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    w22009 167305638-1

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    Jamie-Rose Michie
    This document is a W-2 form for an employee named Kurt Shelbourne. It provides information about his wages, taxes withheld, and employer details for tax year 2009. Specifically, it shows he earned $4,267.94 in wages from Howard Leasing II LLC, with various amounts withheld for social security, Medicare, federal, and state taxes.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    w22009 167305638-1

    Uploaded by

    Jamie-Rose Michie
    202 views1 page
    This document is a W-2 form for an employee named Kurt Shelbourne. It provides information about his wages, taxes withheld, and employer details for tax year 2009. Specifically, it shows he earned $4,267.94 in wages from Howard Leasing II LLC, with various amounts withheld for social security, Medicare, federal, and state taxes.

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    w22009_167305638-1[1]

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    This document is a W-2 form for an employee named Kurt Shelbourne. It provides information about his wages, taxes withheld, and employer details for tax year 2009. Specifically, it shows he earned $4,267.94 in wages from Howard Leasing II LLC, with various amounts withheld for social security, Medicare, federal, and state taxes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    202 views1 page

    w22009 167305638-1

    Uploaded by

    Jamie-Rose Michie
    This document is a W-2 form for an employee named Kurt Shelbourne. It provides information about his wages, taxes withheld, and employer details for tax year 2009. Specifically, it shows he earned $4,267.94 in wages from Howard Leasing II LLC, with various amounts withheld for social security, Medicare, federal, and state taxes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Reissued statement

    OMB No. 1545-0008 7 Social Security Tips 8 Allocated tips 1 Wages, tips, other comp. d Control number

    Form W-2 Wage and Tax Statement 2009

    12/12/07 rev2 2 Federal income tax withheld 4 Social security tax withheld

    c Employer's name, address, and ZIP code

    4267.94
    3 Social security wages

    Howard Leasing II LLC 6302 Manatee Ave W Suite K Bradenton, FL 34209


    e Employee's name, address, and ZIP code

    4267.94
    9 Advance EIC payment 5 Medicare wages and tips

    264.64
    6 Medicare tax withheld

    4267.94
    10 Dependent care benefits 13 Statutory Employee Retirement Plan Third-Party Sick Pay 11 Nonqualified plans 14 Other

    61.88
    12a Code See inst. for box 12 Codes 12b -12d

    Kurt

    Shelbourne

    8826 Tropical Ct. Ft. Myers, FL 33908


    15 State Employer's state ID no. 16 State wages, tips, etc.

    b Employer ID number

    90-0252163
    a Employee's social security number

    149-74-0436
    17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

    FL

    4267.94

    Dept. of the Treasury -- IRS Copy B To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. This information is being furnished to IRS. If you are required to file a tax return, a negligence penalty/other sanction may be imposed on you if this income is taxable & you fail to report it. 7 Social Security Tips 1 Wages, tips, other comp. 2 Federal income tax withheld

    Form W-2 Wage and Tax Statement 2009


    d Control number

    c Employer's name, address, and ZIP code

    Howard Leasing II LLC 6302 Manatee Ave W Suite K Bradenton, FL 34209


    e Employee's name, address, and ZIP code

    4267.94
    8 Allocated tips 3 Social security wages 4 Social security tax withheld

    4267.94
    9 Advance EIC payment 10 Dependent care benefits 13 Statutory Employee Retirement Plan Third-Party Sick Pay 5 Medicare wages and tips

    264.64
    6 Medicare tax withheld

    4267.94
    11 Nonqualified plans 14 Other

    61.88
    12a Code See inst. for box 12 12b -12d Codes

    Kurt

    Shelbourne

    8826 Tropical Ct. Ft. Myers, FL 33908

    b Employer ID number

    90-0252163
    a Employee's social security number

    149-74-0436
    15 State Employer's state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

    FL
    Copy C For EMPLOYEE'S RECORDS.

    4267.94
    (See Notice to Employee). OMB No. 1545-0008 7 Social security tips Dept. of the Treasury -- IRS 2 Federal income tax withheld

    Form W-2 Wage and Tax Statement 2009


    c Employer's name, address, and ZIP code d Control number

    1 Wages, tips, other comp.

    4267.94
    8 Allocated tips 9 Advance EIC payment 10 Dependent care benefits 3 Social security wages 4 Social security tax withheld

    Howard Leasing II LLC 6302 Manatee Ave W Suite K Bradenton, FL 34209


    e Employee's name, address, and ZIP code

    4267.94
    5 Medicare wages and tips

    264.64
    6 Medicare tax withheld

    4267.94
    11 Non qualified plans 14 Other 13 Statutory Employee Retirement Plan Third-Party Sick-Pay

    61.88
    12a Code See inst. for box 12 12b -12d Codes

    Kurt

    Shelbourne

    8826 Tropical Ct. Ft. Myers, FL 33908


    15 State Employer's state ID no. 16 State wages, tips, etc.

    b Employer ID number

    90-0252163
    a Employee's social security number

    149-74-0436
    17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

    FL

    4267.94
    Dept. of the Treasury -- IRS OMB No. 1545-0008 7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld 4 Social security tax withheld

    Copy 2 to be filed with Employee's State, City or Local Income Tax Return

    Form W-2 Wage and Tax Statement 2009


    c Employer's name, address, and ZIP code d Control number

    4267.94
    8 Allocated tips 3 Social security wages

    Howard Leasing II LLC 6302 Manatee Ave W Suite K Bradenton, FL 34209


    e Employee's name, address and ZIP code

    4267.94
    9 Advance EIC payment 5 Medicare wages and tips

    264.64
    6 Medicare tax withheld

    4267.94
    10 Dependent care benefits 11 Non qualified plans Third-Party Sick-Pay 14 Other 13 Statutory Employee Retirement Plan

    61.88
    12a Code See inst. for box 12 12b -12d Codes

    Kurt

    Shelbourne

    8826 Tropical Ct. Ft. Myers, FL 33908


    15 State Employer's state ID no. 16 State wages, tips, etc.

    b Employer ID number

    90-0252163
    a Employee's social security number

    149-74-0436
    17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

    FL

    4267.94

    Copy 2 to be filed with Employee's State, City or Local Income Tax Return

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