Epstein Secrets

ependent care Innards a Employee's lint name and initial last name Suff. 11 Nonqualltled pans 12a Sae Instructions for box 12 ?, I 13 g1121. W.,'"' liter n n n p-tai I 14 Other 12c ? I 12d 1 Employee's address end ZIP coda leSue Employers state ID number I. 10 Slate wages, lips,

9.0002.' Ilya, use an IRS approved private delivery 'entice, add W2 Prooess 1160 E. Mountain Or to the addreas and change the Purpose of forms. use Copy A of Fenn MSS to transmit Copy A of Fenn W.2.AS, W2GU, W-2CM, or W-2VI to the Scala, &fetidly Administration. File Copy 1 of Form W-3S$ end Copy I of

Mimi»ezll us Virgin Islands Wage and Tex Stator:nerd (Row. Febniary 2002) Copy A For :social 8enuiity AdmInlatretiOn -bond this entire page with Copy A 01 forM Yd-92310 the Bads' Seourlty Administration; photocopies are not weeptatils, Do Not Cut, Fold, or Staple Feint Oft This Page - `Oa Not cut,

PIENTS twang Slat. loading a ma * iw4 end ZIP c'edl RECIPIENT'S Idertlicelon number 13-165e110 Serb 0M014.194.0116 S Well. Oetahel S ?lenges W.? 767 Fifty. Alrenee :vow York, ely 10153 Ramat melba @pad 2 Roy, 2003 Fain 1099•MISC 1 Miscellaneous I Income I $ $ 3 Othir (memo a Fs .S

le G. 9/4/ . 7.• pon, . 111 U.B. Virgin Islands Wage and Tat( Statement Copy A Far Soclni Sociaity Allidnistrittion - Sand Es endr0 page with Copy A at Fenn W-ASSIothe Social Smutty AdminiaVationi plintoeoph3a an not aoreptable. 2003 may. reduo 2002) Cat No. eitaTIC 391.00 • 4 4.:01...;a.itu

KIM VAN HOLTEN 7 ?non W-2 vr, U.S. VgrgIn lacunas Wage end Tex Statement Copy A For Soolel floishlty Arkniehlradon - Send thia entire pogo with Copy A or Flinn W-148 to the Soot& Security Administration; pitabacopiell ill/P net aeueptatia. 2003 wia..Krearesernii. sainirat 5212.34 . ate -Tarra

agency, or legal Internal Revenue residence in the case of en Service Center individual, Is located In address \Or Alabama, Arizona, Florida, George. Louisiana, Mississippi, New Mexico, North Carolina, Texas, Virginia Martin, -0( 7ssoi Arkansas, Connecticut, Delaware, Kentucky, Maine, Massach

sati two paint 8 Sunittele raymues In Fat Of O./W.(4 of tront 9 Payer rondo dltat so/OS cl 0.050 e

an god ZIP /MO dirt U.S. VArgin 1.513mds Form • Wage and Tax Stalern.ent Copy A For Sociol Sontolty Administrnti on - Send this orate page with Copy A of Fgrrn Vihrifc'S to the Social iii.tinialty Administmtloro phoinoeples aro net uyinptablo. (Rev. February 2002) 203 OM Mn. 40977C lib ,1 441