| |
|
Employer:
| |
| Employer Identification Number (EIN):134147118 |
| DELOITTE SERVICES LP | |
| 4022 SELLS DRIVE | |
| HERMITAGE, TN 37076-2903 | |
| |
|
Employee:
| |
| Employee's Social Security Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIRCLE | |
| FRANKLIN, TN 37067-0000 | |
| |
| Submission Type: | Original document |
| Wages, Tips and Other Compensation: | $17,624.00 |
| Federal Income Tax Withheld: | $873.00 |
| Social Security Wages: | $34,396.00 |
| Social Security Tax Withheld: | $2,132.00 |
| Medicare Wages and Tips: | $34,396.00 |
| Medicare Tax Withheld: | $498.00 |
| Social Security Tips: | $0.00 |
| Allocated Tips: | $0.00 |
| Dependent Care Benefits: | $0.00 |
| Deferred Compensation: | $16,771.00 |
| 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: | $294.00 |
| 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 |
| Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: | $0.00 |
| Third Party Sick Pay Indicator: | Unanswered |
| Retirement Plan Indicator: | Yes - retirement plan |
| Statutory Employee: | Not Statutory Employee |
| W2 Submission Type: | |
| W2 WHC SSN Validation Code: | Correct SSN |
| |
|
Employer:
| |
| Employer Identification Number (EIN):626001445 |
| STATE OF TENNESSEE | |
| 312 ROSA L PARKS AVENU | |
| NASHVILLE, TN 37243-0000 | |
| |
|
Employee:
| |
| Employee's Social Security Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIR | |
| FRANKLIN, TN 37067-8595 | |
| |
| Submission Type: | Original document |
| Wages, Tips and Other Compensation: | $52,963.00 |
| Federal Income Tax Withheld: | $7,227.00 |
| Social Security Wages: | $56,213.00 |
| Social Security Tax Withheld: | $3,485.00 |
| Medicare Wages and Tips: | $56,213.00 |
| Medicare Tax Withheld: | $815.00 |
| Social Security Tips: | $0.00 |
| Allocated Tips: | $0.00 |
| Dependent Care Benefits: | $0.00 |
| Deferred Compensation: | $3,250.00 |
| 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: | $4,230.00 |
| Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan: | $0.00 |
| Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: | $0.00 |
| Third Party Sick Pay Indicator: | Unanswered |
| Retirement Plan Indicator: | Yes - retirement plan |
| Statutory Employee: | Not Statutory Employee |
| W2 Submission Type: | |
| W2 WHC SSN Validation Code: | Correct SSN |
| |
|
Recipient/Lender:
| |
| Recipient's Federal Identification Number (FIN):042683316 |
| DIGITAL FEDERAL CREDIT UNION | |
| 220 DONALD LYNCH BLVD | |
| MARLBOROUGH, MA 01752-0000 | |
| |
|
Payer/Borrower:
| |
| Payer's Social Security Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIRCLE | |
| FRANKLIN, TN 37067-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 000005081747-143 |
| Mortgage Interest Received from Payer(s)/Borrower(s): | $317.00 |
| Points Paid on Purchase of Principal Residence: | $0.00 |
| Refund of Overpaid Interest: | $0.00 |
| Mortgage Insurance Premiums: | $0.00 |
| Outstanding Mortgage Principle: | $21,505.00 |
| Mortgage Origination Date: | 05-27-2015 |
| Property Address Verification: | the address of the property securing the mortgage is the same as the payer's/borrower's |
| Address of property securing Mortgage: | |
| Description of Property: | |
| Other information from recipient: | |
| The number of mortgaged properties: | 00000000 |
| |
|
Recipient/Lender:
| |
| Recipient's Federal Identification Number (FIN):042683316 |
| DIGITAL FEDERAL CREDIT UNION -689 | |
| 220 DONALD LYNCH BLVD | |
| MARLBOROUGH, MA 01752-0000 | |
| |
|
Payer/Borrower:
| |
| Payer's Social Security Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIRCLE | |
| FRANKLIN, TN 37067-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 0012000329 |
| Mortgage Interest Received from Payer(s)/Borrower(s): | $3,275.00 |
| Points Paid on Purchase of Principal Residence: | $0.00 |
| Refund of Overpaid Interest: | $0.00 |
| Mortgage Insurance Premiums: | $0.00 |
| Outstanding Mortgage Principle: | $229,649.00 |
| Mortgage Origination Date: | 04-03-2012 |
| Property Address Verification: | the address of the property securing the mortgage is the same as the payer's/borrower's |
| Address of property securing Mortgage: | |
| Description of Property: | |
| Other information from recipient: | |
| The number of mortgaged properties: | 00000000 |
| |
|
Recipient/Lender:
| |
| Recipient's Federal Identification Number (FIN):941687665 |
| BANK OF AMERICA N.A. | |
| PO BOX 31785 | |
| TAMPA, FL 33631-3785 | |
| |
|
Payer/Borrower:
| |
| Payer's Social Security Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIR | |
| FRANKLIN, TN 37067-8595 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 272414629 |
| Mortgage Interest Received from Payer(s)/Borrower(s): | $5,197.00 |
| Points Paid on Purchase of Principal Residence: | $0.00 |
| Refund of Overpaid Interest: | $0.00 |
| Mortgage Insurance Premiums: | $0.00 |
| Outstanding Mortgage Principle: | $0.00 |
| Mortgage Origination Date: | 05-18-2017 |
| Property Address Verification: | |
| Address of property securing Mortgage: | 1506 BRADEN CIR FRANKLIN, TN 37067 |
| Description of Property: | |
| Other information from recipient: | |
| The number of mortgaged properties: | 000000000000 |
| |
|
Payer:
| |
| Payer's Federal Identification Number (FIN):541061178 |
| REGENT UNIVERSITY | |
| 1000 REGENT UNIVERSITY DRIVE | |
| VIRGINIA BEACH, VA 23464-0000 | |
| |
|
Recipient:
| |
| Recipient's Identification Number:
607-17-0964 |
| PUSAPATI RAJU | |
| 1506 BRADEN CIR | |
| FRANKLIN, TN 37067-8595 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 10980309137643283 |
| Qualified Tuition and Related Expense: | $0.00 |
| Scholarships or Grants: | $0.00 |
| Half Time Student Indicator: | Less Than Half Time Student |
| Graduate Student Indicator: | Not a Graduate Student |
| Academic Period Code: | Amt in Box 1 or 2 is for Period beg Jan - Mar Next Tax Year |
| Method of Reporting Indicator: | No Change in Reporting Method from the Previous Year |
| TIN Checkbox: | box marked |
| Amounts Billed for Qualified Tuition & Related Expenses: | $6,150.00 |
| Adjustments Made for Prior Year: | $0.00 |
| Adjustments to Scholarships or Grants for a Prior Year: | $0.00 |
| Reimbursements/Refunds from an Insurance Contract: | $0.00 |
| |
|
Payer:
| |
| Payer's Federal Identification Number (FIN):941737782 |
| CHARLES SCHWAB & CO. INC. | |
| 9800 SCHWAB WAY | |
| LONE TREE, CO 80124-0000 | |
| |
|
Recipient:
| |
| Recipient's Identification Number:
607-17-0964 |
| RAJU S PUSAPATI | |
| 1506 BRADEN CIRCLE | |
| FRANKLIN, TN 37067-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 91216345 |
| Interest: | $0.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| 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 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
