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Wage and Income Transcript

Request Date: 11-10-2023
Response Date: 11-10-2023
Tracking Number: 999999999999

SSN Provided: 342-00-5838
Tax Period Requested: December, 2016

Wage & Income Summary

Federal Tax Withheld:$20,174.00
Wages:$140,895.00
Allocated Tips:$0.00
Interest:$0.00
Mortgage Interest Paid:$0.00
Points Paid:$0.00
Prior Year Refund:$271.00
Savings Bonds:$0.00
Dividends:$0.00
Pensions and Annuities:$0.00
IRA Contributions:$0.00
Non-employee Compensation:$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$0.00
Taxable Amount:$0.00
Deferred Compensation:$3,351.00
FICA Tax Withheld:$8,942.00
Medicare Withheld:$2,090.00
Medicare Wages:$144,246.00
Taxable FICA Wages:$144,246.00
Amounts Billed for Qualified Tuition & Related Expenses:$11,140.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$21,310.00

This Product Contains Sensitive Taxpayer Data