A. Kellison Single, 1 allowance Social security tax withheld $2,305.16 54 Gradison Place $715 per week Medicare tax withheld 539.24 Philadelphia, PA 19113-4054 SS#: 000-00-4310 State income tax withheld 1,141.40 Deduction for 401(k) plan: $50/week Local income tax withheld 1,446.64 State unemployment tax withheld** 22.36 Ralph I. Volpe Married, 1 allowance 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 1,588.08 $70/week-401(k) State unemployment tax withheld* * 24.44