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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, 2020

Wage & Income Summary

Federal Tax Withheld:$13,474.00
Wages:$108,215.00
Allocated Tips:$0.00
Interest:$124.00
Mortgage Interest Paid:$13,865.00
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
Non-employee Compensation:$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$8,313.00
Taxable Amount:$8,313.00
Deferred Compensation:$6,969.00
FICA Tax Withheld:$7,159.00
Medicare Withheld:$1,673.00
Medicare Wages:$115,507.00
Taxable FICA Wages:$115,507.00
Mortgage Insurance Premiums:$5,281.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$24,526.00

This Product Contains Sensitive Taxpayer Data