ORGANIZER Page 15 2014 1040 US Wages, Pensions, Gambling Winnings 10, 13.1, 13.2 Please enter all pertinent 2014 amounts & attach all W-2, W-2G and 1099-R forms. Last year's amounts are provided for your reference. WAGES, SALARIES, TIPS (10) Other Tax Withheld Compensation Federal 1=spouse Social Name of Employer (Box c) (Box 1) (Box 2) Medicare 2013 State Local Security No. (Box 6) Wages (Box 17) (Box 19) (Box 4) 1=retirement plan (Box 13) Wages, Tips, Value of PENSIONS, IRA DISTRIBUTIONS (13.1) Distribution code #2 Distribution code #1 Tax Gross Distribution No. Name of Payer (Box 1) State 1 (Box 12) Amount 1=IRA/SEP/SIMPLE (Box 2a) all IRAs at 1=spouse 12/31/14 Federal (Box 4) GAMBLING WINNINGS (W-2G) (13.2) Federal (Box 4) State (Box 15) No. Name of Payer 1=spouse Gross Winnings 2013 Winnings Local (Box 17) Tax Withheld
ORGANIZER 2014 Page 15 1040 US Wages, Pensions, Gambling Winnings 10, 13.1, 13.2 Please enter all pertinent 2014 amounts & attach all W-2, W-2G and 1099-R forms. Last year's amounts are provided for your reference. WAGES, SALARIES, TIPS (10) No. Name of Employer (Box c) 1=retirement plan (Box 13) 1=spouse Wages, Tips, Other Compensation (Box 1) Federal (Box 2) Social Security (Box 4) Tax Withheld Medicare (Box 6) State (Box 17) Local (Box 19) 2013 Wages PENSIONS, IRA DISTRIBUTIONS (13.1) Distribution code #2 Distribution code #1 Gross Tax Value of No. Name of Payer 1=IRA/SEP/SIMPLE 1=spouse Distribution (Box 1) Amount (Box 2a) Federal (Box 4) State (Box 12) all IRAs at 12/31/14 GAMBLING WINNINGS (W-2G) (13.2) No. Name of Payer 1=spouse Gross Winnings Tax Withheld Federal (Box 4) State (Box 15) Local (Box 17) 2013 Winnings 1
2014%20Blank%20Organizer%20Forms.docx