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2020 W2 Form
2020 W2 Form
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
84-0821335 20844.21 1022.94
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
CLARA CORPORATION 20844.21 1292.33
4855 Ward Rd. Suite #600 5 Medicare wages and tips 6 Medicare tax withheld
20844.21 302.26
Wheat Ridge CO 800330000 7 Social security tips 8 Allocated tips
e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a
C [br]
o
d
TERRELL D SWORDS e
13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
o
1585 DUDLEY STREET d
e
C [br]
o
d
e
e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o
d
TERRELL D SWORDS e
13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
o
1585 DUDLEY STREET d
e
12d
C
o
d
e
Do you have to file? Refer to the instructions for Forms 1040 to correct any name, SSN, or money amount error
and 1040-SR to determine if you are required to file a tax return. reported to the SSA on Form W-2. Be sure to get your
Even if you don't have to file a tax return, you may be eligible copies of Form W-2c from your employer for all
a refund if box 2 shows an amount or if you are eligible for
for corrections made so you may file them with your tax
any credit. return. If your name and SSN are correct but are not the
Earned income credit (EIC). You may be able to take the same as shown on your social security card, you should
ask for a new card that displays your correct name at any
EIC for 2020 if your adjusted gross income (AGI) is less
than a certain amount. The amount of the credit is based SSA office or by calling 1-800-772-1213. You also may
on income and family size. Workers without children could visit the SSA at www.socialsecurity.gov.
qualify for a smaller credit. You and any qualifying Cost of employer-sponsored health coverage (if such
must have valid social security numbers (SSNs). You
children cost is provided by the employer). The reporting in box
cannot take the EIC if your investment income is more than 12, using Code DD, of the cost of employer-sponsored
the specified amount for 2020 or if income is earned for health coverage is for your information only. The amount
services provided while you were an inmate at a penal reported with Code DD is not taxable.
institution. For 2020 income limits and more information,
visit www.irs.gov/eitc . Also see Pub. 596, Earned Income Credit for excess taxes. If you had more than one
Credit. Any EIC that is more than your tax liability is employer in 2020 and more than $8,537.40 in social
refunded to you, but only if you file a tax return. security and/or Tier 1 railroad retirement (RRTA) taxes
were withheld, you may be able to claim a credit for the
Clergy and religious workers. If you are not subject to excess against your federal income tax. If you had more
social security and Medicare taxes, see Pub. 517, Social than one railroad employer and more than $5,012.70in
Security and Other Information for Members of the Clergy Tier 2 RRTA tax was withheld, you also may be able to
and Religious Workers. claim a credit. See your Form 1040 instructions and Pub.
Corrections. If your name, SSN, or address is incorrect, 505, Tax Withholding and Estimated Tax.
correct Copies B, C, and 2 and ask your employer to
correct your employment record. Be sure to ask the (Also see Instructions for Employee on the back of Copy C.)
employer to file Form W-2c, Corrected Wage and Tax
Statement, with the Social Security Administration (SSA)
a Employee's social security number This information is being furnished to the Internal Revenue Service. If you
OMB No. 1545-0008 are required to file a tax return, a negligence penalty or other sanction
419-39-7521 may be imposed on you if this income is taxable and you fail to report it.
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
84-0821335 20844.21 1022.94
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
20844.21 302.26
7 Social security tips 8 Allocated tips
Wheat Ridge CO 800330000
e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box
C
o
d
TERRELL D SWORDS e 12
13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
o
1585 DUDLEY STREET d
e [br]
12d
C [br]
o
d
e
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
CO 2216790 20844.21 794.00
Form
W-2 Wage and Tax
Statement
Copy C - For EMPLOYEE`S RECORDS
2020 Department of the Treasury - Internal Revenue Service
e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a
C [br]
o
d
TERRELL D SWORDS e
13 Statutory
employee
Retirement
plan
Third-party
sick pay 12b
C [br]
o
1585 DUDLEY STREET d
e [br]
12d
C [br]
o
d
e
Form
W-2 Wage and Tax
Statement
Copy 2 - To Be Filed With Employee`s State, City, or Local
2020 Department of the Treasury - Internal Revenue Service