pmrREn
euler
EES
eer
EFTA
Conbral
number
Wold
OME
Ego
tian
numer
EIN
Wagas
tips
offer
compensalion
Fodoml
income
lax
withheld
Employer
nama
address
and
ZIF
code
Social
security
wages
Social
security
tax
withheld
JEFFREY
EPSTEIN
BRILLO
WAY
Medicare
wages
and
ips
Medicare
tax
withhald
PALM
BEACH
Social
security
tips
Allocated
Advance
BIC
payment
Dependant
cars
benslits
MIAMI
BEACH
Employea
address
and
ZIP
codo
Sufi
Nongualified
plans
Ses
Instructions
for
box
Ret
Tijd
Olver
Employer
state
number
Sale
wages
lips
ele
LTE
TEER
EEE
State
income
Lax
Local
wages
tips
LEERY
EEE
Local
imcoma
tax
Locally
name
Lol
Wage
and
Tax
Statement
For
Employer
Department
the
Treasury
Internal
Ravens
Service
For
Privacy
Act
and
Paperwork
Reducton
Act
Notice
see
back
Gopy
EFTA
Control
number
Employee
address
and
ZIP
code
voia
OMB
EIB
Wagss
lips
other
compensation
Federal
income
tax
vathheld
Employer
name
address
and
ZIP
code
ESocial
security
Wages
Social
secunty
tax
withheld
JEFFREY
EPSTEIN
BRILLO
WAY
Modicare
wages
and
fips
Medicare
tax
withheld
FALM
BEACH
Social
sacurity
tips
Allocaled
tips
Advance
BIC
payment
Dependant
care
benefits
Nonqualifies
plans
See
instructions
for
box
Szun
poems
Thott
pea
Other
Saw
Employer
siste
number
State
wagss
fips
Stale
income
tax
Local
wanna
Was
sic
Loca
income
Locality
name
Wage
and
Tax
Farm
Statement
Copy
For
Employer
Department
the
Treesury
Internal
Revenue
Service
For
Privacy
Act
and
Paperwork
Reduction
Act
Maotice
see
back
Copy
Ceniral
number
oid
OMB
Employer
identification
number
EIN
Employer
name
address
and
ZIP
code
Wages
tips
other
compensation
Federal
income
tax
withhald
Soci
secwity
wages
Social
security
withhald
Meadicare
wages
and
lips
Madicare
tax
withheld
Social
sscuity
Tips
Allocated
fips
Employee
social
security
number
Advance
EIC
payment
Dependant
care
benafits
Employee
address
and
ZIP
code
Employes
first
name
and
initial
Last
nama
Nongualifed
plans
See
instruciions
for
box
EFI
Other
Same
Employers
state
number
State
income
Lax
Local
wages
ups
Wage
and
Tax
Statement
player
Local
income
tax
Locality
nama
LEE
Department
the
Treasury
iniemal
Revenue
Service
For
Privacy
Act
and
Paperwork
Reduction
Act
Notice
see
back
Copy
EFTA
1
0017
6
1545
0008
1
2
7890
65
714
35
3
4
7890
65
22
358
5
8
33480
7890
65
114
41
7
8
8
10
33139
11
12
6
00
14
1
5
15
10
18
17
18
19
20
2
0017
6
1545
0008
0017
1
2
38536
47
3453
23
3
4
38536
47
2389
25
358
5
6
33480
38536
47
358
78
2
10
11
12
28
62
13
150
1
7
14
12
4
15
10
16
17
18
19
20
2
3
8
1545
0008
1
2
3
4
6
8
11
12
14
15
17
18
9
19
20