---
type: w2
category: tax
person: Xuewei Jiang
date: 2019-12-31
source: jiang_w2_ut_2019.pdf
---

# W-2 Wage and Tax Statement - Xuewei Jiang (2019)

## Employer

| Field | Value |
|---|---|
| b. EIN | 746000203 |
| c. Name | The University of Texas at Austin |
| Address | Payroll Services, PO 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 | $17,317.56 |
| 2 | Federal income tax withheld | $932.99 |
| 3 | Social Security wages | (blank) |
| 4 | Social Security tax withheld | (blank) |
| 5 | Medicare wages and tips | (blank) |
| 6 | Medicare tax withheld | (blank) |

## Box 12

| Code | Description | Amount |
|---|---|---|
| DD | Cost of employer-sponsored health coverage | $7,245.96 |

- No state wages or taxes (Texas)
- No retirement plan, statutory employee, or third-party sick pay checked