Your Email address				Employee Social Security Number
Employee Name				Taxpayer / Spouse
Employer Name				Employer Identification Number
1  Wages, Tips, other				2  Federal Income Tax Withheld
3  Social Security Wages				4  Soc Security Tax Withheld
5  Medicare wages, tips				6  Medicare Tax Withheld
7  Social Security tips				8  Allocated tips
9  Advance EIC payment				10  Dependent Care Benefits
11  Non Qualified Plans
12a	Code	Amount		13 Statutory Employee		14 Other
12b	Code	Amount		3rd-party sick pay
12c	Code	Amount		Retirement Plan
12d	Code	Amount
State Income Taxes:
15  State			16  State Wages		17  State Income Tax
18  Locality Name			19  Local Wages		20  Local Income Tax
15  State			16  State Wages		17  State Income Tax
18  Locality Name.			19  Local Wages		20  Local Income Tax

NOTE: If you have other W-2's:
      Press "Send to Jack Burson, CPA" to submit this W-2, then press "Clear Form",
      enter your next W-2 (if any)information and press "Send to Jack Burson, CPA" again
      ...repeat for additional W-2's.