Document Mentions (3 shared documents)

EFTA00175998

3 mentions1 same-page

Page ?Same page

erm W-3SS Transmittal of Wage and Tax Statements 2003 Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-21/I to the Social Security Administration (SSA). Photocopies are not acceptable, Do not send any remittance (oash, checks, money orders, etc) with Forms W-2AS, W-2GU, W-2CM, W2VI, and W-358.

- . . . E c r i ; W I ; . ; . _ _ • 1 - • - • • ^ . - - - • - . • • - . - • - • [ CORNELIUS ' : Ealllitepplabblirms.c.74: rj • ykrifp 7.70.12:3'15irr 4. .• .• el} &TAX': e .. ...: arYV13 100 /6" 14S(.142opatN;10 tautta e6w ; 014.,

ANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS , 00802 d En 580 loyeelt so 13-4697 Clel security number arnagilettf tarns and Inkiel Last norno CORNELIUS 6501 RED HOOK PLAZA FMB 201 ST. THOMAS, VI, 00802 t E d 2le coda SO. Wain] U.S. Virgin Islands Form Wage and Tax Statement Copy 1-For VI

EFTA01338175

3 mentions1 same-page

Page ?Same page

14 Cute se dic /Os Someway dre Taste Pent ammo am* end this entire page with the entire Copy A page of Forms W-2AS, W-2131.1, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocoplos are not acceptable. o not send any remittance (cash, checks, Way ceders, etc.) with Forms W-2e4S, W-2GU, W-20M, W-2V1, and W-3S5

pla-nr • • - ifto Farm W.CAt lions . I Sit 3812.08 10 V ez 09:rn. 14. 14 Oho-- • •-•••••••• 3269.68 «Rgwil 764. SE Agl JAMIE I CORNELIUS I . : E2149:9/2 *Cr. 52 %Icy P70PM .7 f7 :171T ' etS‘4 17.W .4.4e ' 14 - 1. -.4 %4;.•:1•2 :Ara; • trip "kv ••• .A.Z1 V•40:' •••'. age 44.Z

iveld 647.14 7 Semite nounty Mu t eckd =Os number .. .. . . 9 Actincoo EC peryrrort 100 / A • EmPbYeC0 fret nemo old NW trot runts JAMIE I CORNELIUS 11 Nonqualll•d pkvil 12 Forn W483 helrumbrz p 4717.21 e Soo I, tut .... , - 18.10 r 14 Other 12e i rei i A4 e Cr,, mi &Dem •rvi 7JP cod

EFTA00233059_email_017

2 mentions1 same-page

Page ?Same page

V1 0 urn W- SS 'fransmittal of Wage and Tax. Statements 20014 end this entire page with the °nth* Copy A page of Forms W-2A8, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocopies are not acceptable. o not send any remittance (oash, oheoks, way orders, eta.) with Forms W-2AS, W-2GU, W-20M, W-2VI, and W-$S5,

rm W4SS. FTE0003 EFTA00233117 22222 }tollare, n n•imhte P NI mpoyeris name, 3CICM119, andLP coda FINANCIAL 1 Em oat and IP code last name CORNELIUS OMB No. 154-0320 1 Wagea epq ollt7COMPOOSIOSI 2 M Income tax withheld 36501.04 5365.00 3 Soots oacedty wages 4 scaled security tax wiltald 39