---
type: w2
category: tax
person: Xuewei Jiang
date: 2016-12-31
source: jiang_w2_2016.pdf
---

# W-2 Wage and Tax Statement - Xuewei Jiang (2016)

## Employer

| Field | Value |
|---|---|
| b. Employer's EIN | 74-6000203 |
| c. Employer name | The University of Texas at Austin |
| Employer address | Payroll Services, Box 7849, Austin, TX 78713-7849 |

## Employee

| Field | Value |
|---|---|
| a. SSN | 092-99-3215 |
| e. Name | Xuewei Jiang |
| f. Address | 2110 Speedway Stop B6600, CBA 6.222, Austin, TX 78712-1276 |

## Wage and Tax Data

| Box | Description | Amount |
|---|---|---|
| 1 | Wages, tips, other compensation | $11,730.97 |
| 2 | Federal income tax withheld | $734.36 |
| 3 | Social Security wages | $0.00 |
| 4 | Social Security tax withheld | $0.00 |
| 5 | Medicare wages and tips | $0.00 |
| 6 | Medicare tax withheld | $0.00 |
| 7 | Social security tips | $0.00 |
| 8 | Allocated tips | $0.00 |
| 10 | Dependent care benefits | $0.00 |
| 11 | Nonqualified plans | $0.00 |
| 12a | DD (cost of employer-sponsored health) | $6,886.96 |

## Calculation of Taxable Income

| Item | Amount |
|---|---|
| Gross Salary | $17,085.00 |
| Longevity/Hazardous/Supplement | $0.00 |
| Total Salary per Earnings Statements | $17,085.00 |
| Add - Other (Box 14) | $0.00 |
| Add - Taxable Fringe Benefit | $0.00 |
| Less - Optional Retirement / UTGRA | $0.00 |
| Less - Teacher Retirement | $0.00 |
| Less - Tax Sheltered Annuity (E, Box 12) | $0.00 |
| Less - Deferred Compensation (G, Box 12) | $0.00 |
| Less - Premium Redirect | $354.03 |
| Less - UTFLEX Dependent Care (Box 10) | $0.00 |
| Less - UTFLEX Medical/Dental Reimbursement | $0.00 |
| Less - Exemption (Tax Treaty) | $5,000.00 |
| Less - Sick pay (J, Box 12) | $0.00 |
| Less - Pretax Parking | $0.00 |
| **Taxable Income per Form W-2** | **$11,730.97** |

- Total Charitable Contributions through Payroll Deduction for 2016: $0.00