From // To //
Gross compensation package:
Business expenses:
Fringes:
Pension:
Housing allowance:
NET TAXABLE SALARY REPORTABLE ON FORM W-2:
INCOME SUBJECT TO SOCIAL SECURITY TAX (SCH. SE):
Total SE tax:


b Employer identification number
1 Wages, tips, other compensation
2 Federal income tax withheld
c Employer's name, address, and ZIP code


3 Social security wages
4 Social security tax withheld
5 Medicare wages and tips
6 Medicare tax withheld
7 Social security tips 8 Allocated tips d Employee's social security number
9 Advance EIC payment 10 Dependent care benefits e Employee's first name and initial, Last name



f Employee's address and Zip code 11 nonqualified plans 12a See Instructions for box 12 13 Statutory employee Retirement plan Third party sick pay 12b 14 Other
12c 12d 15 State
Employer's state ID number
16 State wages, tips
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name