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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, 2022

Wage & Income Summary

Federal Tax Withheld:$19,819.00
Wages:$131,727.00
Allocated Tips:$0.00
Interest:$96.00
Mortgage Interest Paid:$14,482.00
Points Paid:$0.00
Prior Year Refund:$0.00
Savings Bonds:$0.00
Dividends:$0.00
Pensions and Annuities:$0.00
IRA Contributions:$0.00
Nonemployee Compensation :$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$28,565.00
Taxable Amount:$28,565.00
Deferred Compensation:$3,398.00
FICA Tax Withheld:$8,691.00
Medicare Withheld:$2,032.00
Medicare Wages:$140,218.00
Taxable FICA Wages:$140,218.00
Qualified Tuition and Related Expense:$4,814.00
Scholarships or Grants:$543.00
Mortgage Insurance Premiums:$5,761.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$20,410.00

This Product Contains Sensitive Taxpayer Data