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To enter data on this form, use fillable fields or click anywhere and begin typing. Click 'DONE' to proceed. I Q Find another form 2

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To enter data on this form, use fillable fields or click anywhere and begin typing. Click 'DONE' to proceed. I Q Find another form 2 Federal income tax withheld 22222 Void La Employee's social security number For Official Use Only SSN OMB No. 1545-0008 b Employer identification number (EIN) 1 Wages, tips, other compensation 77-7777777 c Employer's name, address, and ZIP code 3 Social security wages Ellipses Corp. 10 Period Lane 571-555-0073 5 Medicare wages and tips 4 Social security tax withheld 6 Medicare tax withheld 7 Social security tips 8 Allocated tips Herndon VA 20170 United States d Control number 9 Verification code 10 Dependent care benefits 12a Soe instructions for box 12 Suff. 11 Nonqualified plans Last name e Employee's first name and initial Hunter 85 Southern Road Cranston 13 Story Phone Num# SWADD WASEORARY Herndon VA 20170 United States 20 Localy name Enter a number 117 State income tax 18 Local wages, tips, ofe. 19 Local income f Employee's address and ZIP code 15 State Employer's state ID number VA 77-7777777 Department of the Treasury -- Internal Revenue Service For Privacy Act and Paperwork Reduction W-2 Wage and Tax Statement 2018 7:51 PM Form A 202/2019 plete copy A of Form W-2 for each of the four employees. State wages were the same as federal wages subject to federal withholding tax for each of the four employees, and the state identification number on Ellipses Corp. is the same as its federal Employer Identification Number. To enter data on this form, use fillable fields or click anywhere and begin typing. Click 'DONE' to proceed. I Q Find another form 2 Federal income tax withheld 22222 Void La Employee's social security number For Official Use Only SSN OMB No. 1545-0008 b Employer identification number (EIN) 1 Wages, tips, other compensation 77-7777777 c Employer's name, address, and ZIP code 3 Social security wages Ellipses Corp. 10 Period Lane 571-555-0073 5 Medicare wages and tips 4 Social security tax withheld 6 Medicare tax withheld 7 Social security tips 8 Allocated tips Herndon VA 20170 United States d Control number 9 Verification code 10 Dependent care benefits 12a Soe instructions for box 12 Suff. 11 Nonqualified plans Last name e Employee's first name and initial Hunter 85 Southern Road Cranston 13 Story Phone Num# SWADD WASEORARY Herndon VA 20170 United States 20 Localy name Enter a number 117 State income tax 18 Local wages, tips, ofe. 19 Local income f Employee's address and ZIP code 15 State Employer's state ID number VA 77-7777777 Department of the Treasury -- Internal Revenue Service For Privacy Act and Paperwork Reduction W-2 Wage and Tax Statement 2018 7:51 PM Form A 202/2019 plete copy A of Form W-2 for each of the four employees. State wages were the same as federal wages subject to federal withholding tax for each of the four employees, and the state identification number on Ellipses Corp. is the same as its federal Employer Identification Number

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