Address: 1111 One Park Place City: One City State: California Zip code: 11111 Employer’ s FED ID number: 33-01XXX11 Sarah Petersan SSN: 001-02-XXXX DOB: 08 / 11 / 1979 Gross Pay: $ 50,000 401( k) contributions: $ 4,000 Healthcare costs( payroll deductions): $ 1347 Reported wages: $ 44,653 Social Security Wages: $ 48,653 Medicare Wages: $ 48,653 State Wages: $ 44,653 Taxes withheld: Federal: $ 2795.28 Social Security: $ 3016.49 Medicare: $ 704.98 State: $ 658.63 sdi( mandatory disability insurance): $ 379.55