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                                  Attention: 

You may file Forms W-2 and W-3 electronically on the SSA’s Employer 
W-2 Filing Instructions and Information web page, which is also accessible 
at www.socialsecurity.gov/employer.  You can create fill-in versions of 
Forms W-2 and W-3 for filing with SSA. You may also print out copies for 
filing with state or local governments, distribution to your employees, and 
for your records.

Note: Copy A of this form is provided for informational purposes only. Copy A appears in 
red, similar to the official IRS form. The official printed version of this IRS form is scannable, 
but the online version of it, printed from this website, is not. Do not print and file Copy A 
downloaded from this website with the SSA; a penalty may be imposed for filing forms that 
can’t be scanned. See the penalties section in the current General Instructions for Forms 
W-2 and W-3, available at www.irs.gov/w2, for more information.

Please note that Copy B and other copies of this form, which appear in black, may be 
downloaded, filled in, and printed and used to satisfy the requirement to provide the 
information to the recipient.

To order official IRS information returns such as Forms W-2 and W-3, which include a 
scannable Copy A for filing, go to IRS’ Online Ordering for Information Returns and 
Employer Returns page, or visit www.irs.gov/orderforms and click on Employer and 
Information returns. We’ll mail you the scannable forms and any other products you order.

See IRS Publications 1141,1167  , and1179 for more information about printing these tax 
forms.



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                                     a  Employee’s social security number
     22222          VOID                                                 For Official Use Only   
                                                                         OMB No. 1545-0008 
b  Employer identification number (EIN)                                               1   Wages, tips, other compensation    2   Guam income tax withheld

c  Employer’s name, address, and ZIP code                                             3   Social security wages              4   Social security tax withheld

                                                                                      5   Medicare wages and tips            6   Medicare tax withheld

                                                                                      7   Social security tips               8  

d  Control number                                                                     9                                      10  

e  Employee’s first name and initial    Last name                            Suff.    11   Nonqualified plans                12aCdoe See instructions for box 12
                                                                                      13  Statutory Retirement  Third-party 
                                                                                          employee  plan        sick pay
                                                                                                                             12bCdoe
                                                                                      14  Other
                                                                                                                             12cCdoe
                                                                                                                             12dCo 
f  Employee’s address and ZIP code                                                                                           de

                             Guam                                                                        Department of the Treasury—Internal Revenue Service
Form W-2GU                   Wage and Tax Statement                      2022                                   For Privacy Act and Paperwork Reduction Act 
Copy A—For Social Security Administration. Send this entire page with Copy A of                                              Notice, see the separate instructions.
Form W-3SS to the Social Security Administration; photocopies are not acceptable.                                                                     Cat. No. 16026K
                                          Do Not Cut, Fold, or Staple Forms on This Page



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                                     a  Employee’s social security number
     22222          VOID                                                  OMB No. 1545-0008 
b  Employer identification number (EIN)                                        1   Wages, tips, other compensation   2   Guam income tax withheld

c  Employer’s name, address, and ZIP code                                      3   Social security wages             4   Social security tax withheld

                                                                               5   Medicare wages and tips           6   Medicare tax withheld

                                                                               7   Social security tips              8  

d  Control number                                                              9                                     10  

e  Employee’s first name and initial    Last name                        Suff. 11   Nonqualified plans               12aCdoe
                                                                               13  Statutory Retirement  Third-party 
                                                                                   employee  plan        sick pay
                                                                                                                     12bCdoe
                                                                               14  Other
                                                                                                                     12cCdoe
                                                                                                                     12dCo 
f  Employee’s address and ZIP code                                                                                   de

                             Guam                                                                 Department of the Treasury—Internal Revenue Service
Form W-2GU                   Wage and Tax Statement                      2022
Copy 1—For Guam Department of Revenue and Taxation



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                                     a  Employee’s social security number
                                                                          OMB No. 1545-0008 
b  Employer identification number (EIN)                                        1   Wages, tips, other compensation   2   Guam income tax withheld

c  Employer’s name, address, and ZIP code                                      3   Social security wages             4   Social security tax withheld

                                                                               5   Medicare wages and tips           6   Medicare tax withheld

                                                                               7   Social security tips              8  

d  Control number                                                              9                                     10  

e  Employee’s first name and initial    Last name                        Suff. 11   Nonqualified plans               12aCdoe See instructions for box 12
                                                                               13  Statutory Retirement  Third-party 
                                                                                   employee  plan        sick pay
                                                                                                                     12bCdoe
                                                                               14  Other
                                                                                                                     12cCdoe
                                                                                                                     12dCo 
f  Employee’s address and ZIP code                                                                                   de

                             Guam                                                                 Department of the Treasury—Internal Revenue Service 
Form W-2GU                   Wage and Tax Statement                      2022                                    This information is being furnished to the 
Copy B—To Be Filed With Employee’s Guam Tax Return                                                       Guam Department of Revenue and Taxation.



