EFTA00006069.pdf

Type

pdf

Source set

data-set-4

Original source

Extracted text

sislesteses 
EFTA00006069


• 
ir04iii 
1310.01 
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2005 W-2 and E 
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N/A 
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3- Employee:eV/4 Profile. To change your Employee W-4 Profile Information, filo a new W-4 with your payroll dept. 
Social Security Number: imp 
Taxable Marital Status: 
MM.. 
33404 
Exemptions/Allowances: 
FEDERAL: 8 
STATE: 
8 
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Wages, tips. other comp. 
175323.09 
1 Federal income tax withheld 
29092.14 
3 SocIal security wages 
90000.00 
4 Social sithuritytex Withhold 
5580.00 
5 Medicare wages and Ups 
185323.09 
6 Medium tax withheld 
2687.18 
1 • 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
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19 
o EMployer's name, address, and ZIP cod 
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457 MADISON AVENUE 
NEW YORK, NY 10022 
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29092.14 
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5580.00 
S Medicare wages end tips 
185323.09 
6 Medicare tax withheld 
2687.18 
• 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
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19 
c Employees name, address. and ZIP code 
NES LW 
457 MADISON AVENUE 
NEW YORK, NY 10022 
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security tips 
8 Allocated bPS 
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10 Dependent core benefits 
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