EFTA00176030¶
| a | Control number | Void | OMB No. 1548-0008 | |||
|---|---|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wages, tips, other compensation 2074.00 | 2 VI income tax withheld 175.00 | ||||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 2074.00 | 4 Social security tax withhold 128.59 | ||||
| 5 Medicare wages and tips 2074.00 | 6 Medicare tax withhold 30.07 | |||||
| 7 Social security tips | 8 | |||||
| d Employee's social security number 580-23-1452 | 9 Advance EIC payment | 10 | ||||
| e Employee's first name and initial TEQUASI O HENDRICKS PO BOX 672 ST. JOHN, USVI, 00831 | 11 Nonqualified plans | 12a See Form W-3SS instructions | ||||
| 13 Subsidy employee | Retirement plan | Third-party employer | ||||
| 14 Other | 12b | |||||
| 12c | ||||||
| f Employee's address and ZIP code | ||||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement¶
Department of the Treasury - Internal Revenue Service¶
2004¶
Copy D - For Employer¶
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3S¶
| a Control number | Void | OMB No. 1040-0009 | |||
|---|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation 21460.81 | 2 VI Income tax withheld 1005.00 | |||
| c Employee's name, address, and ZIP code, FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 22108.99 | 4 Social security tax withheld 1370.76 | |||
| 5 Medicare wages and tips 22108.99 | 6 Medicare tax withheld 320.58 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-29-3823 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial Last name LORETTA MCDONALD MORRELL PO BOX 306077 ST. THOMAS, VI, 00803 | 11 Nonqualified plans | 12a Sea Form W-3SS Instructions S | 648.18 | |||
| 13 Childcare employee Retirement plan Third-party care pay | 12b | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
U.S. Virgin Islands Wage and Tax Statement¶
2004¶
Department of the Treasury - Internal Revenue Servi¶
Copy D - For Employer¶
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form 1W-35¶
FTC0020¶