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Notice to Employee                                                                     this amount on the wages line of your tax return. (Form 1040-SS filers, see the 
                                                                                       instructions for Form 1040-SS, Part I, line 6.) By filing this form, your social 
Do you have to file? Refer to the Form 1040 instructions to determine if you are       security tips will be credited to your social security record (used to figure your 
required to file a tax return. Even if you don’t have to file a tax return, you may be benefits). 
eligible for a refund if box 2 shows an amount or if you are eligible for any credit.  (See also the Instructions for Employee on this page and the back of Copy C.)
Copies B and C; corrections. File Copy B of this form with your 2022 Guam 
income tax return. Keep Copy C for your records. If your name, social security 
number (SSN), or address is incorrect, correct Copies B and C and ask your             Instructions for Employee
employer to correct your employment record. Be sure to ask your employer to file 
Form W-2c, Corrected Wage and Tax Statement, with the Social Security                  (See also Notice to Employee on this page.)
Administration (SSA) to correct any name, amount, or SSN error reported to the         Box 5. You may be required to report this amount on Form 8959, Additional 
SSA. Be sure to get your copies of Form W-2c from your employer for all                Medicare Tax. See the Form 1040 instructions to determine if you are required to 
corrections made so you may file them with your tax return.                            complete Form 8959.
Estimated tax. If you expect to owe $1,000 or more in tax for 2023, you may have       Box 6. This amount includes the 1.45% Medicare Tax withheld on all Medicare 
to make estimated tax payments to your local territory tax department. You may         wages and tips shown in box 5, as well as the 0.9% Additional Medicare Tax on 
also have to make estimated tax payments to the U.S. Internal Revenue Service if       any of those Medicare wages and tips above $200,000. 
you are subject to self-employment taxes. See Pub. 570, Tax Guide for Individuals      Box 11.This amount is (a) reported in box 1 if it is a distribution made to you from 
With Income From U.S. Possessions, for additional information.                         a nonqualified deferred compensation or nongovernmental section 457(b) plan, or 
Employee’s social security number (SSN). For your protection, this form may            (b) included in box 3 and/or box 5 if it is a prior year deferral under a nonqualified or 
show only the last four digits of your SSN. However, your employer has reported        section 457(b) plan that became taxable for social security and Medicare taxes this 
your complete SSN to the Guam Department of Revenue and Taxation and the               year because there is no longer a substantial risk of forfeiture of your right to the 
SSA.                                                                                   deferred amount. This box shouldn’t be used if you had a deferral and a distribution 
Clergy and religious workers. If you aren’t subject to social security and             in the same calendar year. If you made a deferral and received a distribution in the 
Medicare taxes, see Pub. 517, Social Security and Other Information for Members        same calendar year, and you are or will be age 62 by the end of the calendar year, 
of the Clergy and Religious Workers.                                                   your employer should file Form SSA-131, Employer Report of Special Wage 
                                                                                       Payments, with the Social Security Administration and give you a copy.
Cost of employer-sponsored health coverage (if such cost is provided by the 
employer). The reporting in box 12, using code DD, of the cost of employer-            Box 12. The following list explains the codes shown in box 12. You may need this 
sponsored health coverage is for your information only.The amount reported             information to complete your tax return. Elective deferrals (codes D, E, F, and S) 
with code DD is not taxable.                                                           and designated Roth contributions (codes AA, BB, and EE) under all plans are 
                                                                                       generally limited to a total of $20,500 ($14,000 if you have only SIMPLE plans; 
Credit for Guam income tax withheld. If you had local territory income tax             $23,500 for section 403(b) plans if you qualify for the 15-year rule explained in 
withheld, you are allowed an income tax credit on your income tax return for that      Pub. 571). Deferrals under code G are limited to $20,500. Deferrals under code H 
amount.                                                                                are limited to $7,000.
Credit for excess social security tax. If you had more than one employer in 2022       However, if you were at least age 50 in 2022, your employer may have allowed 
and more than $9,114 in social security tax was withheld, you can have the excess      an additional deferral of up to $6,500 ($3,000 for section 401(k)(11) and 408(p) 
refunded by filing Form 843, Claim for Refund and Request for Abatement, with          SIMPLE plans). This additional deferral amount is not subject to the overall limit on 
the Department of the Treasury, Internal Revenue Service Center, Austin, TX            elective deferrals. For code G, the limit on elective deferrals may be higher for the 
73301-0215, USA. However, if you are required   to file Form 1040 or 1040-SR with      last 3 years before you reach retirement age. Contact your plan administrator for 
the United States, you must claim the excess tax as a credit on Form 1040 or           more information. Amounts in excess of the overall elective deferral limit must be 
1040-SR.                                                                               included in income. See the “Wages, Salaries, Tips, etc.” line instructions for your 
Unreported tip income. You must file Form 4137, Social Security and Medicare           tax return.
Tax on Unreported Tip Income, with your income tax return to figure the social                                                                (continued on back of Copy C)
security and Medicare tax owed on tips you didn’t report to your employer. Enter



