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Wage and Income Transcript

Request Date: 02-23-2024
Response Date: 02-23-2024
Tracking Number: 105595412216

SSN Provided: 301-74-8062
Tax Period Requested: December, 2017

Wage & Income Summary

Federal Tax Withheld:$5,217.00
Wages:$41,360.00
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
Non-employee Compensation:$0.00
Capital Gains:$0.00
Real Estate Sales:$0.00
Gross Distributions:$0.00
Taxable Amount:$0.00
Dependent Care:$2,499.00
FICA Tax Withheld:$2,810.00
Medicare Withheld:$656.00
Medicare Wages:$45,337.00
MSA Fair Market Value:$100.00
Taxable FICA Wages:$45,337.00
Code "W" Employer Contributions to a Health Savings Account:$650.00
Current Contributions:$650.00
MSA Gross Distribution:$550.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$8,959.00

This Product Contains Sensitive Taxpayer Data