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This Product Contains Sensitive Taxpayer Data |
Wage and Income Transcript |
| Request Date: | 10-24-2023 |
| Response Date: | 10-24-2023 |
| Tracking Number: | 105110422293 |
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Employer: | ||
| Employer Identification Number (EIN):232084784 | ||
| COMCAST CC OF WILLOW GROVE | ||
| 1701 JF KENNEDY BLVD | ||
| PHILADELPHIA, PA 19103-0000 | ||
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Employee: | ||
| Employee's Social Security Number: 219-19-2163 | ||
| MICHAEL S LERMER | ||
| 1466 ARGYLE DR | ||
| FORT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Wages, Tips and Other Compensation: | $109,589.00 | |
| Federal Income Tax Withheld: | $330.00 | |
| Social Security Wages: | $112,851.00 | |
| Social Security Tax Withheld: | $6,996.00 | |
| Medicare Wages and Tips: | $112,851.00 | |
| Medicare Tax Withheld: | $1,636.00 | |
| Social Security Tips: | $0.00 | |
| Allocated Tips: | $0.00 | |
| Dependent Care Benefits: | $0.00 | |
| Deferred Compensation: | $3,261.00 | |
| 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: | $11,830.00 | |
| 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 | |
Employer: | ||
| Employer Identification Number (EIN):232084784 | ||
| COMCAST CC OF WILLOW GROVE | ||
| 1701 JF KENNEDY BLVD 4 | ||
| PHILADELPHIA, PA 19103-2838 | ||
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Employee: | ||
| Employee's Social Security Number: 219-19-2163 | ||
| MICHAEL S LERMER | ||
| 11758 ROSALINDA CT | ||
| FORT MYERS, FL 33912-0000 | ||
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| Submission Type: | Amended document | |
| Wages, Tips and Other Compensation: | $0.00 | |
| Federal Income Tax Withheld: | $0.00 | |
| Social Security Wages: | $0.00 | |
| Social Security Tax Withheld: | $0.00 | |
| Medicare Wages and Tips: | $0.00 | |
| Medicare Tax Withheld: | $0.00 | |
| 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: | No Correction | |
| Statutory Employee: | No Correction | |
Trustee: | ||
| Trustee's Federal Identification Number (FIN):941687665 | ||
| BANK OF AMERICA N.A. | ||
| PO BOX 25165 | ||
| LEHIGH VALLEY, PA 18002-5165 | ||
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Participant: | ||
| Participant's Identification Number: 219-19-2163 | ||
| MICHAEL LERMER | ||
| 16081 VIA SOLERA CIR APT 104 104 | ||
| FORT MYERS, FL 33908-3776 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | K6301000006739997601 | |
| MSA Contributions: | $0.00 | |
| Current Contributions: | $0.00 | |
| Future Contributions: | $0.00 | |
| Rollover MSA Contributions: | $0.00 | |
| MSA Fair Market Value: | $375.00 | |
| HSA Indicator: | HSA Box Checked | |
| Archer MSA Indicator: | Archer MSA Box Not Checked | |
| MA MSA Indicator: | Not Checked | |
Trustee: | ||
| Trustee/Issuer's Federal Identification Number (FIN):911905424 | ||
| CAPITAL ONE SHAREBUILDER INC. | ||
| 83 SOUTH KING STREET SUITE 700 | ||
| SEATTLE, WA 98104-0000 | ||
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Participant: | ||
| Participant's Identification Number: 219-19-2163 | ||
| MICHAEL LERMER | ||
| 1466 ARGYLE DR | ||
| FT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 0002481744_1111 | |
| IRA Contributions: | $0.00 | |
| Rollover Contributions: | $0.00 | |
| Roth Conversion Amount: | $0.00 | |
| Recharacterized Contributions: | $0.00 | |
| Fair Market Value of Account: | $83.00 | |
| Life Insurance Cost Included in Box 1: | $0.00 | |
| SEP Code: | Not Checked | |
| IRA Code: | Checked | |
| Simple Code: | Not Checked | |
| Roth IRA Code: | Not Checked | |
| RMD For Subsequent Year: | RMD box not checked | |
| RMD Date: | 00-00-0000 | |
| Year: | ||
| Postponed Contribution Code: | ||
| Repayments Code: | ||
| SEP Contributions: | $0.00 | |
| SIMPLE Contributions: | $0.00 | |
| Roth IRA Contributions: | $0.00 | |
| Required Minimum Distribution Amount: | $0.00 | |
| Postponed Contributions: | $0.00 | |
| Repayment of a qualified reservist distribution or federally designated disaster withdrawal repayment: | $0.00 | |
Filer: | ||
| Filer's Federal Identification Number (FIN):650149161 | ||
| BARRIER ISLAND TITLE SERVICES INC. | ||
| 1456 PERIWINKLE WAY | ||
| SANIBEL, FL 33957-0000 | ||
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Transferor: | ||
| Transferor's Identification Number: 219-19-2163 | ||
| LERMER, MICHAEL S | ||
| 1466 ARSYLE DRIVE | ||
| FORT MYERS, FL 33918-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 13-12991-1 | |
| Date of Closing: | 05-10-2013 | |
| Gross Proceeds: | $67,500.00 | |
| Buyer's Part of the Real Estate Tax: | $0.00 | |
| Transfer Indicator: | Property or Services Not Received | |
| Address or legal description: | 16000 VIA SOLERA CIRCLE, SINGLE FAMILY | |
Payer: | ||
| Payer's Federal Identification Number (FIN):043523567 | ||
| NATIONAL FINANCIAL SERVICES LLC | ||
| 499 WASHINGTON BLVD | ||
| JERSEY CITY, NJ 07310-0000 | ||
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Recipient: | ||
| Recipient's Identification Number: 219-19-2163 | ||
| MICHAEL S LERMER | ||
| 1466 ARGYLE DR | ||
| FORT MYERS, FL 33919-1734 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | BX78227121D4AQLNTVH2 | |
| Date of Sale or Exchange: | 11-19-2013 | |
| CUSIP Number: | 20030N101 | |
| Gross Proceeds: | Gross proceeds | |
| Bartering: | $0.00 | |
| Federal Income Tax Withheld: | $0.00 | |
| Stocks and Bonds: | $835.00 | |
| Aggregate Profit or (Loss): | $0.00 | |
| Realized Profit or (Loss): | $0.00 | |
| Unrealized Profit or (Loss) 12/31 Prior Year: | $0.00 | |
| Unrealized Profit or (Loss) 12/31 Current Year: | $0.00 | |
| Cost or Basis: | $859.00 | |
| Wash Sale Loss Disallowed: | $0.00 | |
| Description: | COMCAST CORP NEW CL A | |
| Second Notice Indicator: | ||
| Acquisition Date: | 11-15-2013 | |
| Noncovered Security Indicator: | Nothing checked | |
| Type of Gain or Loss Code: | Short-term | |
| Stocks or other Symbols: | CMCSA | |
| Quantity Sold: | 0000000000018 | |
| Loss Not Allowed Indicator: | ||
Payer: | ||
| Payer's Federal Identification Number (FIN):731733867 | ||
| PROSPER MARKETPLACE INC. | ||
| 101 SECOND STREET 15TH FLOOR | ||
| SAN FRANCISCO, CA 94105-0000 | ||
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Recipient: | ||
| Recipient's Identification Number: 219-19-2163 | ||
| MICHAEL LERMER | ||
| 1466 ARGYLE DR | ||
| FORT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 840821-1 | |
| Date of Sale or Exchange: | 00-00-0000 | |
| CUSIP Number: | ||
| Gross Proceeds: | Gross proceeds | |
| Bartering: | $0.00 | |
