Socia l &eCurllywag~ ~ 800lal aocu rlly laX withheld

. 24500 .00 1519.00·

Modlc.aro WtIIQ.I:!B M.d Up. 6 Mod lca, o we wllhh.ld
24500.00 355 .25
, Con',ol n umbe r O"l'L Coli> . Employe' use only
001401 3N U 420 A 2
Employor"s neme. lId d, eato, an d ZJp e~t"

MCGINN', SMITH & '00 INC .

99 PINE STREET
ALBANY NY 12207

Batch #421
E mploy.r·~ FED 10 numbe r d Empl oy " e ' ~ SS A n umber
. 14·1 6 2 0 4 7 1
8 Alloc.olod t1 p ~

:'d va nee EIC pa ymonl , 0 Dependent care b e n e flt ~ Gross Pa\, 24 ,500. 60, 2 4 , 5 0 0. 0 0 24.500 .00 . 24 , SOD . 00
Reported W·2 Wages 24,500.00 24, sao ..00 24 ,500.00 . 24,500.00
11 tlonqu ~l1 r",d plan ~ 12 B e n C! fit ~ lnc l LH:1 ed in bo.x 1

t3 See Inalr!l. for box 13 1~ Olhr,

. . .. ~' - .
'=: .. :
..~

. .~:
~. .
15 Slal emp. Ooco. -.-d Pentlonpia. l Oll. II. p. !l'2 emp. Oeremel ""lnp.

oil . ~ mp loy",, ·. !lame, addre~. e nd ZIP c od e

JOSEPH L BRUNO
89 BULSON RD
3. E m p lo ye e W-Jl PlcRIe. To ch ange your Employee W-4 f>Tonte Information. me ~ new W--' with your payroll de
TROY NY 1.2180

15 S10tc I Emp loye, ' ~ " .,elO 17 sune wnge s , llp... et c, JOSEPH L BRUNO Social Security Number:
Taxable Marital Status: MARRIED
NY 141620471 245pO.00 89 BULSON RD GOVERNMENT
18 Sl(lb~ Inc-orne tax LOC:l lity neme TROY NY 12180 Exemptions/Allowan" es:
979 . 94 EXHIBIT FEDERAL: 2
LOCal mecme tax STA1;E: 2
GA -4

o U~~oCI/.UTO M A. n C ClJ..TAPRO::ESS 1NG. IN C •

.r fOLD AND DETICi HEM ;.

.------------------------------------------------,---------------- ----------------------- ---------------r----------------------------------------------
2 Fe<lDl' a[ income t.Jr.J:: """thhe
I W80gc... ti~ cthCT eemp. 2 federollPlocmo llOC w~nnela WIIOe1i. Up~. clne-r compo 2 Fed 0", I Inc om e I:t x withhold I Woge&. Ups. other =mp--
24500.00 1987.33 24500.00 1987 .33 24500.00 1987.33
J Socl31 &ecurftywo~ 4 Soclal .ocurfty l8l< wllhheld 3 S ocj. l s ecurity wa9 ~ 4 $oclal .~ r ily t.u: wnh he ld 3 500101 . ""unty w~g. ~ 4 Social ~urily lax w;u,ho
. 24500.00 1519.00 . 24500.00 1519 .00 24500 .00 1519.00
5 McdieMC W3CJes an d li p, 6 . Med1e..~ I• • withh eld 5 Mod ic :u o WI'O C 5 an d tip~ 6 . Med ica,,, I.Jlx w ithhel d 5 , MedlcDfe "'80,," ond Ups . 6 Medlcortln wit"i1~ld
24500 .0 0 355 .25 . 24500.00 355 .25 2450 0 . 00 355.25

• Control number
001401 3NU
DepL
420
I
Cmp. I l mployel use on~ • Conlrol n umbe r
001401 3 N U
I Oerl
420
Co rp. I AEmployer us e o'W o Conlrol number
001401 3NU
I' OepL
420
Corp. I 'A
Employ.! use Or

c Emproy e, ·:!> n a me: ed e eeee . An d ZIP code c Em p loy cr "a n,"'m e.. addretlo::.. ant! ZIP code'
MCGINN, SMITH & CO INC MCGINN, SMITH & ·CO INC
99 PINE STREET 99 PINE STREET
ALBANY NY 12207 ALBANY NY 12207

