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Sation 2 Federal income tax withheld 17,253.00 10-0000000 c Employer s name, address, and ZIP code THE KITCHEN CORNER MAIN AND OAK ANYTOWN, USA XXXXX 1,552.00 3 Social security wages 5 Medicare wages and tips 4 Social security tax withheld 1069.69 14,932.00 6 Medicare tax withheld 250.17 17,253.00 7 Social security tips 8 Allocated tips 2,321.00 9 d Control number e Employee s first name and initial 10 Dependent care benefits Suff. 11 Nonqualified plans Last name BRANDON R.

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