W2 2025 mine
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Payroll
455 Granary Commons Drive
Tallgrass Members Credit Union
Columbus, OH 43229
pay.tallgrasscu.example
Form W-2 Wage and Tax Statement 2025 - employee's copy
Copy C, for the employee's records. This is a substitute statement printed from the payroll website. It is not an official IRS
form.
EMPLOYEE
A EMPLOYEE'S SOCIAL SECURITY NUMBER E EMPLOYEE'S NAME F EMPLOYEE'S ADDRESS
904-27-3306 LEAH M BRANDVOLD 2714 QUILLFEATHER LANE,
WESTERVILLE OH 43081
EMPLOYER
B EMPLOYER IDENTIFICATION NUMBER (EIN) C EMPLOYER'S NAME AND ADDRESS D CONTROL NUMBER
31-1550139 TALLGRASS MEMBERS CREDIT 004471-TMCU
UNION, 455 GRANARY
COMMONS DRIVE, COLUMBUS
OH 43229
FEDERAL
1 WAGES, TIPS, OTHER COMPENSATION 2 FEDERAL INCOME TAX WITHHELD 3 SOCIAL SECURITY WAGES
80,412.36 5,804.00 85,932.36
4 SOCIAL SECURITY TAX WITHHELD 5 MEDICARE WAGES AND TIPS 6 MEDICARE TAX WITHHELD
5,327.81 85,932.36 1,246.02
10 DEPENDENT CARE BENEFITS 12A CODE D, 401(K) DEFERRALS 12B CODE DD, COST OF EMPLOYER HEALTH
5,000.00 5,520.00 COVERAGE
1,318.20
STATE AND LOCAL
15 STATE / EMPLOYER'S STATE ID 16 STATE WAGES 17 STATE INCOME TAX
OH / 52-447193 80,412.36 1,812.00
18 LOCAL WAGES 19 LOCAL INCOME TAX 20 LOCALITY NAME
85,932.36 2,148.31 COLUMBUS
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| Value | Now |
|---|---|
| ssn-leah.ssn | 904-27-3306 |
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