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Wage and Income Transcript

Request Date: 11-10-2021
Response Date: 11-10-2021
Tracking Number: 999999999999

SSN Provided: 342-00-5838
Tax Period Requested: December, 2017

Wage & Income Summary

Federal Tax Withheld:$34,004.00
Wages:$118,580.00
Allocated Tips:$0.00
Interest:$100.00
Mortgage Interest Paid:$1,018.00
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:$97,327.00
Taxable Amount:$97,327.00
Deferred Compensation:$4,851.00
FICA Tax Withheld:$7,651.00
Medicare Withheld:$1,788.00
Medicare Wages:$123,431.00
Taxable FICA Wages:$123,431.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$24,872.00

This Product Contains Sensitive Taxpayer Data