M o Employers name. address and ZIP code 3 Soc!al security wages 4 Social meaty tax wIlltdd 6 Modlcaro wages and Ups 0 Medicare tax witrVield 7 Bocal anyway tips I Allocated Ups d Employees social se/malty number - 8 Advance ElO payment 10 Dependent care Inewals a Employee's net name and hin