Fillable Form W-2 - Wage And Tax Statement - 2016 (Page 7 of 11) in pdf

Instructions for Employee

Box 12. The following list explains the codes shown in box 12. You may

(Also see Notice to Employee,

need this information to complete your tax return. Elective deferrals (codes

on the back of Copy B.)

D, E, F, and S) and designated Roth contributions (codes AA, BB, and EE)

under all plans are generally limited to a total of $18,000 ($12,500 if you only

Box 1. Enter this amount on the wages line of your tax return.

have SIMPLE plans; $21,000 for section 403(b) plans if you qualify for the

Box 2. Enter this amount on the federal income tax withheld line of your tax

15-year rule explained in Pub. 571). Deferrals under code G are limited to

return.

$18,000. Deferrals under code H are limited to $7,000.

Box 5. You may be required to report this amount on Form 8959, Additional

However, if you were at least age 50 in 2016, your employer may have

Medicare Tax. See the Form 1040 instructions to determine if you are

allowed an additional deferral of up to $6,000 ($3,000 for section 401(k)(11)

required to complete Form 8959.

and 408(p) SIMPLE plans). This additional deferral amount is not subject to

Box 6. This amount includes the 1.45% Medicare Tax withheld on all

the overall limit on elective deferrals. For code G, the limit on elective

Medicare wages and tips shown in box 5, as well as the 0.9% Additional

deferrals may be higher for the last 3 years before you reach retirement age.

Medicare Tax on any of those Medicare wages and tips above $200,000.

Contact your plan administrator for more information. Amounts in excess of

the overall elective deferral limit must be included in income. See the

Box 8. This amount is not included in boxes 1, 3, 5, or 7. For information on

“Wages, Salaries, Tips, etc.” line instructions for Form 1040.

how to report tips on your tax return, see your Form 1040 instructions.

Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made a

You must file Form 4137, Social Security and Medicare Tax on Unreported

make-up pension contribution for a prior year(s) when you were in military

Tip Income, with your income tax return to report at least the allocated tip

service. To figure whether you made excess deferrals, consider these

amount unless you can prove that you received a smaller amount. If you have

amounts for the year shown, not the current year. If no year is shown, the

records that show the actual amount of tips you received, report that amount

contributions are for the current year.

even if it is more or less than the allocated tips. On Form 4137 you will

calculate the social security and Medicare tax owed on the allocated tips

A—Uncollected social security or RRTA tax on tips. Include this tax on Form

shown on your Form(s) W-2 that you must report as income and on other tips

1040. See “Other Taxes” in the Form 1040 instructions.

you did not report to your employer. By filing Form 4137, your social security

B—Uncollected Medicare tax on tips. Include this tax on Form 1040. See

tips will be credited to your social security record (used to figure your

“Other Taxes” in the Form 1040 instructions.

benefits).

C—Taxable cost of group-term life insurance over $50,000 (included in boxes

Box 10. This amount includes the total dependent care benefits that your

1, 3 (up to social security wage base), and 5)

employer paid to you or incurred on your behalf (including amounts from a

D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also

section 125 (cafeteria) plan). Any amount over $5,000 is also included in box

includes deferrals under a SIMPLE retirement account that is part of a

1. Complete Form 2441, Child and Dependent Care Expenses, to compute

section 401(k) arrangement.

any taxable and nontaxable amounts.

E—Elective deferrals under a section 403(b) salary reduction agreement

Box 11. This amount is (a) reported in box 1 if it is a distribution made to you

(continued on back of Copy 2)

from a nonqualified deferred compensation or nongovernmental section

457(b) plan or (b) included in box 3 and/or 5 if it is a prior year deferral under

a nonqualified or section 457(b) plan that became taxable for social security

and Medicare taxes this year because there is no longer a substantial risk of

forfeiture of your right to the deferred amount. This box should not be used if

you had a deferral and a distribution in the same calendar year. If you made a

deferral and received a distribution in the same calendar year, and you are or

will be age 62 by the end of the calendar year, your employer should file

Form SSA-131, Employer Report of Special Wage Payments, with the Social

Security Administration and give you a copy.

Form W-2 - Wage And Tax Statement - 2016 Page 7

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