IRS Logo

This Product Contains Sensitive Taxpayer Data

Wage and Income Transcript

Request Date: 12-22-2021
Response Date: 12-22-2021
Tracking Number: 999999999999

SSN Provided: 503-00-1959
Tax Period Requested: December, 2011

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN): 00-5482989
SAMPLE PAYER 1
7931 FIFTH AVE
ATLANTA, GA 30305

Employee:

Employee's Social Security Number: 503-00-1959
CHRIS JOHNSON
1990 FOURTH ST
TAMPA, FL 33607

Submission Type:Original document
Wages, Tips and Other Compensation:$3,000.00
Federal Income Tax Withheld:$407.00
Social Security Wages:$3,000.00
Social Security Tax Withheld:$126.00
Medicare Wages and Tips:$3,000.00
Medicare Tax Withheld:$43.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN): 00-6804431
SAMPLE PAYER 2
9699 HILL ST
TAMPA, FL 33607

Employee:

Employee's Social Security Number: 503-00-1959
CHRIS JOHNSON
1990 FOURTH ST
TAMPA, FL 33607

Submission Type:Original document
Wages, Tips and Other Compensation:$1,252.00
Federal Income Tax Withheld:$0.00
Social Security Wages:$1,252.00
Social Security Tax Withheld:$52.00
Medicare Wages and Tips:$1,252.00
Medicare Tax Withheld:$18.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee

Form 1098-T

Payer:

Payer's Federal Identification Number (FIN): 00-3859494
SAMPLE PAYER 3
2402 SIXTH AVE
BOSTON, MA 02123

Recipient:

Recipient's Identification Number: 503-00-1959
CHRIS JOHNSON
1990 FOURTH ST
TAMPA, FL 33607

Submission Type:Original document
Account Number (Optional):999999999
Qualified Tuition and Related Expense:$0.00
Scholarships or Grants:$0.00
Half Time Student Indicator:Grtr than or Eq to Half Time Student
Graduate Student Indicator:Graduate Student
Academic Period Code:Academic Period Box Not Checked
Method of Reporting Indicator:No Change in Reporting Method from the Previous Year
Amounts Billed for Qualified Tuition & Related Expenses:$7,146.00
Adjustments Made for Prior Year:$0.00
Adjustments to Scholarships or Grants for a Prior Year:$0.00
Reimbursements/Refunds from an Insurance Contract:$0.00

Form 1099-G

Payer:

Payer's Federal Identification Number (FIN): 00-7570425
SAMPLE PAYER 4
8948 FOURTH ST
NEW YORK, NY 10005

Recipient:

Recipient's Identification Number: 503-00-1959
CHRIS JOHNSON
1990 FOURTH ST
TAMPA, FL 33607

Submission Type:Original document
Account Number (Optional):
ATAA Payments:$0.00
Tax Withheld:$0.00
Taxable Grants:$0.00
Unemployment Compensation:$23,493.00
Agricultural Subsidies:$0.00
Prior Year Refund:$0.00
Market gain on Commodity Credit Corporation loans repaid:$0.00
Year of Refund:Not Set
1099G Offset:Not Refund, Credit, or Offset for Trade or Business

This Product Contains Sensitive Taxpayer Data