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72 lines
1.9 KiB
Markdown
72 lines
1.9 KiB
Markdown
---
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type: tax
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category: w2
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person: xuewei-jiang
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date: 2021-01-01
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source: "[[jiang_w2_usc_2021.pdf]]"
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---
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# W-2 Wage and Tax Statement 2021 — Xuewei Jiang / University of Southern California
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## Employee Information
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- **Employee name:** XUEWEI JIANG
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- **Employee SSN:** XXX-XX-3215
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- **Employee address:** 11950 IDAHO AVE., APT. 113, LOS ANGELES, CA 90025
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## Employer Information
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- **Employer name:** UNIVERSITY OF SOUTHERN CALIFORNIA
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- **Employer EIN:** 95-1642394
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- **Employer address:** UNIVERSITY PARK, LOS ANGELES, CA 90089-0001
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- **Control number:** 0000088315 TYI
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- **Department:** WSJ7
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- **Employer use:** 17337
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## Wage and Tax Data
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| Box | Description | Amount |
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|-----|-------------|--------|
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| 1 | Wages, tips, other compensation | $269,733.09 |
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| 2 | Federal income tax withheld | $65,396.81 |
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| 3 | Social security wages | $142,800.00 |
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| 4 | Social security tax withheld | $8,853.60 |
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| 5 | Medicare wages and tips | $276,141.46 |
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| 6 | Medicare tax withheld | $4,689.32 |
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| 7 | Social security tips | (blank) |
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| 8 | Allocated tips | (blank) |
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| 9 | (blank) | (blank) |
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| 10 | Dependent care benefits | (blank) |
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| 11 | Nonqualified plans | (blank) |
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## Box 12 — Codes
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| Code | Description | Amount |
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|------|-------------|--------|
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| E | Elective deferrals to 403(b) | $6,408.37 |
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| DD | Cost of employer-sponsored health coverage | $9,068.64 |
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## Box 13 — Checkboxes
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- **Statutory employee:** Not checked
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- **Retirement plan:** Checked
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- **Third-party sick pay:** Not checked
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## Box 14 — Other
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| Description | Amount |
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|-------------|--------|
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| VDICA | $1,539.58 |
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## State and Local Tax Information
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| Box | Description | Value |
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|-----|-------------|-------|
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| 15 | State | CA |
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| 15 | Employer's state ID number | 910-0606 4 |
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| 16 | State wages, tips, etc. | $269,733.09 |
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| 17 | State income tax | $23,964.49 |
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| 18 | Local wages, tips, etc. | (blank) |
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| 19 | Local income tax | (blank) |
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| 20 | Locality name | (blank) |
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