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a Employee’s social security number

595-538-306 OMB No. 1545-0008


b Employer identification number (EIN) 1 Wages, tips, other compensation 2 VI income tax withheld
83-3835811 7000
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
PLANET GAMES CORP 6200 NW 7TH 192
STREET UNIT 260511 5 Medicare wages and tips 6 Medicare tax withheld
MIAMI,FL 33126 1300 6
7 Social security tips 8

d Control number 9 10

e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o
d
e
SANDRA R GUZMAN 13 Statutory Retirement Third-party 12b
employee plan sick pay
1219 N 17th Ave C
o
d
Hollywood, FL 33020 e

14 Other 12c
C
o
d
e

12d
C
o
f Employee’s address and ZIP code d
e

Form W-2 U.S. Virgin Islands


Wage an Tax Statement 2020 Department of the Treasury—Internal Revenue Service

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