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Wage and Income Transcript

Request Date: 12-30-2021
Response Date: 12-30-2021
Tracking Number: 999999999999

SSN Provided: 976-00-1879
Tax Period Requested: December, 2011

Wage & Income Summary

Federal Tax Withheld:$1,931.00
Wages:$13,804.00
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:$18,760.00
IRA Contributions:$0.00
Non-employee Compensation:$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$1,871.00
Taxable Amount:$1,871.00
FICA Tax Withheld:$579.00
Medicare Withheld:$200.00
Medicare Wages:$13,804.00
Taxable FICA Wages:$13,804.00

This Product Contains Sensitive Taxpayer Data