a Employee's social security number

555-XX-XXXX

b Employer Identification Number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld

10-XXXXXXX $45,762.00 $7,234.25

c Employer's name, address, and ZIP code 3 Social security wages 4 Social secuity tax withheld

Winners! Shoe Store

2424 Tumbleweed Ave.

Sacramento, CA 94205

$45,762.00 $2,837.24

5 Medicare wages and tips 6 Medicare tax withheld

$45,762.00 $663.55

7 Social security tips 8 Allocated tips

d Employee's social security number 9 Verification Code 10 Dependent care benefits

555-XX-XXXX

e Employee's first name and initial Last name Suff. 11 Nonqualfied plans 12a See instructions for box 12

MARCUS E. ROBERTS

3000 Casitas St.

Sacramento, CA 94204

13 Statutory

employee

Retirement

plan

Third-party

sick pay 12b

14 Other 12c

12d

f Employee's address and ZIP code

15 State Employer's State ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

CA 10-XXXXXXX $45,762.00 $1,870.52

2018 Department of the Treasury - IRS

W2 Marcus Roberts - ccwsdce - Twilight

Freshman English (ENGL1302)