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Wage and Income Transcript

Request Date: 02-23-2024
Response Date: 02-23-2024
Tracking Number: 105595412209

SSN Provided: 301-74-8062
Tax Period Requested: December, 2021

Wage & Income Summary

Federal Tax Withheld:$885.00
Wages:$17,256.00
Allocated Tips:$0.00
Interest:$0.00
Mortgage Interest Paid:$0.00
Points Paid:$0.00
Prior Year Refund:$0.00
Savings Bonds:$0.00
Dividends:$0.00
Pensions and Annuities:$0.00
IRA Contributions:$0.00
Nonemployee Compensation :$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$12,499.00
Taxable Amount:$12,499.00
FICA Tax Withheld:$1,068.00
Medicare Withheld:$248.00
Medicare Wages:$17,256.00
Taxable FICA Wages:$16,757.00
Taxable FICA Tips:$499.00

This Product Contains Sensitive Taxpayer Data