Form It-2 - Summary Of W-2 Statements - New York State Department Of Taxation

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IT-2
New York State Department of Taxation and Finance
Summary of W-2 Statements
New York State • New York City • Yonkers
Do not detach or separate the W-2 Records below. File Form IT-2 as an entire page. See instructions on the back.
Taxpayer’s first name and middle initial
Taxpayer’s last name
 Your social security number
Spouse’s first name and middle initial
Spouse’s last name
 Spouse’s social security number
Box c Employer’s name and full address ( including ZIP code )
W-2
Record 1
Box 12a Amount
Box 15 State
Box 16 State wages, tips, etc. ( for NYS )
Code
 
Box b Employer identification number ( EIN )
Box 12b Amount
Code
Box 17 New York State income tax withheld
 
This W-2 record is for
( mark an X in one box ):
Box 12c Amount
Code
Box 18 Local wages, tips, etc.
( see instr. )
 
Taxpayer
Spouse
Locality a
Box 1 Wages, tips, other compensation
Box 12d Amount
Code
 
Locality b
Box 19 Local income tax withheld
Box 8 Allocated tips
Locality a
Box 13 Statutory employee
Locality b
Box 9 Advance EIC payment
Box 14 a Amount
Box 20 Locality name
Description
 
Locality a
Box 10 Dependent care benefits
Box 14 b Amount
Description
 
Locality b
Box 11 Nonqualified plans
Box 14 c Amount
Description
 
Corrected ( W-2c)
Do not detach.
Box c Employer’s name and full address ( including ZIP code )
W-2
Record 2
Box 12a Amount
Code
Box 15 State
Box 16 State wages, tips, etc. ( for NYS )
 
Box b Employer identification number ( EIN )
Box 12b Amount
Code
Box 17 New York State income tax withheld
 
This W-2 record is for
( mark an X in one box ):
Box 12c Amount
Code
Box 18 Local wages, tips, etc.
( see instr. )
 
Taxpayer
Spouse
Locality a
Box 1 Wages, tips, other compensation
Box 12d Amount
Code
 
Locality b
Box 19 Local income tax withheld
Box 8 Allocated tips
Locality a
Box 13 Statutory employee
Locality b
Box 9 Advance EIC payment
Box 14 a Amount
Description
Box 20 Locality name
 
Locality a
Box 10 Dependent care benefits
Box 14 b Amount
Description
 
Locality b
Box 11 Nonqualified plans
Box 14 c Amount
Description
 
Corrected ( W-2c)
Please file this original scannable form with the Tax Department.
If you or your paid preparer use software to produce this form,
it might have a two-dimensional (2-D) barcode on the bottom of
this page. It will appear as a rectangular-shaped object with very
small black boxes and white spaces. This barcode will be used to
efficiently process your entries on this form.
1021090094

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