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Wage and Income Transcript

Request Date: 01-04-2022
Response Date: 01-04-2022
Tracking Number: 999999999999

SSN Provided: 503-00-1959
Tax Period Requested: December, 2015

Wage & Income Summary

Federal Tax Withheld:$2,883.00
Wages:$33,247.00
Allocated Tips:$0.00
Interest:$0.00
Mortgage Interest Paid:$0.00
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:$18,157.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$0.00
Taxable Amount:$0.00
Unemployment Compensation:$5,598.00
Amount of Debt Discharged:$36,699.00
FICA Tax Withheld:$2,061.00
Medicare Withheld:$482.00
Medicare Wages:$33,247.00
Taxable FICA Wages:$33,247.00
Property Fair Market Value:$36,699.00
Interest Forgiven Amount:$15,825.00

This Product Contains Sensitive Taxpayer Data