This sample notice contains all of the error codes that could cause the Employer Balancing
            Notices process to generate a Code H notice. We do not display these error codes in
            the notices sent to the employers, we provided them here for informational purposes
            only.
         
         Social Security Administration 
         Retirement, Survivors and Disability Insurance
         Important Information CODE H
         Office of Central Operations
         P.O. Box 33011
         Baltimore, MD 21290-3011
         Date:
         EIN:
         Employer Name
         Street Address
         City, State Zip
         Establishment Number: RLN: WFID:
         We are writing to tell you about corrections we made to the annual wage report you
            filed on paper or electronically for tax year (1). We corrected the report for you
            so that your employees can receive credit for their Medicare wages.
         
         What You Reported 
         ERROR CODE 4548 W3TXYR 1992-93 W3W2 CNTR = ZERO 
         AND 
         ERROR CODE 4549 W3TXYR 1994 ON W3W2 CNTR = ZERO 
         You filed Forms W-2 (Wage and Tax Statement) reporting Social Security Wages and Tips
            totaling $(1) and Medicare wages and tips totaling $(2). The wage totals you reported
            may be correct. However, while processing the forms, we noticed at least two of the
            following errors on your employee wage reports:
         
         ERROR CODE 4540   W3TXYR 1992-93     W3W2 CNTR = NOT ZERO AND 
         ERROR CODE 4550     W3TXYR 1994 ON     W3W2 CNTR = NOT ZERO 
         You filed (1) Forms W-2 (Wage and Tax Statement) reporting Social Security Wages and
            Tips totaling $(2) and Medicare Wages and Tips totaling $(3). The wage totals you
            reported may be correct. However, while processing the forms, we noticed at least
            two of the following errors on your employee wage reports:
         
         
            - 
               
                  • 
                     Incorrect Medicare Wages, 
 
 
- 
               
            
- 
               
                  • 
                     Missing Social Security Wages. 
 
 
How We Processed Your Report 
         We processed all the Forms W-2 you submitted. However, we changed (1) Forms W-2 on
            which either the Medicare Wage and Tip amount was omitted or incorrect or the Social
            Security Wage amount was omitted.
         
         The enclosed list shows the changes that were made.
         How We Corrected the Medicare Wage Amounts 
         ERROR CODE 4540     W3TXYR 1992-93     W3W2 CNTR = NOT ZERO 
 AND
         ERROR CODE 4548     W3TXYR 1992-93     W3W2 CNTR = ZERO 
         For (1), Medicare taxes should have been withheld on wages and tips earned up to $(2),
            and Social Security taxes should have been withheld on wages and tips up to $(3).
            The total reported for Medicare Wages and Tips must be the same as or more than the
            total reported for Social Security Wages and Tips. Therefore, we corrected any Form
            W-2 on which the Medicare Wage amount is omitted or incorrect as follows:
         
         ERROR CODE 4549     W3TXYR 1994 ON     W3W2 CNTR = ZERO AND 
         ERROR CODE 4550     W3TXYR 1994 ON     W3W2 CNTR = NOT ZERO
         For (1), Social Security taxes should have been withheld on wages and tips up to $(2),
            and Medicare taxes should have been withheld on all wages and tips. The total reported
            for Medicare Wages and Tips must be the same as or more than the total reported for
            Social Security Wages and Tips. Therefore, we corrected any Form W-2 on which the
            Medicare Wage amount is omitted or incorrect as follows:
         
         We changed the Medicare Wage and Tip amount to equal the total that was reported for
            Social Security Wages and Tips, unless the Social Security Wages and Tips reported
            were equal to $(1) or zero.
         
         
            - 
               
                  • 
                     If the total Social Security Wages and Tips reported for an employee was $(1), we
                        increased the Medicare amount to the greater of:
                      
 
 
$(1), or the amount shown under Wages, Tips and Other Compensation.
         
            - 
               
                  • 
                     If the Social Security Wages and Tips equal zero, we changed the Medicare Wages and
                        Tips amount to equal the reported Wages, Tips, and Other Compensation amount.
                      
 
 
How We Corrected the Social Security Wage Amounts 
         We corrected any Form W-2 on which the Social Security Wage amount is omitted by using
            the dollar amount shown under Wages, Tips, and Other Compensation. If no amount was
            shown in this box, we used the Medicare Wage and Tip amount as the Social Security
            Wages. Because Social Security taxes should have been withheld on wages and tips up
            to $(1), we only recorded wages up to this amount.
         
         What You Need To Do 
         If you agree with the changes we have made, you should inform your employees of any
            changes to the wage data they originally received. If you believe the corrections
            we made are not accurate, or if you need to make other corrections, fill out both
            a Form W-2c (Statement of Corrected Income and Tax Amounts) and a Form W-3c (Transmittal
            of Corrected Income and Tax Statements).
         
         Also, if the taxes you filed with the Internal Revenue Service (IRS) are incorrect,
            please file a Form 941-X (Adjusted Employer’s Quarterly Federal Tax Return or Claim
            for Refund) with IRS.
         
         You can get the Forms W-2c, W-3c and 941-X from the IRS by calling 1-800-829-3676.
            Instructions for completing these forms and the return mailing address are on the
            forms.
         
         Filing Next Year 
         It is important to file your wage reports correctly. This year is the last year we
            will correct your wage reports for you. Starting next year, we will not accept wage
            reports with errors. We will notify you of any errors and ask you to correct and resubmit
            your reports.
         
         The types of errors that will require you to resubmit your wage reports are:
         
            - 
               
                  • 
                     Social Security tax is greater than zero, and the sum of Social Security Wages and
                        Social Security Tips is zero.
                      
 
 
- 
               
                  • 
                     Medicare tax is greater than zero, and Medicare Wages and Tips is zero. 
 
 
- 
               
                  • 
                     Medicare Wages and Tips is less than the sum of Social Security Wages and Social Security
                        Tips.
                      
 
 
We recommend filing online to prevent errors. Please visit www.socialsecurity.gov/employer to learn about your electronic filing options. We also recommend using our AccuWage
            software to check your wage reports before you file them. You can download this free
            software from our website.
         
         If You Have Any Questions 
         If you have any questions, visit our website at www.socialsecurity.gov/employer or call toll free at 1-800-772-6270 between 7:00 A.M. and 7:00 P.M., Eastern time,
            Monday through Friday. If you do call, please have this letter with you. It will help
            us answer your questions. You can also write us at the address shown on the first
            page of this letter.
         
         Social Security Administration 
         MEDICARE AND SOCIAL SECURITY WAGES WE CORRECTED 
         
            
               
               
                  
                  
                     
                     |     Social Security Number | Medicare Wages and Tips Reported As | Changed To | Social Security Wages Changed From Zero To | 
               
               
                  
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 | 
                  
                     
                     | 000-00-0000 | $0,000,000.00 | $0,000,000.00 | $0,000,000.00 |