Islands Wage and Tax Statement 2 VI income lax vallihsId 203.00 6 Medicare wagesa-3 and -erg. 3C 7 Social warily tips 0 Advance SIC payment 11 Nonquatted plans 4 Seal security tax wIthheld 2088.74 7 1/ // Far TM? %teem 2006 14 Other 12o 7.15 1 Depertmant of the TI•wsunh—Intomol Revenue 5m4ofo