a. Employee's Social Security Number OMB No.
1545-0008
*****6428
b. Employer's Identification Number (EIN) d. Control number 1 Wages, Tips, and other compensation 2 Federal Income Tax withheld
84-9990000 34289.45 1589.60
c. Employer's Name, Address, and ZIP Code 3 Social Security Wages 4 Social Security Tax withheld
DFAS-JFLL/IN 32971.95 2044.26
8899 EAST 56TH STREET 5 Medicare Wages and Tips 6 Medicare Tax withheld
INDIANAPOLIS IN 46249-1200 32971.95 478.09
7 Social Security tips 8 Allocated Tips
e/f. Employee's Name, Address, and ZIP Code 9 10 Dependent Care Benefits
SEBASTIAN ALEXAN CANTELLOPS
936A SILVERBERRY CIR SE 12 See instructions for box 12 14 See instructions for box 14
ALBUQUERQUE NM 87116
AA 1648.62 Y
13
Statutory Retirement Third-party
Employee Plan sick pay
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
NM 01-852207-006
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
Wage and Tax Department of the Treasury - Internal Revenue Service
Form
W-2 Statement 2024 Copy B To Be Filed With Employee's FEDERAL Tax Return
This information is being furnished to the Internal Revenue Service
a. Employee's Social Security Number OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you are required to file a tax
*****6428 return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
b. Employer's Identification Number (EIN) d. Control Number 1 Wages, Tips, other compensation 2 Federal Income Tax withheld
84-9990000 34289.45 1589.60
c. Employer's Name, Address, and ZIP Code 3 Social Security Wages 4 Social Security Tax withheld
DFAS-JFLL/IN 32971.95 2044.26
8899 EAST 56TH STREET 5 Medicare Wages and Tips 6 Medicare Tax withheld
INDIANAPOLIS IN 46249-1200 32971.95 478.09
7 Social Security tips 8 Allocated Tips
e/f. Employee's Name, Address, and ZIP Code 9 10 Dependent Care Benefits
SEBASTIAN ALEXAN CANTELLOPS
936A SILVERBERRY CIR SE 12 See instructions for box 12 14 See instructions for box 14
ALBUQUERQUE NM 87116
AA 1648.62 Y
13
Statutory Retirement Third-party
Employee Plan sick pay
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
NM 01-852207-006
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
Department of the Treasury - Internal Revenue Service
Wage and Tax
Form
W-2 Statement
2024 Copy C For EMPLOYEE'S RECORDS (See Notice to Employee on Back of Copy B)
a. Employee's Social Security Number OMB No. 1545-0008
*****6428
b. Employer's Identification Number (EIN) d. Control number 1 Wages, Tips, and other compensation 2 Federal Income Tax withheld
84-9990000 34289.45 1589.60
c. Employer's Name, Address, and ZIP Code 3 Social Security Wages 4 Social Security Tax withheld
DFAS-JFLL/IN 32971.95 2044.26
8899 EAST 56TH STREET 5 Medicare Wages and Tips 6 Medicare Tax withheld
INDIANAPOLIS IN 46249-1200 32971.95 478.09
7 Social Security tips 8 Allocated Tips
e/f. Employee's Name, Address, and ZIP Code 9 10 Dependent Care Benefits
SEBASTIAN ALEXAN CANTELLOPS
936A SILVERBERRY CIR SE 12 See instructions for box 12 14 See instructions for box 14
ALBUQUERQUE NM 87116
AA 1648.62 Y
13 Statutory Retirement Third-party
Employee Plan sick pay
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
NM 01-852207-006
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
Wage and Tax Department of the Treasury - Internal Revenue Service
Form
W-2 Statement 2024 Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return
a. Employee's Social Security Number OMB No. 1545-0008
*****6428
b. Employer's Identification Number (EIN) d. Control Number 1 Wages, Tips, other compensation 2 Federal Income Tax withheld
84-9990000 34289.45 1589.60
c. Employer's Name, Address, and ZIP Code 3 Social Security Wages 4 Social Security Tax withheld
DFAS-JFLL/IN 32971.95 2044.26
8899 EAST 56TH STREET 5 Medicare Wages and Tips 6 Medicare Tax withheld
INDIANAPOLIS IN 46249-1200 32971.95 478.09
7 Social Security tips 8 Allocated Tips
e/f. Employee's Name, Address, and ZIP Code 9 10 Dependent Care Benefits
SEBASTIAN ALEXAN CANTELLOPS
936A SILVERBERRY CIR SE 12 See instructions for box 12 14 See instructions for box 14
ALBUQUERQUE NM 87116
AA 1648.62 Y
13 Statutory Retirement Third-party
Employee Plan sick pay
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
NM 01-852207-006
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
Department of the Treasury - Internal Revenue Service
Wage and Tax
Form
W-2 Statement
2024 Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return
Future developments. For the latest information about Corrections. If your name, SSN, or address is incorrect,
developments related to Form W-2, such as legislation correct Copies B, C, and 2 and ask your employer to
enacted after it was published, go to [Link]/ correct your employment record. Be sure to ask the
FormW2. employer to file Form W-2c, Corrected Wage and Tax
Statement, with the SSA to correct any name, SSN, or
Notice to Employee money amount error reported to the SSA on Form W-2.
