Name and surname
E-mail
Year: —Proszę wybrać opcję—20172016201520142013
Wiza type: —Proszę wybrać opcję—J1H2B
State: —Proszę wybrać opcję—AlabamaAlaskaArizonaArkansasConnecticutSouth DakotaNorth DakotaDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaCaliforniaKansasSouth CarolinaNorth CarolinaKentuckyColoradoLouisianaMaineMarylandMassachusettsMichiganMinnesotaMissisipiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNew MexicoOhioOklahomaOregonPennsylvaniaRhode IslandTexasTennesseeUtahVermontWashingtonVirginiaWest VirginiaWisconsinWyoming
Total earnings $:
Sum of federal tax $:
Sum of state tax $:
First name
Second name - - Only if included on your Social Seurity Card
Surname
Your SSN - - type from Social Seurity Number Card
Date of birth
Phone number
State/Region
City
Street name
Building number/Flat number
Post Code
Rabate Code
Add first employer
Your possition
Your wages - Box 1 in W2 or Box 7 in 1099-MISC
Federal tax deducted - Box 2 in W2
State tax deducted - Box 17 in W2
State you worked —Proszę wybrać opcję—AlabamaAlaskaArizonaArkansasConnecticutSouth DakotaNorth DakotaDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaCaliforniaKansasSouth CarolinaNorth CarolinaKentuckyColoradoLouisianaMaineMarylandMassachusettsMichiganMinnesotaMissisipiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNew MexicoOhioOklahomaOregonPennsylvaniaRhode IslandTexasTennesseeUtahVermontWashingtonVirginiaWest VirginiaWisconsinWyoming
Add next employer
Date you entered USA
Date you departured USA
Wiza type —Proszę wybrać opcję—J1H2B
Have you worked in USA before 2018? —Proszę wybrać opcję—NieTak
If yes, provide the year
How many days you were working In USA In 2018
How many days you were working In USA In 2017
Who organized your work In USA?
Way return —Proszę wybrać opcję—CheckDirect deposit to account in USA
Routing number
Account number
Additional informations
Imię i nazwisko
Adres email
Rok: —Proszę wybrać opcję—20172016201520142013
Typ wizy: —Proszę wybrać opcję—J1H2B
Stan: —Proszę wybrać opcję—AlabamaAlaskaArizonaArkansasConnecticutDakota PołudniowaDakota PółnocnaDelawareDystrykt KolumbiiFlorydaGeorgiaHawajeIdahoIllinoisIndianaIowaKaliforniaKansasKarolina PołudniowaKarolina PólnocnaKentuckyKoloradoLuizjanaMaineMarylandMassachusettsMichiganMinnesotaMissisipiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNowy JorkNowy MeksykOhioOklahomaOregonPensylwaniaRhode IslandTeksasTennesseeUtahVermontWaszyngtonWirginiaWirginia ZachodniaWisconsinWyoming
Suma zarobków brutto $:
Suma podatku federalnego $:
Suma podatku stanowego $:
