04-00256437 / Wages,Tips,other comp
$18,400.30 / Fed. Tax Withheld
$1750.54
Employer's name address and zip code
Shearer Chevrolet
954 Shelburne Rd.
South Burlington, VT 05403 / Social Security Wages
$18,400.30 / Social Sec. Tax Withheld
$1140.82
Medicare Wages and tips
$18,400.30 / Medicare Tax Withheld
$266.80
Social Sec. Tips / Allocated Tips
Employee's Social Security Number.
002-95-9630 / Advance EIC payments / Dependent Care Benefits
Employee's first name and initial Last Name
Jim L. Olson
35 Spear St.
South Burlington, VT 05403
Employee's address and Zip Code / Nonqualified Plans
Stat Ret 3rd
Other
State
VT / Employer state ID
03-36559 / State Wages
18,400.30 / State Tax
$950 / Local Wages / Local Tax / Locality Name
Form W-2
Copy for Employee Records
Copy for Employee Federal Tax Return
Copy for Employee State, Local Tax Return
Complete Jim and Brenda’s 1040 federal tax form with itemized deductions.
*Jim and Brenda are married with no children.
*Their joint bank statements say that they had $115 in interest from their savings account.
*They also had $375 in dividends from their mutual fund.
*They contributed $1500 to an IRA during the year.
*They moved into a new house and incurred $246 in moving expenses.
Schedule A Information
*Their out of pocket medical expenses for the year totaled $3543.
*They had to pay $1153 in real estate taxes.
*They had $6000 in mortgage interest.
*Jim donated $400 to a local charity.
Jim is a car salesman and Brenda is a child care worker.
Employer Identification No.04-002584560 / Wages,Tips,other comp
$22500.20 / Fed. Tax Withheld
$1962.05
Employer's name address and zip code
Dinosaur Day Care
250 Williston Rd.
South Burlington, VT 05403 / Social Security Wages
$22500.20 / Social Sec. Tax Withheld
$1395.01
Medicare Wages and tips
$22500.20 / Medicare Tax Withheld
$326.25
Social Sec. Tips / Allocated Tips
Employee's Social Security Number.
012-10-9963 / Advance EIC payments / Dependent Care Benefits
Employee's first name and initial Last Name
Brenda W. Olson
35 Spear St.
South Burlington, VT 05403
Employee's address and Zip Code / Nonqualified Plans
Stat Ret 3rd
Other
State
VT / Employer state ID
03-302559 / State Wages
$22500.20 / State Tax
$1020 / Local Wages / Local Tax / Locality Name
Form W-2
Copy for Employee Records
Copy for Employee Federal Tax Return
Copy for Employee State, Local Tax Return