You have received your W-2 pictured below. Fill out the spreadsheet with the relevant information given from the W-2.

a Employee's social security number Safe, accurate, Visit the IRS website at 123-45-6789 OMB No. 1545-0008 FAST! Use ASP + file www.irs.gowefile b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 11-2358132 $85,631.94 $11,523.67 Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld Your employer $90,844.96 $5,632.39 123 Where your job is, PA 11235 5 Medicare wages and tips 6 Medicare tax withheld $90,844.96 $1,317.25 7 Social security tips B Allocated tips d Control number 9 Verification code 10 Dependent care benefits e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 Charlie D. Mathiscool D 5,213.02 456 Your address 13 Cantutory Retirement Third party 12b employed plan pick pay Where your house is, PA 81321 X 14 Other 12c 12d f Employee's address and ZIP 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 1345589 $90,844.96 $2,786.94 $90,844.96 $908.45 W-2 Wage and Tax Department of the Treasury-Internal Revenue Service Form Statement 2018 Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service.A B C D E F G H K M N O W-2 1040 10% $ 1,100.00 Box 1: Line 1 a Income S 11,000 12% $ 5,147.00 Box 2: Line 2 b Interest 44,725 22% 16,290.00 Line 3 b Dividends 95,375 24% 37,104.00 Line 4 b IRA 182,100 32% 52,832.00 Line 5 b Pensions 231,250 35% $ 174,238.25 Line 6 b Social Security 578,125 37% Line 7 Capital Gain Line 8 Additional Income Line 9 Total Income - Line 10 Adjustments Line 11 Adjusted Gross Income S Line 12 Standard Deduction ## # # # ## Line 13 QBI Deduction Line 14 Total Deductions ##### ## Line 15 Taxable Income Line 16 Tax 18 Line 17 Schedule 2, Line 3 Line 18 Initial Tax Liability S Line 19 Child Tax Credit (CTC) Line 20 Schedule 3 Line 21 Total Credits Line 22 Leftover Liability 24 Line 23 Other Taxes Line 24 Total Tax Liability 26 Line 25 d Tax Withheld Line 26 Estimated Tax Payments Line 27 EIC Line 28 Additional CTC 30 Line 29 AOC Line 30 32 Line 31 Schedule 3, Line 15 33 Line 32 Total Payments Made 34 Line 33 Total Sent to IRS Line 34 Overpaid Refund) 36 Line 35 a Amount to Refund Line 36 Apply to Estimated Tax 38 Line 37 Owe $ 39 Line 38 Tax Penalty 40