7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld

Form W-2 Wage and Tax Statement 2018 65628.22 9716.30

c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA 68482.38 4245.91
1A L99

500 STANTON CHRISTIANA ROAD 9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
68482.38 992.99
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans C
12a See instructions for box 12
o
d
e C 7.20
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e D 2854.16
WILLIAM R SCHWARTZ b Employer identification number (EIN) C
12c
o

340 N 12TH ST APT 515 13-4994650 d

e

a Employee’s social security number 12d

PHILADELPHIA PA 19107 142-96-2678
C
o
d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
DE 1-134994650-001 65628.22 3113.96
Copy B-To Be Filed With Employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRS
OMB No. 1545-0008 Visit the IRS website at www.irs.gov/efile.

This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018 65628.22 9716.30
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA 68482.38 4245.91
9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
500 STANTON CHRISTIANA ROAD 992.99
68482.38
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans C
12a See instructions for box 12
o
d
e C 7.20
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o

WILLIAM R SCHWARTZ
d
e D 2854.16
b Employer identification number (EIN) 12c
C

340 N 12TH ST APT 515 13-4994650 o

d
e

a Employee’s social security number 12d

PHILADELPHIA PA 19107 C
o
142-96-2678 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
DE 1-134994650-001 65628.22 3113.96

Copy C-For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.) OMB No. 1545-0008 Dept. of the Treasury - IRS
Visit the IRS website at www.irs.gov/efile.

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018 65628.22 9716.30
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA 68482.38 4245.91
9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
500 STANTON CHRISTIANA ROAD 68482.38 992.99
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans 12a
C
o
d
e
C 7.20
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e
D 2854.16
WILLIAM R SCHWARTZ b Employer identification number (EIN) C
12c
340 N 12TH ST APT 515 13-4994650 o
d
e

a Employee’s social security number 12d

PHILADELPHIA PA 19107 C
o
142-96-2678 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
DE 1-134994650-001 65628.22 3113.96
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018 65628.22 9716.30
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA 68482.38 4245.91
500 STANTON CHRISTIANA ROAD 9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
68482.38 992.99
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans 12a
C
o
d
e
C 7.20
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e D 2854.16
WILLIAM R SCHWARTZ b Employer identification number (EIN) C
12c
340 N 12TH ST APT 515 13-4994650 o
d
e

a Employee’s social security number 12d

PHILADELPHIA PA 19107
FORM # LW28700

C
8403000753

o
142-96-2678 d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
DE 1-134994650-001 65628.22 3113.96
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS
 7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA
1A L99

500 STANTON CHRISTIANA ROAD 9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld

NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans C

12a See instructions for box 12
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e

WILLIAM R SCHWARTZ b Employer identification number (EIN) C

12c
o

340 N 12TH ST APT 515 13-4994650 d

e

a Employee’s social security number 12d

PHILADELPHIA PA 19107 FED W-2 DATA IS C
o
142-96-2678 d
e

ON SEPARATE W-2
15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
PA 10963890 32903.56 1278.52 PHILADE

Copy B-To Be Filed With Employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRS
OMB No. 1545-0008 Visit the IRS website at www.irs.gov/efile.

This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA
9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
500 STANTON CHRISTIANA ROAD
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans C
12a See instructions for box 12
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
WILLIAM R SCHWARTZ b Employer identification number (EIN)
e

12c
C

340 N 12TH ST APT 515 13-4994650 o

d
e

PHILADELPHIA PA 19107 a Employee’s social security number FED W-2 DATA IS C

12d
o
142-96-2678 ON SEPARATE W-2
d
e

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
PA 10963890 32903.56 1278.52 PHILADE

Copy C-For EMPLOYEE’S RECORDS (See Notice to Employee on the back of Copy B.) OMB No. 1545-0008 Dept. of the Treasury - IRS
Visit the IRS website at www.irs.gov/efile.

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA
9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld
500 STANTON CHRISTIANA ROAD
NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans 12a
C
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e

WILLIAM R SCHWARTZ b Employer identification number (EIN) C

12c
340 N 12TH ST APT 515 13-4994650 o
d
e

a Employee’s social security number 12d

PHILADELPHIA PA 19107 FED W-2 DATA IS C
o
142-96-2678 d
e
ON SEPARATE W-2
15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
PA 10963890 32903.56 1278.52 PHILADE
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS

7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2018
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
JPMORGAN CHASE BANK, NA
500 STANTON CHRISTIANA ROAD 9 Verification code 5 Medicare wages and tips 6 Medicare tax withheld

NEWARK DE 19713 10 Dependent care benefits 11 Nonqualified plans 12a

C
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code 13 employee plan sick pay 14 Other 12b
C
o
d
e
WILLIAM R SCHWARTZ b Employer identification number (EIN) C
12c
340 N 12TH ST APT 515 13-4994650 o
d
e

a Employee’s social security number 12d

PHILADELPHIA PA 19107
FORM # LW28700

FED W-2 DATA IS C

8403000753

o
142-96-2678 d
e
ON SEPARATE W-2
15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
PA 10963890 32903.56 1278.52 PHILADE
Copy 2-To Be Filed With Employee’s State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS