a Employee’s social security number

22222 XXX XX 6004 OMB No. 1545-0008

xxx
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
630578682
82,911.82 16,489.03
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

Royal Auto Group 6,946.26

5 Medicare wages and tips 6 Medicare tax withheld
3400 Black Horse Pike, Had-
don Township, NJ 08107 1,624.53
7 Social security tips 8 Allocated tips

179.78
d Control number 9 10 Dependent care benefits

100.83
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
Eddie D Lovett o
d
e

13 Statutory Retirement Third-party 12b

employee plan sick pay C
111 Heather St, Browns Mills, o
d
NJ 08015 e

14 Other 12c
C
o
d
e

12d
C
o
d
e

f Employee’s address and ZIP code

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
63057868200 3,784.23

Form W-2 Wage and Tax Statement

Copy 1—For State, City, or Local Tax Department
2022 Department of the Treasury—Internal Revenue Service
 a Employee’s social security number
VOID
XXX XX 6004 OMB No. 1545-0008
xxx
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
630578682 82,911.82 16,489.03
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

Royal Auto Group 6,946.26

5 Medicare wages and tips 6 Medicare tax withheld
3400 Black Horse Pike, Had-
don Township, NJ 08107 1,624.53
7 Social security tips 8 Allocated tips

179.78
d Control number 9 10 Dependent care benefits

100.83
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
Eddie D Lovett o
d
e

13 Statutory Retirement Third-party 12b

Royal Auto Group employee plan sick pay C
o
d
e
111 Heather St, Browns Mills,
NJ 08015 14 Other 12c
C
o
d
e

12d
C
o
d
e

f Employee’s address and ZIP code

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
63057868200 3,784.23

Form W-2
Copy D—For Employer
Wage and Tax Statement 2023 Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction
Act Notice, see separate instructions.