below. Employee Data Payroll Data See example of Randy A. Kellison's completed Form W-2 below. Randy A. Kellison 54 Gradison Place Philadelphia, PA 19113-4054 Vince T. Roper 56 Andrews Court, Apt. 7 Philadelphia, PA 19103-3356 Murray T. Rodson 770 Camac Street Philadelphia, PA 19101-3770 Single $715 per week SS#: 000-00-4310 Deduction for 401(k) plan: $50/week Married filing jointly $985 per week SS#: 000-00-8804 Dependent care payment: $950 $70/week-401(k) Single $765 per week SS#: 000-00-3316 Annual Taxes Withheld Social security tax withheld Medicare tax withheld State income tax withheld Local Income tax withheld State unemployment tax withheld** Social security tax withheld Medicare tax withheld State income tax withheld Local income tax withheld State unemployment tax withheld** Social security tax withheld Medicare tax withheld State income tax withheld $2,3 5 1,1 1,4 3,17 7. 1,51 1,96 2,46 S