W-2 Form

W-2 Form

Tax Year 2025
Payroll Taxes:

If you have been making payments throughout the year, please provide us with a list of the payment dates and amounts.
Your Name or Business Name

First NameLast Name
Employer ID
Phone Number
Please enter a valid phone number.
Email
example@example.com
Your Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
Employee Name

First NameLast Name
Social Security #
REQUIRED
Is this Employee an H2A worker or Your Child under Age 18? If yes please indicate:

My Minor ChildH2A Employee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

	Overtime Wages
OVERTIME Wages

Wages

	Gross Wages	SS & Medicare	Federal W/H	State W/H	Net Check $
Gross Wages

** NEW FOR 2025 OVERTIME WAGES

Overtime Wages

OVERTIME Wages
By signing this form you are giving authorization for Jay Hansen CPA to electronically file your forms.
Signature

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Payroll Taxes: