7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld

Form W-2 Wage and Tax Statement 2014 64057.36 6248.62

c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
SEMINOLE STATE COLLEGE OF FL 66040.54 4094.51
1A L99

100 WELDON BOULEVARD 9 5 Medicare wages and tips 6 Medicare tax withheld
66040.54 957.59
SANFORD FL 32773-6199 10 Dependent care benefits 11 Nonqualified plans 12a See instructions for box 12
C
o
d
e
C 12.96
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e DD 7014.00
CARISSA ANN BAKER J-EE Ret . 1983.18 12c
b Employer identification number (EIN) C
o

1660 WILLOW OAK LANE 59-1210158 d

e

a Employee’s social security number 12d

SANFORD FL 32773 C
o
009-60-9409 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Copy B-To Be Filed With Employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRS
OMB No. 1545-0008 Visit the IRS website at www.irs.gov/efile.

This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2014 64057.36 6248.62
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
SEMINOLE STATE COLLEGE OF FL 66040.54 4094.51
100 WELDON BOULEVARD 9 5 Medicare wages and tips 6 Medicare tax withheld
66040.54 957.59
SANFORD FL 32773-6199 10 Dependent care benefits 11 Nonqualified plans 12a See instructions for box 12
C
o
d
e
C 12.96
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C

J-EE Ret . 1983.18

o
d DD 7014.00
CARISSA ANN BAKER e

12c
b Employer identification number (EIN) C
1660 WILLOW OAK LANE 59-1210158 o
d
e

SANFORD FL 32773 a Employee’s social security number 12d

C
o
009-60-9409 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Copy C-For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.) OMB No. 1545-0008 Dept. of the Treasury - IRS
Visit the IRS website at www.irs.gov/efile.

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2014 64057.36 6248.62
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
SEMINOLE STATE COLLEGE OF FL 66040.54 4094.51
100 WELDON BOULEVARD 9 5 Medicare wages and tips 6 Medicare tax withheld
66040.54 957.59
SANFORD FL 32773-6199 10 Dependent care benefits 11 Nonqualified plans 12a
C
o
d
e
C 12.96
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e
DD 7014.00
CARISSA ANN BAKER J-EE Ret . 1983.18 12c
b Employer identification number (EIN) C

1660 WILLOW OAK LANE 59-1210158 o

d
e

a Employee’s social security number 12d

SANFORD FL 32773 C
o
009-60-9409 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2014 64057.36 6248.62
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
SEMINOLE STATE COLLEGE OF FL 66040.54 4094.51
9 5 Medicare wages and tips 6 Medicare tax withheld
100 WELDON BOULEVARD
66040.54 957.59
SANFORD FL 32773-6199 10 Dependent care benefits 11 Nonqualified plans 12a
C
o
d
e C 12.96
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o

J-EE Ret . 1983.18

d
e DD 7014.00
CARISSA ANN BAKER b Employer identification number (EIN) C
12c
o
1660 WILLOW OAK LANE 59-1210158 d
e

a Employee’s social security number 12d

FORM # LW28700

SANFORD FL 32773 C
8403000753

o
009-60-9409 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS