bEmployeridentificationnumber

cEmployer'sname,address,andZIPcode
7Socialsecuritytips 8Allocatedtips
10Dependentcarebenefits
11Nonqualifiedplans
12aCode
12bCode
12cCode
12dCode
13Statutoryemployee
Retirementplan
Third-partysickpay
15State 16Statewages,tips,etc. 17Stateincometax
18Localwages,tips,etc. 19Localincometax 20Localityname
CopyBToBeFiledWithEmployee's
FederalTaxReturn
2013
Copy2ToBeFiledWithEmployee'sState,Cityor
LocalIncomeTaxReturn
Copy2ToBeFiledWithEmployee'sState,Cityor
LocalIncomeTaxReturn
CopyCForEMPLOYEE'SRECORDS.(SeeNoticeto
EmployeeonbackofCopyB.)
FormW-2WageandTaxStatement
MONTERREYSECURITYCONSULTANTS
PAYROLLACCOUNT
2232S.BLUEISLANDAVE.
CHICAGO,IL60608
849WESTVERMONT
CHICAGO,IL60643
IL 2567-9465 14313.84 671.49
14Other
dControlnumber
1Wages,tips,othercomp 2Federalincometaxwithheld
3Socialsecuritywages 4Socialsecuritytaxwithheld
5Medicarewagesandtips 6Medicaretaxwithheld
bEmployeridentificationnumber
cEmployer'sname,address,andZIPcode
aEmployee'ssocialsecuritynumber
7Socialsecuritytips 8Allocatedtips 9
10Dependentcarebenefits 11Nonqualifiedplans 12aCode
12bCode
12cCode
12dCode
13Statutoryemployee
Retirementplan
Third-partysickpay
16Statewages,tips,etc. 17Stateincometax
18Localwages,tips,etc. 19Localincometax 20Localityname
FormW-2WageandTaxStatement
14Other
dControlnumber
1Wages,tips,othercomp 2Federalincometaxwithheld
3Socialsecuritywages
4Socialsecuritytaxwithheld
5Medicarewagesandtips
6Medicaretaxwithheld
bEmployerIidentificationnumber
cEmployer'sname,address,andZIPcode
aEmployee'ssocialsecuritynumber
7Socialsecuritytips 8Allocatedtips
9
10Dependentcarebenefits 11Nonqualifiedplans 12aCode
12bCode
12cCode
12dCode
13Statutoryemployee
Retirementplan
Third-partysickpay
16Statewages,tips,etc. 17Stateincometax
18Localwages,tips,etc.
19Localincometax
20Localityname
FormW-2WageandTaxStatement
14Other
1Wages,tips,othercomp 2Federalincometaxwithheld
3Socialsecuritywages 4Socialsecuritytaxwithheld
5Medicarewagesandtips 6Medicaretaxwithheld
bEmployeridentificationnumber
cEmployer'sname,address,andZIPcode
aEmployee'ssocialsecuritynumber
eEmployee'sfirstnameandinitial
7Socialsecuritytips 8Allocatedtips
9
10Dependentcarebenefits 11Nonqualifiedplans
12aCode
12bCode
12cCode
12dCode
13Statutoryemployee
Retirementplan
Third-partysickpay
16Statewages,tips,etc. 17Stateincometax
18Localwages,tips,etc. 19Localincometax 20Localityname
FormW-2WageandTaxStatement
14Other
14313.84
2013
IL 2567-9465 671.49 14313.84
CHICAGO,IL60643
849WESTVERMONT
CHICAGO,IL60608
2232S.BLUEISLANDAVE.
PAYROLLACCOUNT
MONTERREYSECURITYCONSULTANTS
207.55 14313.84
14313.84 887.46
977.01
14313.84
2013
IL
2567-9465 671.49 14313.84
CHICAGO,IL60643
849WESTVERMONT
CHICAGO,IL60608
2232S.BLUEISLANDAVE.
PAYROLLACCOUNT
MONTERREYSECURITYCONSULTANTS
207.55 14313.84
14313.84
887.46
977.01
47420
14313.84
2013
IL 2567-9465 671.49 14313.84
CHICAGO,IL60608
2232S.BLUEISLANDAVE.
PAYROLLACCOUNT
MONTERREYSECURITYCONSULTANTS
207.55 14313.84
14313.84
887.46
977.01
47420
DEANDREWARE DEANDREWARE
DEANDREWARE

36-4291865 36-4291865
319-84-2354
319-84-2354 319-84-2354
36-4291865 36-4291865
aEmployee'ssocialsecuritynumber
319-84-2354
dControlnumber
47420
1Wages,tips,othercomp 2Federalincometaxwithheld
14313.84 977.01
3Socialsecuritywages 4Socialsecuritytaxwithheld
5Medicarewagesandtips
14313.84
6Medicaretaxwithheld
207.55
14313.84 887.46
dControlnumber
47420
Lastname Suff. Lastname Suff.
Employer'sstateIDnumber Employer'sstateIDnumber 15State
fEmployee'saddressandZIPcode fEmployee'saddressandZIPcode
15State Employer'sstateIDnumber 15State Employer'sstateIDnumber
fEmployee'saddressandZIPcode
eEmployee'sfirstnameandinitial Lastname Suff. Lastname Suff.
eEmployee'sfirstnameandinitial
9
849WESTVERMONT
fEmployee'saddressandZIPcode
CHICAGO,IL60643
DEANDREWARE
eEmployee'sfirstnameandinitial