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Wage and Income Transcript

Request Date: 02-23-2024
Response Date: 02-23-2024
Tracking Number: 105595412220

SSN Provided: 301-74-8062
Tax Period Requested: December, 2014

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):460224588
AUGUSTANA COLLEGE
2001 S SUMMIT AVE
SIOUX FALLS, SD 57197-0000

Employee:

Employee's Social Security Number: 301-74-8062
HUNTER BOY SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$579.00
Federal Income Tax Withheld:$0.00
Social Security Wages:$579.00
Social Security Tax Withheld:$35.00
Medicare Wages and Tips:$579.00
Medicare Tax Withheld:$8.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):466000364
STATE OF SOUTH DAKOTA
500 E CAPITOL AVE STATE AUDITOR S OFFI
PIERRE, SD 57501-5007

Employee:

Employee's Social Security Number: 301-74-8062
HUNTER B SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-3534

Submission Type:Original document
Wages, Tips and Other Compensation:$36,571.00
Federal Income Tax Withheld:$4,673.00
Social Security Wages:$40,152.00
Social Security Tax Withheld:$2,489.00
Medicare Wages and Tips:$40,152.00
Medicare Tax Withheld:$582.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$12,889.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Yes - retirement plan
Statutory Employee:Not Statutory Employee

Form 1098 Mortgage Interest Statement

Recipient/Lender:

Recipient's Federal Identification Number (FIN):134994650
JPMORGAN CHASE BANK N.A.
HOME LENDING
3415 VISION DRIVE OH4 7214
COLUMBUS, OH 43219-6009

Payer/Borrower:

Payer's Social Security Number: 301-74-8062
HUNTER B SUMMERS
TRACY SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Account Number (Optional):201793752945
Mortgage Interest Received from Payer(s)/Borrower(s):$3,950.00
Points Paid on Purchase of Principal Residence:$0.00
Refund of Overpaid Interest:$0.00

Form 1098 Mortgage Interest Statement

Recipient/Lender:

Recipient's Federal Identification Number (FIN):411571815
MINNWEST BANK
PO BOX 439
REDWOOD FALLS, MN 56283-0000

Payer/Borrower:

Payer's Social Security Number: 301-74-8062
HUNTER B SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Account Number (Optional):00000000000056579
Mortgage Interest Received from Payer(s)/Borrower(s):$722.00
Points Paid on Purchase of Principal Residence:$0.00
Refund of Overpaid Interest:$0.00

Form 1098-E Student Loan Interest Statement

Recipient/Lender:

Recipient's Federal Identification Number (FIN):952501112
ACS INC
2277 E 220TH STREET
LONG BEACH, CA 90810-1690

Borrower:

Borrower's Social Security Number: 301-74-8062
SUMMERS HUNTER B
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-3534

Submission Type: Original document
Account Number (Optional): 3017480621
Loan Origination Fees: Not checked - does include loan origination fees and/or capitalized interest, and the loan was made before September 1, 2004
Student Loan Interest Received by Lender: $1,707.00

Form 1099-INT

Payer:

Payer's Federal Identification Number (FIN):941347393
WELLS FARGO BANK N.A.
P O BOX 3908 114
PORTLAND, OR 97208-0000

Recipient:

Recipient's Identification Number: 301-74-8062
HUNTER SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-3534

Submission Type:Original document
Account Number (Optional):63401000444541202437
Interest:$0.00
Tax Withheld:$0.00
Savings Bonds:$778.00
Investment Expense:$0.00
Interest Forfeiture:$0.00
Foreign Tax Paid:$0.00
Tax-Exempt Interest:$0.00
Specified Private Activity Bond Interest:$0.00
Market Discount:$0.00
Bond Premium:$0.00
Second Notice Indicator:No Second Notice
Foreign Country or US Possession:
CUSIP Number:

This Product Contains Sensitive Taxpayer Data