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                                     a  Employee’s social security number
                                                                          OMB No. 1545-0008 
b  Employer identification number (EIN)                                        1   Wages, tips, other compensation   2   Guam income tax withheld

c  Employer’s name, address, and ZIP code                                      3   Social security wages             4   Social security tax withheld

                                                                               5   Medicare wages and tips           6   Medicare tax withheld

                                                                               7   Social security tips              8  

d  Control number                                                              9                                     10  

e  Employee’s first name and initial    Last name                        Suff. 11   Nonqualified plans               12aCdoe See instructions for box 12
                                                                               13  Statutory Retirement  Third-party 
                                                                                   employee  plan        sick pay
                                                                                                                     12bCdoe
                                                                               14  Other
                                                                                                                     12cCdoe
                                                                                                                     12dCo 
f  Employee’s address and ZIP code                                                                                   de

                             Guam                                                                 Department of the Treasury—Internal Revenue Service 
Form W-2GU                   Wage and Tax Statement                      2022                                    This information is being furnished to the 
Copy C—For EMPLOYEE’S RECORDS                                                                            Guam Department of Revenue and Taxation.
(See Notice to Employee on the back of Copy B.)



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Instructions for Employee(continued from back of                                   R—Employer contributions to your Archer MSA. Report on Form 8853, Archer 
                                                                                   MSAs and Long-Term Care Insurance Contracts.
Copy B)                                                                            S—Employee salary reduction contributions under a section 408(p) SIMPLE plan 
Box 12 (continued)                                                                 (not included in box 1)
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made a make-    T—Adoption benefits (not included in box 1). Complete Form 8839, Qualified 
up pension contribution for a prior year(s) when you were in military service. To  Adoption Expenses, to figure taxable and nontaxable amounts.
figure whether you made excess deferrals, consider these amounts for the year      V—Income from exercise of nonstatutory stock option(s) (included in boxes 1, 3 
shown, not the current year. If no year is shown, the contributions are for the    (up to the social security wage base), and 5). See Pub. 525, Taxable and 
current year.                                                                      Nontaxable Income, for reporting requirements.
A—Uncollected social security tax on tips. Report on U.S. Form 1040 or 1040-SR.    W—Employer contributions (including amounts the employee elected to contribute 
Report on Form 1040-SS if not required to file Form 1040 or 1040-SR.               using a section 125 (cafeteria) plan) to your health savings account (HSA). Report 
B—Uncollected Medicare tax on tips. Report on U.S. Form 1040 or 1040-SR.           on Form 8889, Health Savings Accounts (HSAs).
Report on Form 1040-SS if not required to file Form 1040 or 1040-SR.               Y—Deferrals under a section 409A nonqualified deferred compensation plan 
C—Taxable cost of group-term life insurance over $50,000 (included in boxes 1, 3   Z—Income under a nonqualified deferred compensation plan that fails to satisfy 
(up to the social security wage base), and 5)                                      section 409A. This amount is also included in box 1. It is subject to an additional 
D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also        20% tax plus interest. See “Other Taxes” in the instructions for your tax return.
includes deferrals under a SIMPLE retirement account that is part of a section     AA—Designated Roth contributions under a section 401(k) plan
401(k) arrangement.                                                                BB—Designated Roth contributions under a section 403(b) plan
E—Elective deferrals under a section 403(b) salary reduction agreement             DD—Cost of employer-sponsored health coverage.The amount reported with 
F—Elective deferrals under a section 408(k)(6) salary reduction SEP                code DD is not taxable.
G—Elective deferrals and employer contributions (including nonelective deferrals)  EE—Designated Roth contributions under a governmental section 457(b) plan. 
to a section 457(b) deferred compensation plan                                     This amount does not apply to contributions under a tax-exempt organization 
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization plan. (You section 457(b) plan.
may be able to deduct.)                                                            FF—Permitted benefits under a qualified small employer health reimbursement 
J—Nontaxable sick pay (information only, not included in box 1, 3, or 5)           arrangement
M—Uncollected social security tax on taxable cost of group-term life insurance     GG—Income from qualified equity grants under section 83(i)
over $50,000 (former employees only). Report on U.S. Form 1040 or 1040-SR.         HH—Aggregate deferrals under section 83(i) elections as of the close of the 
Report on Form 1040-SS if not required to file Form 1040 or 1040-SR.               calendar year
N—Uncollected Medicare tax on taxable cost of group-term life insurance over       Box 13. If the “Retirement plan” box is checked, special limits may apply to the 
$50,000 (former employees only). Report on U.S. Form 1040 or 1040-SR. Report       amount of traditional IRA contributions that you may deduct. See Pub. 590-A, 
on Form 1040-SS if not required to file Form 1040 or 1040-SR.                      Contributions to Individual Retirement Arrangements (IRAs).
P—Excludable moving expense reimbursements paid directly to a member of the        Note: Keep Copy C of Form W-2GU for at least 3 years after the due date for filing 
U.S. Armed Forces (not included in box 1, 3, or 5)                                 your income tax return. However, to help protect your social security benefits, 
Q—Nontaxable combat pay. See your tax return instructions for details on           keep Copy C until you begin receiving social security benefits, just in case there is 
reporting this amount.                                                             a question about your work record and/or earnings in a particular year. 



