EFTA00176032¶
| a | Control number | Void | OMB No. 1648-0008 | |||
|---|---|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wages, tips, other compensation 35326.30 | 2 VI income tax withhold 2832.00 | ||||
| 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 37983.56 | 4 Social security tax withhold 2354.98 | ||||
| 5 Medicare wages and tips 37983.56 | 6 Medicare tax withhold 550.76 | |||||
| 7 Social security tips | 8 | |||||
| 9 Advance EIC payment | 10 | |||||
| d Employee's social security number 580-15-5038 | 11 Nonqualified plans | 12a See Form W-385 Instructions S | 2657.26 | ||||
| e Employee's first name and initial JERMAINE A RUAN UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 13 Simultary employment Retirement plan Third-party aid pay | 12b C | 23.00 | ||||
| 14 Other | 12o | |||||
| 12d | ||||||
| f Employee's address and ZIP code | ||||||
Form W=2VI U.S. Virgin Islands Wage and Tax Statement¶
2004¶
Department of the Treasury - Internal Revenue Service¶
Copy D - For Employer¶
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS¶
| a Control number | Void | OMB No. 1545-0088 | |||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 36964.83 | 2 VI income tax withheld 3091.00 | |||
| 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 41190.09 | 4 Social security tax withheld 2553.79 | |||
| 5 Medicare wages and tips 41190.09 | 6 Medicare tax withhold 597.26 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-17-3729 | 9 Advance EIO payment | 10 | |||
| e Employee's first name and initial Last name DAPHNE L WALLACE P.O. BOX 11184 ST. THOMAS, USVI, 00801 | 11 Nonqualified plans | 12a Saa Form W-3SS Instructions S | 4225.26 | |||
| 13 Biological employee Retirement plan Third-party risk pay | 12b C | 29.12 | ||||
| 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 Service¶
Copy D - For Employer¶
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3ST¶
FTC0022¶