EFTA00176038¶
a Control number¶
22222¶
For Official Use Only 018B No. 1074-0038¶
b Employee identification number 66-0567418¶
c Employer’s name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802¶
d Employee’s modal security number 580-29-3823¶
e Employee’s first name and initial LORETTA¶
f Employee’s address and ZIP code¶
4 Wages, tips, other compensation $ 21277.44¶
5 Social security wages $ 21903.98¶
6 Medicare wages and tips $ 21903.98¶
7 Social security tips $¶
8 Advance GIC payment $¶
11 Nonqualified plans¶
12 Security embezzlement X¶
13 Taxable income X¶
14 Other¶
942.00 1358.05 317.61¶
10¶
13a See Form VI-103 Instructions S $ 626.54¶
11¶
12¶
13¶
14¶
U. S. Virgin Islands¶
Wage and Tax Statement¶
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-393 to the Social Security¶
(Rev. February 2002)¶
Department of the Treasury - Internal Revenue Service¶
For Privacy Act and Paperwork Reduction Motto and Instructions, see Form W-8¶
Administration; photocopies are not acceptable.¶
Cat. No. 49977C¶
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page¶
| a Control number | 22222 | Vokl | Por Official Use Only © OMB No. 1645-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 6070.00 | 2 VI income tax withheld $ 292.01 | |||
| 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 $ 6250.00 | 4 Social security tax withholding $ 387.51 | |||
| 5 Medicare wages and tips $ 6250.00 | 6 Medicare tax withholding $ 90.61 | ||||
| 7 Social security tips $ | 8 | ||||
| d Employee's social security number 580-11-2937 | 8 Advance EIC payment $ | 10 | |||
| a Employee's first name and initial UNA R | Last name PASCAL | 11 Nonqualified place $ | 12 a See Form W-10 Interactions b S $180.00 | ||
| HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802 | 12 Identified employee x | 13 Identified employee x | |||
| i Employee's telephone number | 14 Other | 15 Other | |||
{Rev. February 2002}¶
EFTA00176039¶
| a Control number | 22222 bad | For Official Use Only OMB No. 1845-0008 | ||
|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wage, tips, other compensation $ 15065.60 | 1 Wage, tips, other compensation $ 181.00 | ||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 2 Social security wages $ 15500.60 | 2 Social security wages without $ 961.04 | ||
| 3 Medicare wages and tips $ 15500.60 | 3 Medicare wages without $ 224.76 | |||
| 7 Social security tips $ | ||||
| 9 Advance EIO payment $ | ||||
| d Employee's social security number 066-64-1041 | ||||
| e Employee's first name and initial ANN M | Last name RODRIGUEZ | 10 Nonqualified plans $ | 10 Nonqualified plans S | $435.00 | |
| 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 11 Safety analysis [ ] [X] | 11 Safety analysis C | $0.60 | ||
| 14 Other | 14 Other | |||
| f Employee's address and ZIP code | ||||
Copy A For Social Security Administration • Send this entire page with Copy A of Form W-399 to the Social Security Administration; photocopies are not acceptable.¶
Department of the Treasury - Internal Revenue Serv:¶
(Rev. February 2002)¶
For Privacy Act and Paperwork Reduction J¶
Notices and Instructions, see Perm W-81¶
Cat. No. 490770¶
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page¶
| a Control number | 22222 | Void | For Official Use Only © OMB No. 15418-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 38393.23 | 2 VI income tax withhold $ 2889.00 | |||
| 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 $ 40902.75 | 4 Social security tax withhold $ 2535.97 | |||
| 5 Medicare wages and tips $ 40902.75 | 6 Medicaid tax withhold $ 593.05 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance BIC payment $ | 10 | ||||
| d Employee's social security number 580-15-5038 | 11 Nonqualified plans $ | 13a Sea Form W-998 instructions S 2509.52 | |||
| e Employee's first name and initial JERMAINE A | Last name RUAN | 12 Savings employee X | 13b Savings employee X | ||
| UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 14 Other | 14 Other | |||
| f Employee's address and ZIP code | |||||