Be sure to get your copies of Form W-2c from your
Do you have to file? Refer to the Form 1040 instructions employer for all corrections made so you may file them
to determine if you are required to file a tax return. Even if with your tax return. If your name and SSN are correct but
you do not have to file a tax return, you may be eligible for are not the same as shown on your social security card,
a refund if box 2 shows an amount or if you are eligible for you should ask for a new card that displays your correct
any credit. name at any SSA office or by calling 1-800-772-1213. You
Earned income tax credit (EITC). You may be able to also may visit the SSA at [Link].
take the EITC for 2024 if your adjusted gross income (AGI) Cost of employer-sponsored health coverage (if such
is less than a certain amount. The amount of the credit is cost is provided by the employer). The reporting in box
based on income and family size. Workers without children 12, using code DD, of the cost of employer-sponsored
could qualify for a smaller credit. You and any qualifying health coverage is for your information only. The amount
children must have valid social security numbers (SSNs). reported with code DD is not taxable.
You cannot take the EITC if your investment income is Credit for excess taxes. If you had more than one
more than the specified amount for 2024 or if income is employer in 2024 and more than $10,453.20 in social
earned for services provided while you were an inmate at a security and/or Tier 1 railroad retirement (RRTA) taxes
penal institution. For 2024 income limits and more were withheld, you may be able to claim a credit for the
information, visit [Link]/eitc. Also see Pub. 596. excess against your federal income tax. See the Form
Any EITC that is more than your tax liability is refunded 1040 instructions. If you had more than one railroad
to you, but only if you file a tax return. employer and more than $6,129.90 in Tier 2 RRTA tax
Employee’s Social Security Number (SSN). For your was withheld, you also may be able to claim a refund on
protection, this form may only show the last four digits of Form 843. See the instructions for Form 843.
your SSN. However, your employers have reported your (Also see Instructions for Employee on the back of Copy C.)
complete SSN to the IRS and Social Security
Administration (SSA).
Instructions for Employee (Also see Notice to Employee M - Uncollected Social Security or RRTA tax on taxable cost of group-term life
insurance over $50,000 (former employees only). See the Form 1040
on the back of Copy B.) instructions.
Box 1. Enter this amount on the wages line of your tax return. N - Uncollected Medicare tax on taxable cost of group-term life insurance over
Box 2. Enter this amount on the federal income tax withheld line of your tax $50,000 (former employees only). See the Form 1040 instructions.
return. P - Excludable moving expense reimbursements paid directly to member of
Box 5. You may be required to report this amount on Form 8959. See the Form Armed Forces (not included in boxes 1, 3, or 5).
1040 instructions to determine if you are required to complete Form 8959. Q - Nontaxable combat pay. See the Form 1040 instructions for details on
Box 6. This amount includes the 1.45% Medicare Tax withheld on all Medicare reporting this amount.
wages and tips shown in box 5, as well as the 0.9% Additional Medicare Tax on R - Employer contributions to your Archer MSA. Report on Form 8853.
any of those Medicare wages and tips above $200,000.
S - Employee salary reduction contributions under a section 408(p) SIMPLE
Box 8. This amount is not included in boxes 1, 3, 5, or 7. For information on plan (not included in box 1).
how to report tips on your tax return, see the Form 1040 instructions. You must
T - Adoption benefits (not included in box 1). Complete Form 8839 to compute
file Form 4137 with your income tax return to report at least the allocated tip
any taxable and nontaxable amounts.
amount unless you can prove with adequate records that you received a smaller
amount. If you have records that show the actual amount of tips you received, W - Employer contributions (including amounts the employee elected to
report that amount even if it is more or less than the allocated tips. Use Form contribute using a section 125 (cafeteria) plan) to your health savings account.
