Sample / Informational Use Only

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Fill in employer, employee, and wage details on the left — your W-2 preview updates live on the right. This tool produces a sample document for personal record-keeping; it is not filed with the IRS or SSA.

Tax Year

Employer

Employee

Wages & Federal Tax (Boxes 1–2)

Social Security & Medicare (Boxes 3–8)

Other Amounts (Boxes 10–11)

Box 12 Codes

Box 13

Box 14 · Other

State & Local (Boxes 16–20)

LIVE PREVIEW

Form W-2 Wage and Tax Statement

2026

For informational / sample purposes only — not an official IRS document.

a  Employee's SSN

b  Employer identification number (EIN)

1  Wages, tips, other compensation

$0.00

2  Federal income tax withheld

$0.00

c  Employer's name, address, and ZIP code

Employer Name

, CA

3  Social security wages

$0.00

4  Social security tax withheld

$0.00

5  Medicare wages and tips

$0.00

6  Medicare tax withheld

$0.00

d  Control number

7  Social security tips

$0.00

8  Allocated tips

$0.00

e  Employee's name, address, and ZIP code

Employee Name

, CA

10  Dependent care benefits

$0.00

11  Nonqualified plans

$0.00

12  Codes

13

14  Other

15  State / Employer's state ID number

CA  —

16  State wages, tips, etc.

$0.00

17  State income tax

$0.00

18  Local wages, tips, etc.

$0.00

19  Local income tax

$0.00

20  Locality name

Form W-2 Wage and Tax Statement 2026

Copy B — To Be Filed With Employee's FEDERAL Tax Return.