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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, 2016

Wage & Income Summary

Federal Tax Withheld:$15,943.00
Wages:$122,332.00
Allocated Tips:$0.00
Interest:$0.00
Mortgage Interest Paid:$0.00
Points Paid:$0.00
Prior Year Refund:$40.00
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:$14,249.00
Taxable Amount:$14,249.00
Deferred Compensation:$4,557.00
FICA Tax Withheld:$7,867.00
Medicare Withheld:$1,839.00
Medicare Wages:$126,891.00
Taxable FICA Wages:$126,891.00
Qualified Tuition and Related Expense:$35.00
Scholarships or Grants:$8,079.00
Amounts Billed for Qualified Tuition & Related Expenses:$8,664.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$23,798.00

This Product Contains Sensitive Taxpayer Data