4oo2-02 Social Security Administration Retirement, , and Disability Insurance Request for Employer Information Porm Appred OMB No" oon nom Social Security Administration Data Operations Center Box 39 Wilkes-Barre, PA 18767-0039 GRIFFITH HARSH & MARGARET C WHITMAN on ms Date. APRIL 22+ 2003 ATHERTON CA Sequence Number: 3 161555795 4 94027-2226 MdeeblMvsllotlettedbtesttstutll f Employer Number: — = We are writing to yon about your Wage and Tax Statement (W-2), for the employee shown . Please complete the information on the reverse and return it to us . We can't put these earnings on the ‘employee's Social Security record ‘until Pee name and Social Security number you reported agree with our records SANTILLAN Reported Earnings: . 2002 ‘The reasons the reported information doesn’t are not limited to: Record transcription or typographical errors or blank name reported Incomplete or blank SSN reported ‘Name changes nationally provided incorrect This letter does not imply that you or your employee inte! Fins Mation about the employee's name or SSN. It is not a bans. Te ‘and of itself, for catite any adverse action against the employee, such 28 laying off, suspending, iseri i asiivideal. Any employer that uses the in employee may information in this letter to justify taking adverse ‘action against 2 Violate state or federal law and be subject to Tegal consequences. Moreover, this letter makes no statement about your employee's immigration status. For Spanish-speaking individuals: Esta carta no implica que Social del empleado. Esto razén, de xen eae ond jén, despedida o discriminacié agree with our records may include, but ‘usted ni su empleado bre o mimero de Seguro empleado. usted para su ae de teléfono ide informacién sobre las ganancias reportadss a Ey unted necesita una traduceién de esta carte, por SS [lamenes al ntimero in 1-800-772-1213, de 70 a.m. 2 7:0 pum. hore del os: Please See Reverse yoo2-02