EFTA00176031¶
| a | Control number | Void | OMB No. 1545-0006 | |||
|---|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 40047.86 | 2 VI income tax withhold 1586.00 | ||||
| c Employer'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 41285.35 | 4 Social security tax withhold 2559.69 | ||||
| 5 Medicare wages and tips 41285.35 | 6 Medicare tax withhold 598.64 | |||||
| 7 Social security tips | 8 | |||||
| 9 Advance BIC payment | 10 | |||||
| e Employee's first name and initial UNA R PASCAL HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3BS Instructions S | 1237.49 | ||||
| 13 Secretary employee K | 12b C | 35.38 | |||||
| 14 Other | 12c | |||||
| 12d | ||||||
| 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-38¶
| a Control number | Void | OMB No. 1845-0008 | ||
|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 27935.72 | 2 VI income tax withheld 9.00 | ||
| c Employer'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 28753.16 | 4 Social security tax withhold 1782.70 | ||
| 5 Medicare wages and tips 28753.16 | 6 Medicare tax withhold 416.92 | |||
| 7 Social security tips | 8 | |||
| d Employee's social security number 066-64-1041 | 9 Advance EIC payment | 10 | ||
| e Employee's first name and initial Last name ANN M RODRIGUEZ 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 11 Nonqualified plane | 12a Bee Form W-3SS instructions S | 817.44 | ||
| 13 Secretary employee Retirement plan Third-party pay | 12b C | 3.21 | |||
| 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 Noti and Instructions, see Form W-35¶
FTC0021¶