Create W-2 Form

Tax Year 2025

Tax Year

Employee Information

Employer Information

Federal Wages & Taxes

Additional Information (Optional)

State & Local Taxes

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a Employee's social security number
000-00-0000

W-2

Wage and Tax Statement
2025
Copy B
b Employer identification number (EIN)
00-0000000
c Employer's name, address, and ZIP code
Employer Name
123 Business Ave
City, ST 00000
d Control number
e Employee's first name and initial    Last name    Suff.
Employee Name
f Employee's address and ZIP code
123 Main Street
City, ST 00000
1 Wages, tips, other compensation
2 Federal income tax withheld
3 Social security wages
4 Social security tax withheld
5 Medicare wages and tips
6 Medicare tax withheld
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a-d See instructions for box 12
13
Statutory
Retire.
3rd party
14 Other
15 State / Employer's state ID

16 State wages
17 State tax
18 Local wages
19 Local tax
20 Locality
Copy B — To Be Filed With Employee's FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
Notice to Employee: The information on this form is important. Keep it for your tax return. Employers are required to furnish employees with this statement by January 31 of the following year.

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