2019 Wage and Tax Statement
| A |
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| SSN as entered in BIOSCN | |
| B |
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| Employer Federal EIN as entered |
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| in W2PROC |
| C |
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| District name and address as entered in W2PROC | |
| E |
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Name as entered in BIOSCN
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| F |
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| Address as entered |
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| on BIOSCN |
| 1 |
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| YTD taxable gross on 001 DEDSCN | |
| 2 |
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| YTD deduct total on 001 DEDSCN | |
| 3 |
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| YTD taxable gross on 692/693 DEDSCN flagged with deduction category of F | |
| 4 |
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| YTD deduct total on 692/693 and 694/ |
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| 695 DEDSCN flagged with |
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| deduction category of F |
| 5 |
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| YTD taxable gross on 692/ |
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| 693 DEDSCN flagged with deduction category of M |
| 6 |
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| YTD deduct total on 692/693 and 694/ |
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| 695 DEDSCN flagged with deduction category of M |
| 10 |
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| Dependent care amount on 001 DEDSCN or YTD deduct total on any DEDSCN with type DPCARE | |
| 12 |
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| 13 |
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Retirement Plan: 401(a) | |
| 14 |
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| Leased vehicle amount as entered on 001 DEDSCN or any other deduction |
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| amounts entered in W2PROC |
| 14 |
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| Fringe Benefits | |
| 15 |
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| State ID name as entered in W2PROC | |
| 16 |
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| YTD taxable gross amount on 002 DEDSCN | |
| 17 |
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| YTD deduct total on 002 DEDSCN | |
| 18 |
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| YTD taxable gross amount on |
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| all City DEDSCN |
| 19 |
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| YTD deduct total on |
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| all City DEDSCN |
| 20 |
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| W2 abbreviation as entered in |
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| DEDNAM |