| Federal Income Tax Withheld: | $0.00 | |
| Stocks and Bonds: | $0.00 | |
| Aggregate Profit or (Loss): | $0.00 | |
| Realized Profit or (Loss): | $0.00 | |
| Unrealized Profit or (Loss) 12/31 Prior Year: | $0.00 | |
| Unrealized Profit or (Loss) 12/31 Current Year: | $0.00 | |
| Cost or Basis: | $0.00 | |
| Wash Sale Loss Disallowed: | $0.00 | |
| Description: | LONG TERM CASH PROCEEDS | |
| Second Notice Indicator: | ||
| Acquisition Date: | 00-00-0000 | |
| Noncovered Security Indicator: | Noncovered Security Basis not reported to IRS | |
| Type of Gain or Loss Code: | Long-term | |
| Stocks or other Symbols: | ||
| Quantity Sold: | 0000000000000 | |
| Loss Not Allowed Indicator: | ||
Creditor: | ||
| Creditor's Federal Identification Number (FIN):222382028 | ||
| CHASE BANK USA NA | ||
| P O BOX 15298 | ||
| WILMINGTON, DE 19850-0000 | ||
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Debtor: | ||
| Debtor's Identification Number: 219-19-2163 | ||
| MICHAEL S LERMER | ||
| 1466 ARGYLE DR APT 104 | ||
| FORT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 804266841183435419 | |
| Date Canceled: | 11-08-2013 | |
| Property Fair Market Value: | $0.00 | |
| Amount of Debt Discharged: | $12,010.00 | |
| Interest Forgiven Amount: | $0.00 | |
| Identifiable Event Code: | Creditor's debt collection Policy | |
| Debt Description: | CREDIT CARD ACCOUNT | |
| Personal Liability Indicator: | Box checked-Personally Liable | |
Payer: | ||
| Payer's Federal Identification Number (FIN):731733867 | ||
| PROSPER MARKETPLACE INC. | ||
| 101 SECOND STREET 15TH FLOOR | ||
| SAN FRANCISCO, CA 94105-0000 | ||
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Recipient: | ||
| Recipient's Identification Number: 219-19-2163 | ||
| MICHAEL LERMER | ||
| 1466 ARGYLE DR | ||
| FORT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 840821-1 | |
| Tax Withheld: | $0.00 | |
| Non-Employee Compensation: | $0.00 | |
| Medical Payments: | $0.00 | |
| Fishing Income: | $0.00 | |
| Rents: | $0.00 | |
| Royalties: | $0.00 | |
| Other Income: | $0.00 | |
| Substitute Payments for Dividends: | $0.00 | |
| Excess Golden Parachute: | $0.00 | |
| Crop Insurance: | $0.00 | |
| Attorney Fees: | $0.00 | |
| Section 409A Deferrals: | $0.00 | |
| Section 409A Income: | $0.00 | |
| Direct Sales Indicator: | Not Direct Sales | |
| Second Notice Indicator: | No Second Notice | |
Payer: | ||
| Payer's Federal Identification Number (FIN):731733867 | ||
| PROSPER MARKETPLACE INC. | ||
| 101 SECOND STREET 15TH FLOOR | ||
| SAN FRANCISCO, CA 94105-0000 | ||
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Recipient: | ||
| Recipient's Identification Number: 219-19-2163 | ||
| MICHAEL LERMER | ||
| 1466 ARGYLE DR | ||
| FORT MYERS, FL 33919-0000 | ||
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| Submission Type: | Original document | |
| Account Number (Optional): | 840821-1 | |
| Interest: | $0.00 | |
| Tax Withheld: | $0.00 | |
| Investment Expenses: | $0.00 | |
| Foreign Tax Paid: | $0.00 | |
| Interest Forfeiture: | $0.00 | |
| Original Issue Discount: | $26.00 | |
| Original Issue Discount on Treasury Obligations: | $0.00 | |
| Description: | ||
| Second Notice Indicator: | No Second Notice | |
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This Product Contains Sensitive Taxpayer Data |