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2019 Wage and Tax Statement

A

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SSN as entered in BIOSCN
B

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Employer Federal EIN as entered

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in W2PROC
C

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District name and address as entered in W2PROC
E

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Name as entered in BIOSCN

Tip

Legal name always prints,

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in non-

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blank. If Legal name is blank, uses

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Name field.


F

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Address as entered

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on BIOSCN
1

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YTD taxable gross on 001 DEDSCN
2

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YTD deduct total on 001 DEDSCN
3

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YTD taxable gross on 692/693 DEDSCN flagged with deduction category of F
4

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YTD deduct total on 692/693 and 694/

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695 DEDSCN flagged with

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deduction category of F
5

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YTD taxable gross on 692/

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693 DEDSCN flagged with deduction category of M
6

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YTD deduct total on 692/693 and 694/

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695 DEDSCN flagged with deduction category of M
10

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Dependent care amount on 001 DEDSCN or YTD deduct total on any DEDSCN with type DPCARE
12

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C

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Cost of life insurance over $50,000

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D

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401(k) amounts

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E

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403(b)

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F

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408(k) (6)

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G

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457

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H

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501c (18) (d

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)

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J

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Non taxable sick pay

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P

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Excludable moving expenses -

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 Armed Forces only
REmployer contributions to an Archer MSA

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T

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Adoption benefits

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W

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Employer contributions to Health Savings Accounts

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AA

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Designated Roth contributions to section 401(k) plan

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BB

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Designated Roth contributions under section 403 (b) salary reduction agreements

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DD

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Cost of employer-sponsored health coverage

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EE

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Designated Roth contributions under a governmental section 457(b) plan

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FF

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Use this code to report the total amount of permitted benefits under a QSEHRA

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The maximum reimbursement for an eligible employee under a QSEHRA is $4,950 ($10,000 if it also provides reimbursements for family members), before indexing for Inflation.


13

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Retirement Plan:

401(a)
401(k)
403(b)
408(k)
501c(18)

14

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Leased vehicle amount as entered on 001 DEDSCN or any other deduction

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amounts entered in W2PROC
14

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Fringe Benefits
15

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State ID name as entered in W2PROC
16

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YTD taxable gross amount on 002 DEDSCN
17

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YTD deduct total on 002 DEDSCN
18

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YTD taxable gross amount on

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all City DEDSCN
19

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YTD deduct total on

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all City DEDSCN
20

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W2 abbreviation as entered in

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DEDNAM