,,
b Empl,C'r'=. FED 10 numb e r d Employ.e·s SS:' numbe r i r:b- -;=-:--:::-;=-.--;=;o-;;-;-;;-:=.,--,--,-= = ---:-= -:---:-;-- ---l b Employ ." , FED 10 numbe' d Emplo>~ ee "e 55A nUl!tMr
4·1620471 14·1620471
7 Social security IIpa 8 Allocalod tlp e, 7 Social security Up:. 8 Alloc ated lip. Social ~C!curtty O p ~ 8 AlloClll~d tip ,

• Advance EtC paymenl

1
t o Dependent care beeetue !,11-:9;--~A;:-:d:;:-v--o-n:::ce:"'E~I;::;C:-:p--a--ym=on::I--+.-:::-;::===:----:--=:-----1
Dependent car. bonefil.
10 '9 Adv~ n c e E~C p (lym en t 10 De-pend~nt ca re bon(l fi \s
I
11 Nonqua hh.d pin"" 12 Benefit .. Included In box 1 j "":-:l,..--;H"'o-,n-q""u"'.I"ifi-,'
' od
--;--,
p"'lo-n..,.
c- - --b.'""""'.,..,..
- =,....,-
12 Be nelil. ---,--.-..,..,-
Inc luded in- .--box-:----l
1 ,, Uonq ua lified p lans 12 Benerne in c l u ded i n box 1

,1-:,..-- - - - - - - - - -1:--,:-::
",-- - - - - - -,-- __1
13 Soc IMI~ '0' box l J 1~ Otho,
! lJ
' 40th.,
I'J,
14 Other

I
15 51.IOmp. /0""".s<d Pension plan LOIl.' rep. I 19012. mp. 1Deferredccma, iI I-I:-:S"--': t -. m-p.-"'llo'-m;e-
S""lI"" · .m-"
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l"" j 94"', ..,..-:::
m=- p....,-;;
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IIO
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ell Employee 's neme . ~ d d r es ,., a nd ZlP code : e,1 Emp loye<>' . na me. add, ese. And ZIP co de 0/1 Emp loyee ', na me, add r"ss, and ZIP code
JOSEPH L BAUNO ! JOSEPH L BRUNO JOSEPH L BRUNO
89 BULSON AO - : 89 BULSON RD 89 BULSON RD
TROY NY 12180 i TROY NY 12180
I
TROY NY 12180 ; ', ,'~rn"
:j .' , . 1. (
D
- . -\:. . -.
15 s l e 'e l .E m~loyar· s s ta te 10
NY 1 4 620471
17 Stole wages. tipG. etc, ~ 15 Sla le I1EmPlovo"" etat e 10 17 Siole w n g e s . l ip• . etc. 16 SI' l e ~EmPloyer · . " t. te 10 17 S t~te wages. tips, etc.
24500 .00 24500.00 NY 41620471 24500 ,00
18 St.ale Inc e mc t.ax 19 Locollty name i!: 18 5 "" " lneo me lox 19 Locality n ::J.mt:o 1B 51. 1e Ineem e ts x 19 Loc a lity name
979.94 ~ 979 .94 9 7 9 . 94
2D LOCllI woge.., Ups . ete. 21 LOC 61 i r\com e.t.ax ~ 20 Loc al w' ge s. lips . etc, 2\ L00411neome tax 2D Local wa g l:'~ tJp!i . etc, 21 Leee ! inc ome ta:x

~ - -, .- ~ :?F e d ~ra.l .fil in 9 Co p..Y -":': :'..... .;-. i" . NY,Stale ~efer~nc!,! 'C g Y..-:::.:"!F" ' -. - -. -~ -"'";c.N Y , S t a l e Fili':l9 Copy ~. : - •
W,/.--, r, 2"".~~!.S l a l .e m ~ n l/;"",r:·'1" 994 :W - 2 TciX =·1 9
:

W .-. 2~w a g e _a n ~.t~:'-": 1 9 9 i

C

,Wage . a n ~. TaX 1 Wage a rid A --

' - .'.o r., No: 1 0000', I .0._ . . . .. S l a t e me ;'·I.4'.'.~·_.-:,,',
:.-.-:' . :~ .~
MB ti t.. . !:1\ .
. &.tS"-oooB :_ ,-. . . ,. .__ .7,;....S I ~_ t e. m e.n t ,', · O" 8 NO_ l ~o-ooo.
CopyS.lo be lIJ<d wllh elnplo)'ei.~ F«Iet.'lncome t ..9::.ru....::.-~~"".... ::. . Copy ~ lo bellled.,Uk .mploy..•• STATEJacom.. TlxRePu ·
~
. '."; .~':~: Copy 2lQ b. llled wlll\'."",pI\>Y81' . 5l.lla _Tax .: R.lulD. ~'''"'..: .. '.
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