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W2 Form
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1. Employer Information
Tax Year*
2017
2016
2015
2014
2013
2. Employee Information
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Vermont
District Of Columbia
No. of Dependents
1
2
3
4
5
6
7
8
9
9+
No. of Exemptions
1
2
3
4
5
6
7
8
9
9+
$
3. More Information
Statutory Employee
Retirement Plan
Third-Party Sick Pay
Tax Code (12a)
Tax Code (12b)
Tax Code (12c)
Tax Code (12d)
4. Email
Insert the e-mail address to which you want to receive your W2-Form order