Wage and Tax Statement: OMB No. 1545-0008 Visit The IRS Website at
Wage and Tax Statement: OMB No. 1545-0008 Visit The IRS Website at
Wage and Tax Statement: OMB No. 1545-0008 Visit The IRS Website at
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o
d
e D 15000
LISA SEARS 13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
o
d
e DD 10000
14 Other 12c
349 S LUCAS ST JUNCTION CITY C
o
48000
KENTUCKY d
e P
12d
C
o
d
e