Form W-2, Wage and Tax Statement (2025) Completed Form Examples and Samples
Explore detailed examples and samples of a filled 2025 Form W-2, Wage and Tax Statement. Understand your earnings, tax withholdings, and retirement contributions with our clear, easy-to-follow W-2 samples for the 2025 tax year.
Form W-2 Example – Salaried Employee (2025)
How this form was filled:
This is a sample Form W-2 for the tax year 2025, issued in January 2026. It shows the earnings and tax withholdings for a full-time salaried employee who contributes to a 401(k) retirement plan. Key boxes like wages, taxes withheld, and retirement contributions are filled out.
Information used to fill out the document:
- Tax Year: 2025
- Employee Name: Jane A. Doe
- Employee SSN: 987-65-4321
- Employee Address: 456 Oak Avenue, Anytown, CA 98765
- Employer Name: Innovate Tech Inc.
- Employer Identification Number (EIN): 98-7654321
- Employer Address: 123 Tech Park, Silicon Valley, CA 95054
- Box 1: Wages, tips, other comp.: $90,000.00
- Box 2: Federal income tax withheld: $13,500.00
- Box 3: Social security wages: $95,000.00
- Box 4: Social security tax withheld: $5,890.00
- Box 5: Medicare wages and tips: $95,000.00
- Box 6: Medicare tax withheld: $1,377.50
- Box 12a Code: D
- Box 12a Amount: $5,000.00
- Box 13: Retirement plan: Checked
- Box 15: State / Employer's state ID number: CA / 123-4567-8
- Box 16: State wages, tips, etc.: $90,000.00
- Box 17: State income tax: $6,300.00
What this filled form sample shows:
- Clearly shows the employee's total taxable wages in Box 1 after pre-tax 401(k) deductions.
- Details the specific amounts withheld for Federal, Social Security, Medicare, and State taxes in Boxes 2, 4, 6, and 17.
- Includes an example of a 401(k) contribution reported in Box 12 with Code D.
- Indicates that the employee participated in a retirement plan, as shown by the checkmark in Box 13.
Form specifications and details:
| Form: | Form W-2, Wage and Tax Statement |
| Tax Year: | 2025 |
| Use Case: | Full-time salaried employee with a 401(k) retirement plan. |
Created: January 27, 2026 02:34 AM