4137 to figure the social security and Medicare tax owed on tips you didn't Report on Form 8889.
report to your employer. By filing Form 4137, your social security tips will be AA - Designated Roth contributions under a section 401(k) plan.
credited to your social security record (used to figure your benefits). BB - Designated Roth contributions under a section 403(b) plan.
Box 10. This amount includes the total dependent care benefits that your DD - Cost of employer-sponsored health coverage. The amount reported with
employer paid to you or incurred on your behalf (including amounts from a Code DD is not taxable.
section 125 (cafeteria) plan). Any amount over your employer’s plan limit is also EE - Designated Roth contributions under a governmental section 457(b) plan.
included in box 1. See Form 2441. This amount does not apply to contributions under a tax-exempt organization
Box 12. The following list explains the codes shown in box 12. You may need section 457(b) plan.
this information to complete your tax return. Elective deferrals (codes D, E, F Box 13. If the “Retirement plan” box is checked, special limits may apply to the
and S) and designated Roth contributions (codes AA, BB and EE) under all amount of traditional IRA contributions you may deduct. See Pub. 590-A.
plans are generally limited to a total of $23,000 ($16,000 if you only have Box 14. Amounts are coded as follows:
SIMPLE plans, $26,000 for section 403(b) plans, if you qualify for the 15-year ALX-Total amount of exempt overtime paid, Alabama (Excl. from Box 16).
rule explained in Pub. 571). However, if you were at least age 50 in 2024, your C - Taxable reimb for Permanent Change of Station (Incl in Box 1)
employer may have allowed an additional deferral of up to $7,500 ($3,500 for
E - Military TSP Contribution (Tax Exempt)
section 401(k)(11) and 408(p) SIMPLE plans). This additional deferral amount is
not subject to the overall limit on elective deferrals. Contact your plan F - TIAA/CREF and Fidelity Retirement Contributions
administrator for more information. Amounts in excess of the overall elective G - Pre-Tax Transportation Equity Act Benefits
deferral limit must be included in income. See the Form 1040 instructions. H - Taxable Home to Work and/or MILAIR Benefits (Incl in Box 1)
Note: If a year follows code D through H, S, Y, AA, BB or EE, you made a K - Pretax Vision and Dental Deduction
make-up pension contribution for a prior year(s) when you were in military P - Parking Fringe Benefits/Employer Provided Vehicle. (Incl in Box 1)
service. To figure whether you made excess deferrals, consider these amounts R - Retirement Deductions. (for Civilian Employees who have wages earned in
for the year shown, not the current year. If no year is shown, the contributions Puerto Rico)
are for the current year. Your employer does not use codes G, H, K, V, Y, Z, FF,
S - Federal Employee Health Benefit employee deduction for Civilian
GG, HH.
Employees who have wages earned in Puerto Rico.
A - Uncollected social security or RRTA tax on tips. Include this tax on Form
STT – Oregon Transit Tax
1040 or 1040-SR. See the Form 1040 instructions.
T - Cost of Living Allowance not included in box 1 or 16 for Civilian Employees
B - Uncollected Medicare tax on tips. Include this tax on Form 1040 or 1040-SR.
who have COLA included for wages in Alaska, Hawaii, Guam and the Northern
See the Form 1040 instructions.
Mariana Islands, Puerto Rico and the U.S. Virgin Islands
C - Taxable cost of group-term life insurance over $50,000 (included in boxes 1,
U - Non-Cash Fringe Benefits (Incl in Box 1)
3 (up to social security wage base), and 5).
V - Pretax FEHB Incentive
D - Elective deferrals to a section 401(k) cash or deferred arrangement. Also
includes deferrals under a SIMPLE retirement account that is part of a section X - Occupational FEHB Incentive Tax/Local Services Tax (CIVILIAN)
401(k) arrangement. Y - Pretax Flexible Spending Account Employee Contributions (Dependent Care
E - Elective deferrals under a section 403(b) salary reduction agreement. FSA and Health Care FSA)
F - Elective deferrals under a section 408(k)(6) salary reduction SEP. Z - Retirement Deductions for Massachusetts Residents Only
J - Nontaxable sick pay (information only, not included in boxes 1, 3, or 5). Note: Keep Copy C of Form W-2 for at least 3 years after the due date for filing
your income tax return. However, to help protect your social security
L - Substantiated employee business expense reimbursements (nontaxable).
benefits, keep Copy C until you begin receiving social security benefits, just in
case there is a question about your work record and/or earnings in a particular
year.