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                                     a  Employee’s social security number
                    VOID                                                  OMB No. 1545-0008 
b  Employer identification number (EIN)                                        1   Wages, tips, other compensation   2   Guam income tax withheld

c  Employer’s name, address, and ZIP code                                      3   Social security wages             4   Social security tax withheld

                                                                               5   Medicare wages and tips           6   Medicare tax withheld

                                                                               7   Social security tips              8  

d  Control number                                                              9                                     10  

e  Employee’s first name and initial    Last name                        Suff. 11   Nonqualified plans               12aCdoe See instructions for box 12
                                                                               13  Statutory Retirement  Third-party 
                                                                                   employee  plan        sick pay
                                                                                                                     12bCdoe
                                                                               14  Other
                                                                                                                     12cCdoe
                                                                                                                     12dCo 
f  Employee’s address and ZIP code                                                                                   de

                             Guam                                                                 Department of the Treasury—Internal Revenue Service 
Form W-2GU                   Wage and Tax Statement                      2022                                    This information is being furnished to the 
Copy D—For Employer                                                                                      Guam Department of Revenue and Taxation.



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Employers, Please Note—                                          Need help? If you have questions about reporting on Form 
                                                                 W-2GU, call the information reporting customer service site toll 
Specific information needed to complete Form W-2GU is            free at 866-455-7438 or 304-263-8700 (not toll free). For TTY/
available in a separate booklet titled the 2022 General          TDD equipment for persons who are deaf, hard of hearing, or 
Instructions for Forms W-2 and W-3. Also, see Pub. 80, Federal   have a speech disability, call 304-579-4827 (not toll free). 
Tax Guide for Employers in the U.S. Virgin Islands, Guam, 
American Samoa, and the Commonwealth of the Northern             E-filing. See the 2022 General Instructions for Forms W-2 and 
Mariana Islands, for employment-related information for          W-3 for information on when you’re required to file electronically. 
employers with territory employees. You can order these          Even if you aren’t required to file electronically, doing so can 
instructions and additional forms at www.irs.gov/OrderForms.     save you time and effort. Employers may now use the SSA’s 
                                                                 W-2 Online service to create, save, print, and submit up to 50 
Caution: Do not send the SSA any Forms W-2GU and W-3SS           Form(s) W-2GU at a time over the Internet. When you e-file with 
that you have printed from IRS.gov. The SSA is unable to         the SSA, no separate Form W-3SS filing is required. An 
process these forms. Instead, you can create and submit them     electronic Form W-3SS will be created for you by the W-2 Online 
online. See E-filing, later.                                     service. For information, visit the SSA’s Employer W-2 Filing 
Caution: If an employee is the civilian spouse of an active duty Instructions & Information website atwww.SSA.gov/employer or 
servicemember, you may be required to file an IRS Form W-2,      contact your Employer Services Liaison Officer (ESLO) at 
Wage and Tax Statement, or another territory Form W-2 for the    510-970-8247 (not toll free) or SF.CA.RO.CDPS.ESLO@ssa.gov.
civilian spouse. For details, see Military Spouses Residency     Future developments. Information about any future 
Relief Act (MSRRA) in the 2022 General Instructions for Forms    developments affecting Form W-2GU and its instructions (such 
W-2 and W-3.                                                     as legislation enacted after we release them) will be posted at 
Due dates. By January 31, 2023, furnish Copies B and C to        www.irs.gov/FormW2GU. 
each person who was your employee during 2022. Mail or 
electronically file Copy A of Form(s) W-2GU and W-3SS with the 
SSA by January 31, 2023. See the separate instructions.






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