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EFTA00006069

005 W-2 and EARNINGS SUMMARY Articles of 7-4 16

This blue Earnings Summary section is included with your W-2 to help describe portions in more detail. The reverse side includes general information that you may also find he The following anformation reflects your, final 2005 pay stub plus timents submitted by your employer. - Gross Pay Gross Pay 184807 Social Security – 5580 00 - NY State Income Tax 14.50

Tax Withheld .Box 17 of W-2 . Box 4 of W 2 - 5 Box 4 of W 2 Medicare Tax SUISD 2.40 2 વિત્ત 19 Box 14 of W-2 29092, 14 Fed. Income 182 23 2687-18 42.22 Tax Withheld నా , ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻤ ,在 Box 2 of W-24 24 a marka k Your Gross Pay was adjusted as follows to produce your W-2 Statement.

11:50 1999 The of the state the may 12/2007 2007 17

3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dept.

Social Security Number: Taxable Marital Status: MARRIED Exemptions/Allowances: FEDERAL: 8 STATE: 8

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· 2005 AUTOMATIC DATA PROCESSING, INC. Fold and Datach Here –

Refund. Even if yai do not have to Rea tax return, you should Re to got a refund if box 2 shows federal income tax withheld or if you can take the earned income credit. Earned Income credit (EIC). You must file a tax return if any amount is shown in box 9.

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You may be able to take the EC for 2005 W: (a) you do not have a qt4ifying child and year earned less than $11 750 ($13,750 if married fling jointly), lb) you have one qua .1’412 child and you earnediess than $31 (330 (533,030 mare fling lantlY), or (c) you have more than one guarding chid and you earned less than 535253 ($37263 if married Ming j’ointly). You and any qualifying children must have valid social security numbers MNs). - You cannot take the EIC if yourinvestment incomes more than $2/00. Any EIC that is morn than your tax liability is refunded to you, but only if you file atier return. El ycu have at least one qualifying dead, you may get as rntr-h as $1,597 of the EC rn advance b/ completing Form W-5, Ea rod Income Credit Acvarre Payment Certificate, and giving it to your empoyer.

Clergy and migious workers. If you are not suited to Social secur and Medicare taxes, see publication 517, Social Security and Dine’ Information for Members of the Clergy and Religious Workers.

Corrections. U your name. SSN, or address is incorrect. correct Copies 8 C, and 2 and ask your employer to correct your elloyment record. Be sure to ask the to fileForm W-2c, Corrected Wage and Tax Sertnact)Arnt, with the Social Security AdmInietration (SSA) to correct any name, SSN or money amount error reported to the SSA on Fonn W-2. If your name and SSN are correct but are not the same as own on your Waal Seculty card you should ask for a new card at any SSA office or cal 1-800-772-1213.

Credit for excess taxes. If you had more than one emptioc Tie in 2005 and moo than $5580.00 in cooly sccuri and/or r I railroad retirement (RFITA) taxes wae withho , you may be able to claim a credit for the excess against your federal hcome tax. If you had more than one railroad employer and more than $2,943.60 in Tree II RRTA tax was withheld. you also may be able to claim a credit. See your Form 1040 or Form 1040A instructions and Pubfcation 505, Tax Withholdirg and Estimated Tax.

Instructions

Box 1. Enter.this acquit on the wages line of your tax return.

Box 2. Enter ttis amount on the federal income tax withheld fine of your tax return.

Box 8. This amens Is not included in boxes 1, 3, 5. or 7. For information on how to report tips on your tax return. see your Form 1040 instrucbons.

Box 9. Enter his amount on the advance earned Income credit payments line of you Form 1040 or Form 1040A. Box 10. This amount is the total dependent care benefits that your employer paid to you or knosred an our behalf (including amens from a section 125 (cafeteria) plan). amount over_ 5S,000 also is hcluded in box 1. Yee must complete Schedule 2 (Form 1040A) or Farm 2441, Chid and Nporident Cale Evenies, to compute any taxable and nontaxable amounts.

Box 11. This amount is: (a) reported in box 1 if it is a distribution made to you from a nonquadfied deferred compensation Cr nongovernmental section 457(0) plan (b) InMded in box 3 and/or 5 it m is a pea year deferral under a nonqualiged cr section 457(b) plan that became taxeb’s for social sexany and Med cam taxes this year becaµse there is no longer a substantial risk of I your right to the deferred amount.

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Box 12. The following list explains the codes shown In 12. You may need this information to complete your tat return. Elective deferrals (codes D. E, F. and S) under or section 403 ) plans if you qualify for the 15-year are genelly linked to a total of 314.000017 explained in F . 571). Deferrals under code G are fire to $14,000. Deferrals under code H are kneed to $7 However, if you were at least age 50 in 2005, your employer may have mowed an additional defend of u $4.000 ($2,000 for section 401(1)(11) and 408(p) SIM plans). Ins addtional deferral amount s not subject to overal limit on elective deorrals. For code G the knit 4 _ elective deferrals may be higher for the last three years • before you reach retirement age. Contact your plan • • administrator to’ more information. Frown% In excess the overall elective deferrer knit must be included Si income. See the “Wages, Salaries, Tops, etc.” line ,r’ instructions for Form 1040.

mefrt-up pcmicer contribution for a prior when yt Note. Ha year foilows code D, E, F, 0, H. or S maC, were in miNtary service. To figure whether you made arc deferrals, consider these arrsounts for The year shown n the current year lino year is sewn, the contributions ar, for the anent yea:

A—Uncollected social securitya RRTA tax on bps Include’. tWs tax on Form 1040. See ’Total Tar in the Form 1040 instructions.

8—Uncollected Medicare lex on Ups. Include this tax of Form 1040. See “Total Tax” in the Form 1040 ham 0—Taxable cost of group-term fife insurance over and 011abled in barns 1.3 (up to soda! security wage 51

D–Elective deferrals to a section 401(k) cash or defiant : arrangement. Also includes deferrals under a SIMPLE’ PatirCl/XIII account that is part of a section 401(1)

arrangement. E—Elective deferrals under a section 403(0) salary reduction agreement

F—Elective deferrals under a section 40881(6) salary : reduction SEP

G—Elective deferrals and employer centributiorts (ache nonelective deferrals) to a section 4570o) deferred .

compensation plan

NOTE: THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FILING WITH YOUR FEDB

Department of the Then, ay • hernal Revenue Service

This informant:in is being furnished to the Internal Revenue Set

IMPORTANT NOTE:

In order to enure efficient processing, attach this W-2 to my tax return like this (following city or Idol Instructtons):

Department of the litastny - Internal Revenue Service

This information is being furnished to the Internal Revenue Service.

IMPORTANT NOTE

In order to insure efficient processeig, attach this W-2 to your tax return like this (followhg state Instructions):

TAX RETURN TAX RETURN TIM THIS FORM OTHER) FORM 004 was

NOTE: THESE ARE SUBSTTTUTE WAGE AND TM STATEMENTS AND ARE ACCEPTABLE FOR FIUNG WITH YOUR FEDERAL. STATE AND LOCAL/CITY INCOME TAX RETURNS.

NOTE THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FIUNG WITH YOUR FEDERAL. STATE ANO LOCAL/CITY INCOME TM RETURNS.